CClinicalTrials.gg
Status unknownNCT04139954BioSTaRUpdated Oct 29, 2019

Observational Registry of Patients With Rheumatoid Arthritis /Spondyloarthritis Using Biological or Targeted Synthetic DMARDs

An observational study in Rheumatoid Arthritis and Spondyloarthritis, sponsored by Turkish League Against Rheumatism. Status unknown at 14 sites in Turkey. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-29.

Sponsored by Turkish League Against Rheumatism · Observational

The sponsor has not verified this record recently (last verified Oct 2019), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,400
Ages
18 Years and older
Sex
All
01

Study summary

In this study, investigators aimed to observe the examination findings, laboratory findings and drugs used in routine polyclinic controls of the participants using biological and targeted synthetic disease-modifying antirheumatic drug (DMARD) and the doses and side effects of these drugs. The aim of this registry is to evaluate the real-life data of participants receiving these medications. Analysis of treatment follow-up, drug changes, causes of change, treatment-related paradoxic / immune reactions, compliance with adult vaccination programs, nutritional profiles, presence of metabolic syndrome, fertility status, pregnancy outcomes, and vitamin D levels will be recorded in the outpatient clinic. Rheumatoid Arthritis Impact of Disease, Psoriatic Arthritis Impact of Disease (RAID and PSAID indexes), Work Productivity and Activity Impairment Questionnaire (WPAI), drug compliance, central sensitization and fall risk will be evaluated with verbal evaluation forms performed at policlinic controls in patients with spondyloarthritis and rheumatoid arthritis. It is planned to conduct scientific analyzes and publish on various subjects from the recorded information on this registration system.

Patients using biological and targeted synthetic DMARD treatments are closely monitored and evaluated in many ways due to the risk profiles and various characteristics of the drugs. With this registry system, it is aimed to evaluate the real-life data of the participants using these drugs. Real-life data are very valuable in monitoring the disease and the drugs.

The study is observational and there is no expected risk since no intervention is planned.

Read the detailed description

In this study, investigators aimed to observe the examination findings, laboratory findings and drugs used in routine polyclinic controls of the participants using biological and targeted synthetic disease-modifying antirheumatic drug (DMARD) and the doses and side effects of these drugs. The aim of this registry is to evaluate the real-life data of participants receiving these medications. Analysis of treatment follow-up, drug changes, causes of change, treatment-related paradoxic / immune reactions, compliance with adult vaccination programs, nutritional profiles, presence of metabolic syndrome, fertility status, pregnancy outcomes, and vitamin D levels will be recorded in the outpatient clinic. Rheumatoid Arthritis Impact of Disease, Psoriatic Arthritis Impact of Disease (RAID and PSAID indexes), Work Productivity and Activity Impairment Questionnaire (WPAI), drug compliance, central sensitization and fall risk will be evaluated with verbal evaluation forms performed at policlinic controls in patients with spondyloarthritis and rheumatoid arthritis. It is planned to conduct scientific analyzes and publish on various subjects from the recorded information on this registration system.

Patients using biological and targeted synthetic DMARD treatments are closely monitored and evaluated in many ways due to the risk profiles and various characteristics of the drugs. With this registry system, it is aimed to evaluate the real-life data of the participants using these drugs. Real-life data are very valuable in monitoring the disease and the drugs.

Planned studies are:

ROMATOID ARTHRITIS CLINICAL DEMOGRAPHIC ASSESSMENT / DISEASE EFFECT / DRUGS

  • SPONDYLOARTHRITIS CLINICAL DEMOGRAPHIC EVALUATION / DISEASE EFFECT / DRUGS
  • COMORBIDITY IN ROMATOID ARTHRITIS
  • COMORBIDITY IN SPONDYLOARTHRITIS
  • RE ACTIVITATION AND SAFETY MONITORING IN VIRAL HEPATITIS
  • TREATMENT PARADOXIC / IMMUNE REACTIONS (SYSTEMIC AUTOIMMUNE, ARTHRITIS, HEMATOLOGIC, NEUROLOGIC, PULMONARY, OPHTHALMOLOGICAL, INFLAMMATORY BOWEL DISEASE, LIVER, CUTANEOUS, OTHER)
  • WORK FORCE LOSS IN AXIAL SPONDYLOARTHRITIS
  • WORK FORCE LOSS IN PSORIATIC ARTHRITIS
  • WORK FORCE LOSS IN ROMATOID ARTHRITIS
  • PREGNANCY / FERTILITY OUTCOMES
  • TUBERCULOSIS MONITORING
  • DRUG SWITCH ANALYSIS
  • THROID DISEASE IN EARLY AND ESTABLISHED ROMATOID ARTHRITIS (AUTOIMMUNE THROIDITIS, MALIGNITY etc)
  • TREATMENT COMPLIANCE IN RHEUMATIC DISEASES
  • ADULT IMMUNIZATION PROGRAM IN RHEUMATIC DISEASES
  • METABOLIC SYNDROME ASSESSMENT
  • CARDIOVASCULAR RISK ASSESSMENT
  • FALL / FRACTURE AND RELATED VARIABLES IN RHEUMATIC DISEASES
  • VITAMIN D STATUS IN RHEUMATIC DISEASES
  • CENTRAL SENSITIZATION AND PAIN IN ROMATOID ARTHRITIS AND SPONDYLOARTROPATHIES AND RELATED VARIABLES The study is observational and there is no expected risk since no intervention is planned.
02

Conditions studied

  • Rheumatoid Arthritis
  • Spondyloarthritis
03

In context

Spondylitis

623 studies on the registry are indexed under Spondylitis; 83 are open to participants now.

This study's planned enrollment of 1,400 is above the median of 202 across 256 observational studies indexed under Spondylitis.

Browse Spondylitis studies →

Lead sponsor

Turkish League Against Rheumatism is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of patients followed in rheumatology and physical medicine and rehabilitation clinics in tertiary hospitals.

Inclusion criteria

Clinical diagnosis with rheumatoid arthritis or spondyloarthritis Receiving biological or targeted synthetic DMARD treatment

Exclusion criteria

Exclusion Criteria:

Aged under 18 years old

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,400 participants (estimated)
Patient registry
No

Groups and cohorts

  • Rheumatoid arthritis and Spondyloarthritis

    Patients using Biological or Targeted Synthetic DMARDs

    Other: There is no intervention in the study

Interventions

  • OtherThere is no intervention in the study

    There is no intervention in the study

06

What researchers measure

Primary outcomes

  1. Disease activity RA

    DAS 28 score will be calculated (Sensitive and swollen joints, VAS pain score, patient's global assessment and CRP / ESH values will be used for scoring)

    Time frame: 24 weeks

  2. Disease activity- SpA1

    ASDAS score will be calculated (Sensitive and swollen joints, VAS pain score, patient's global assessment and CRP / ESH values will be used for scoring)

    Time frame: 24 weeks

  3. Disease activity-SpA2

    BASDAI score will be calculated

    Time frame: 24 weeks

Other outcomes

  1. WPAI (Work Productivity and Activity Impairment Questionnaire)

    Work Productivity and Activity Impairment Questionnaire:

    Time frame: an average of 1 year

  2. RAID (Rheumatoid Arthritis Impact of Disease Questionnaire)

    Rheumatoid Arthritis Impact of Disease Questionnaire

    Time frame: an average of 1 year

  3. PSAID (Psoriatic Arthritis Impact of Disease Questionnaire)

    Psoriatic Arthritis Impact of Disease Questionnaire

    Time frame: an average of 1 year

  4. DN-4 (Douleur Neuropathic 4 Questionnaire) questions)

    Neuropathic pain questionnaire

    Time frame: an average of 1 year

  5. Cardiovascular disease risk

    HDL and LDL cholesterol (mg/dl) levels from records , hypertension and diabetes history will be evaluated

    Time frame: 1 year

  6. SF-36 (Short form 36)

    Quality of life questionnaire

    Time frame: an average of 1 year

  7. HAQ (Health assessment questionnaire)

    Functional assessment, Questionnaire

    Time frame: an average of 1 year

  8. ASAS-HI (ASAS Health Index)

    ASAS Health Index

    Time frame: an average of 1 year

  9. Fibromyalgia and central sensitization

    Fibromyalgia criteria and central sensitization will be questioned

    Time frame: an average of 2 year

  10. Demographic characteristics -Age

    Age, years

    Time frame: It will be evaluated at the beginning of the study

  11. Demographic characteristics -Gender

    female/ male

    Time frame: It will be evaluated at the beginning of the study

  12. Demographic characteristics- smoking

    Amount of smoking (packet-year)

    Time frame: It will be evaluated at the beginning of the study

  13. Demographic characteristics- alcohol use

    How much and how often drink

    Time frame: It will be evaluated at the beginning of the study

  14. Demographic characteristics- education

    Illiterate, literate, years of training

    Time frame: It will be evaluated at the beginning of the study

  15. Demographic characteristics- fertility and pregnancy history

    In her history; pregnancy, abortus, stillbirth, live birth, anomalies number

    Time frame: It will be evaluated at the beginning of the study

  16. Demographic characteristics, body mass index (kg/m2)

    Height (cm)

    Time frame: an average of 2 year

  17. Demographic characteristics, body mass index (kg/m2)

    Weight (kg)

    Time frame: an average of 2 year

  18. Demographic characteristics, menopause

    presence of menopause

    Time frame: It will be evaluated at the beginning of the study

  19. Physical examination hand deformities,

    subluxation, deviation, swan neck, button marrow deformities in hand examination

    Time frame: It will be evaluated at the beginning of the study

  20. Physical examination hand deformities,

    Subcutanea nodules

    Time frame: It will be evaluated at the beginning of the study

  21. Lung involvement

    Known pulmonary involvement, pulmonary function test and computed tomography results

    Time frame: an average of 2 year

  22. Neurological involvement

    Existing entrapment neuropathy, central involvement will be recorded

    Time frame: an average of 2 year

  23. Laboratory- Urea

    Urea levels from records

    Time frame: an average of 1 year

  24. Laboratory- creatinine

    Creatinine levels from records

    Time frame: an average of 1 year

  25. Laboratory- liver function tests

    Liver function tests from records

    Time frame: an average of 1 year

  26. Laboratory-vitamin D

    Vitamin D levels from records

    Time frame: an average of 1 year

  27. Laboratory-hemoglobin

    hemoglobin levels from records

    Time frame: an average of 1 year

  28. Laboratory-leukocyte

    leukocyte levels from records

    Time frame: an average of 1 year

  29. Laboratory-platelet

    platelet levels from records

    Time frame: an average of 1 year

  30. Laboratory-Rheumatoid factor (RF)

    Rheumatoid factor (RF) levels from records

    Time frame: It will be evaluated at the beginning

  31. Laboratory-anticyclic citrullinated peptide (Anti CCP)

    Anti CCP levels from records

    Time frame: It will be evaluated at the beginning

  32. Laboratory-Lipid profile

    LDL, HDL, Triglycerin, Cholesterol levels from records

    Time frame: an average of 2 year

  33. Laboratory-hepatitis serology

    HBs Ag, Anti HBs, HBc Ag, HBe Ag, Anti HBC levels from records, receiving antiviral treatment for hepatitis, hepatitis reactivation history will be questioned

    Time frame: an average of 2 year

  34. Laboratory-HIV serology

    Anti HIV levels from records

    Time frame: an average of 2 year

  35. Imaging findings- X Ray

    Hand wrist and pelvis X ray from records

    Time frame: It will be evaluated at the beginning

  36. Imaging findings- magnetic resonance imaging

    Sacroiliac joint MRI from records

    Time frame: It will be evaluated at the beginning

  37. Imaging findings- Ultrasound

    Hand ultrasound from records

    Time frame: It will be evaluated at the beginning

  38. Imaging findings- Bone Mineral density

    Bone Mineral density from records

    Time frame: an average of 2 year

  39. Comorbidity

    Presence of hypertension, diabetes, autoimmune thyroiditis, metabolic syndrome, coronary artery disease, chronic renal failure,pulmonary dieses, gastric ulcer, anxiety, depression, surgeries, cancer from patient records

    Time frame: It will be evaluated at the beginning

  40. Fall risk

    The number of falls in the last year, the feeling of walking imbalance and the fear of falling and fracture history

    Time frame: It will be evaluated at the beginning

  41. Evaluation of tuberculosis

    PPD / quantiferon result and INH use before drug initiation

    Time frame: It will be evaluated at the beginning

  42. Vaccination program

    Applied hepatitis, tuberculosis, pneumonia, influenza vaccination programme

    Time frame: It will be evaluated at the beginning

  43. Drugs

    All drugs and doses previously used in relation to rheumatic disease will be questioned. Side effects, autoimmune/ paradoxic reactions and switching of drugs from records will be checked

    Time frame: an average of 1 year

  44. BASMI

    Bath Ankylosing Spondylitis Metrology Index

    Time frame: an average of 2 year

  45. MASES

    Maastricht Ankylosing Spondylitis Enthesitis Score

    Time frame: an average of 1 year

  46. PASI

    The Psoriasis Area Severity Index

    Time frame: an average of 1 year

07

Study locations

14 of 14 sites recruiting
  • Ankara Numune Training and Education Hospital, Department of Physical Medicine and Rehabilitation
    Ankara, Turkey
    • Hatice Bodur, Prof Dr · Contact · haticebodur@gmail.com · +905054848496
    • Fatma G Yurdakul, MD · Principal investigator
    Recruiting
  • Ankara University, Faculty of Medicine, Department of Rheumatology
    Ankara, Turkey
    • Şebnem Ataman, Prof Dr · Contact · ataman.sebnem@gmail.com · +905322711076
    • İsmihan Sunar, MD · Principal investigator
    Recruiting
  • Gazi University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Department of Rheumatology
    Ankara, Turkey
    Recruiting
  • Akdeniz University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Antalya, Turkey
    Recruiting
  • Antalya Training and Research Hospital Physical Medicine and Rehabilitation Clinic
    Antalya, Turkey
    Recruiting
  • Adnan Menderes University, Faculty of Medicine, Department of Rheumatology
    Aydın, Turkey
    Recruiting
  • Dicle University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Diyarbakır, Turkey
    Recruiting
  • Istanbul Medipol University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Istanbul, Turkey
    Recruiting
  • Marmara University Faculty of Medicine Department of Physical Medicine and Rehabilitation, Department of Rheumatology
    Istanbul, Turkey
    Recruiting
  • Marmara University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Istanbul, Turkey
    Recruiting
  • Celal Bayar University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Manisa, Turkey
    Recruiting
  • Sakarya University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Sakarya, Turkey
    Recruiting
  • Atatürk University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Sivas, Turkey
    Recruiting
  • Karadeniz Technical University Faculty of Medicine Department of Physical Medicine and Rehabilitation
    Trabzon, Turkey
    Recruiting
08

References and documents

Publications

  • Bodur H, Yurdakul FG, Ataman S, Cay HF, Gurer G, Capkin E, Sezer I, Duruoz MT, Melikoglu MA, Rezvani A, Yagci I, Gogus F, Kamanli A, Akgul O, Cevik R. Where we are in treat to target era? Predictive factors for remission and drug switching in patients with axial spondyloarthritis: a real-life evidence from BioStaR nationwide registry. Clin Rheumatol. 2022 Jul;41(7):2053-2063. doi: 10.1007/s10067-022-06145-8. Epub 2022 Mar 30. PubMed 35353263 ↗

Individual participant data

Plan to share: Yes — All of the collected data will be shared with investigators of the study

Supporting information: Study protocol, Icf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 29, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04139954
Lead sponsor
Turkish League Against Rheumatism
Responsible party
Fatma Gül Yurdakul (Clinical Associate Professor (Fatma Gül Yurdakul), Turkish League Against Rheumatism) — Principal investigator
First posted
Oct 25, 2019
Start date
Feb 1, 2019
Primary completion
Mar 1, 2020 (estimated)
Completion
Mar 1, 2024 (estimated)
Last update
Oct 29, 2019

Study contacts

Fatma G Yurdakul, MD
Contact
fatmagulonder@gmail.com
+905059254214
Hatice Bodur, Prof Dr
Contact
haticebodur@gmail.com
+905054848496
Hatice Bodur, Prof Dr
study director · Turkish League Against Rheumatism
Şebnem Ataman, Prof Dr
study director · Turkish League Against Rheumatism
Fatma G Yurdakul, MD
principal investigator · Turkish League Against Rheumatism
Özgür Akgül, AssocProf Dr
principal investigator · Turkish League Against Rheumatism
Erhan Çapkın, Prof Dr
principal investigator · Turkish League Against Rheumatism
Fatih Çay, AssocProf Dr
principal investigator · Turkish League Against Rheumatism
Remzi Çevik, Prof Dr
principal investigator · Turkish League Against Rheumatism
Tuncay Duruöz, Prof Dr
principal investigator · Turkish League Against Rheumatism
Feride Göğüş, Prof Dr
principal investigator · Turkish League Against Rheumatism
Gülcan Gürer, Prof Dr
principal investigator · Turkish League Against Rheumatism
Ayhan Kamanlı, Prof Dr
principal investigator · Turkish League Against Rheumatism
Meltem Alkan Melikoğlu, Prof Dr
principal investigator · Turkish League Against Rheumatism
Aylin Rezvani, AssocProf
principal investigator · Turkish League Against Rheumatism
İlhan Sezer, Prof Dr
principal investigator · Turkish League Against Rheumatism
İsmihan Sunar, MD
principal investigator · Turkish League Against Rheumatism
İlker Yağcı, Prof Dr
principal investigator · Turkish League Against Rheumatism

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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