Improved Diagnostics and Monitoring of Polymyalgia Rheumatica
A legfontosabb adatok
- Ki végzi
- Kresten Krarup Keller
- Hol
- Dánia3 helyszín, 1 országbanVálassz országot a helyszínekhez
- Azonosító
- Állapot
- Fut, nem toboroz
- Résztvevők
- 98 fő vett részt
- Kezdés
- 2020. szept. 14.
- Várható befejezés
- 2027. jún. 30.
- A vizsgálat típusa
- Megfigyeléses
- A vizsgált kezelések
- PET/CT
- A regiszteradat frissítve
- 2025. szeptember 24.
Ki vehet részt
- Életkor
- 50 év felett
- Nem
- Nők és férfiak
- Egészséges önkéntesek
- Nem vehetnek részt
A regiszter feltételei, szó szerint
Mind a 12 feltétel megnézéseKevesebb
Ki vehet részt
- Patients suspected of PMR
- Age above 50
- Pain of the proximal muscles
Ki nem vehet részt
- Previous prednisolone treatment for GCA/PMR
- Treatment with peroral oestrogens, aminogluthethimid, trilostan, ketoconazole, fluconazol, etomidate, phenobarbital, phenytoin, rifampicin, metyrapon, mitotane
- Active malignant cancers within the last 5 years (except basal cell carcinoma)
- Other inflammatory rheumatic diseases (eg. rheumatoid arthritis, polymyositis, spondyloarthritis, psoriatic arthritits, gout)
- Uncontrolled diseases (eg severe active astma, cardiac disease with NYHA class IV)
- Known primary or secondary adrenal insufficiency
- Peroral, intraarticular, intramuscular and dermal application of glucocorticoids within the last 3 month
- Unable to give consent
- Symptoms of GCA (headache, jaw claudication, vision disturbances)
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A vizsgálatról
Mit akar kideríteni a vizsgálat
Background: Polymyalgia rheumatica (PMR) is characterised by pain of the proximal muscles, general symptoms, and raised inflammatory markers. Treatment with prednisolone has several adverse effects. PMR is an exclusion diagnosis, and methods to diagnose and monitor the disease are lacking.
A teljes eredeti leírásKevesebb
Objective: To investigate if ultrasound and PET/CT can be used to diagnose and monitor PMR. In addition, the importance of prednisolone induced adrenal insufficiency is investigated.
Methods: It is a prospective observational study in patients suspected of PMR. Patients diagnosed with PMR continue in the study. Ultrasound and PET/CT are performed at baseline, after 8 weeks on prednisolone, and after 10 weeks during a short prednisolone break. Adrenal insufficiency is investigated five times throughout the study. After one year the PMR diagnosis is confirmed.
A vizsgálat csoportja
- Patients with suspected polymyalgia rheumatica
The study investigates patients with suspected polymyalgia rheumatica (PMR). For Patients where the PMR diagnosis is dismissed, the study terminates after the first visit. Patients diagnosed with PMR will be treated with prednisolone with taper corresponding to usual care. At baseline all patients will have medical history taken, physical examination, blood drawn, Synacthen® test, PET/CT, and ultrasound performed. Physical examination, PET/CT, and ultrasound are repeated after 8 weeks of prednisolone treatment while the patients iare on 10 mg prednisolone as well as after prednisolone taper two weeks later, where Synachten® test is also performed. After 10 weeks prednisolone is restarted at 10 mg and the patient is followed by their general practitioner or at the department of rheumatology, where prednisolone is tapered according to usual care. Patients are invited to a follow up visit after one year.
Kezelés: PET/CT
Adatok és források
- Regiszteradat
- Szerepel a ClinicalTrials.gov-on.
- Publikációk
- Diagnostic accuracy of musculoskeletal ultrasound in suspected polymyalgia rheumatica: a multicentre, cohort study.The Lancet. Rheumatology, 2026
- Repeated short corticotropin testing in patients with polymyalgia rheumatica.Rheumatology (Oxford, England), 2026
- The effect of prednisolone initiation and short-term discontinuation on the clinical assessment of polymyalgia rheumatica.Rheumatology (Oxford, England), 2025
- Whole-body and site specific [18F]FDG uptake patterns on PET/CT have limited value in differentiating between polymyalgia rheumatica and other inflammatory diseases: two cohorts of treatment-naïve suspected polymyalgia rheumatica.EJNMMI research, 2025
- Low incidence of late-onset giant cell arteritis during the first year in patients with polymyalgia rheumatica-a repeated imaging study.Rheumatology (Oxford, England), 2025
- The effect of prednisolone and a short-term prednisolone discontinuation for the diagnostic accuracy of FDG-PET/CT in polymyalgia rheumatica-a prospective study of 101 patients.European journal of nuclear medicine and molecular imaging, 2024
- A regiszteradat frissítve
- 2025. szeptember 24.