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CompletedNCT05633524Updated Dec 2, 2022

HRR as a Novel Biomarker in Sjögren's Syndrome

An observational study in Sjögren's Syndrome, sponsored by Tianjin Eye Hospital. Completed at 1 site in China. Open to participants aged 45 Years to 67 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-12-02.

Sponsored by Tianjin Eye Hospital · Observational

Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
89
Ages
45 Years to 67 Years
Sex
All
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Study summary

Sjögren's syndrome (SS) is an autoimmune disorder characterized by chronic salivary and lacrimal gland dysfunction leading to dry mouth (xerostomia) and dry eye (xerophthalmia) sensation (1). Although dry mouth and dry eye are the main symptoms, the disease may influence many organs and systems. Diagnosis is made with ocular surface staining scores, anti-SS-A/SS-B auto-antibody positivity, and minor salivary gland biopsy (2). The Complete blood count (CBC) is a simple, inexpensive, accessible, and routinely used laboratory parameter that can be linked to oxidative stress, inflammation and microvascular flow resistance. Parameters include NLR and PLR values may be calculated by using CBC parameters (3). Neutrophil/lymphocyte ratio is used as an inflammatory marker in the diagnosis and prognosis of many cardiovascular diseases, malignancies, and infections (4-6). Peripheral inflammatory biomarkers of hematologic indices had been suggested by numerous studies to play a role during SS onset and progression.

Read the detailed description

Sjögren's syndrome (SS) is an autoimmune disorder characterized by chronic salivary and lacrimal gland dysfunction leading to dry mouth (xerostomia) and dry eye (xerophthalmia) sensation (1). Although dry mouth and dry eye are the main symptoms, the disease may influence many organs and systems. Diagnosis is made with ocular surface staining scores, anti-SS-A/SS-B auto-antibody positivity, and minor salivary gland biopsy (2). The Complete blood count (CBC) is a simple, inexpensive, accessible, and routinely used laboratory parameter that can be linked to oxidative stress, inflammation and microvascular flow resistance. Parameters include NLR and PLR values may be calculated by using CBC parameters (3). Neutrophil/lymphocyte ratio is used as an inflammatory marker in the diagnosis and prognosis of many cardiovascular diseases, malignancies, and infections (4-6). Peripheral inflammatory biomarkers of hematologic indices had been suggested by numerous studies to play a role during SS onset and progression.

Sjögren's syndrome (SS) is a chronic autoimmune disease that primarily affects the exocrine glands, resulting in their functional impairment. In SS, lymphocytic infiltration of salivary and lacrimal glands, and deposition of several types of autoantibodies, mainly anti-SS-A (anti-Ro) and anti-SS-B (anti-La), lead to chronic inflammation, with xerostomia and keratoconjunctivitis sicca. In its primary form (pSS), SS does not involve additional connective tissue diseases. SS presents in association with other rheumatic autoimmune diseases, mainly rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and systemic sclerosis.

Obviously, a prerequisite step in answering this critical question was to depict the change of inflammatory biomarkers of hematologic indices and disease activity progression in a detailed and comprehensive manner, and actually there were several studies aimed at answering this question. Along the hematologic indices field, most of the studies agreed that RDW was critical parameter in SS activity indication.

As in most autoimmune diseases, environmental, hormonal and genetic factors are implicated in SS pathogenesis. have been shown to be a good serum marker in primary SS (pSS). All these indicated a potential linkage between systemic inflammation and the risk of SS. However, sparse evidence has been available on this association between the hematologic indices and SS. The aim of the present study, therefore, was to evaluate the association between systemic inflammation indices and SS.

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Conditions studied

  • Sjögren's Syndrome
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In context

Sjogren's Syndrome

371 studies on the registry are indexed under Sjogren's Syndrome; 104 are open to participants now.

This study's enrollment of 89 is below the median of 114 across 113 observational studies indexed under Sjogren's Syndrome.

Browse Sjogren's Syndrome studies →

Lead sponsor

Tianjin Eye Hospital is the lead sponsor of 49 studies on the registry; 15 are open to participants now.

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

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Who can participate

Ages eligible
45 Years to 67 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

A total of 89 SS patients and 89 age- and gender-matched healthy subjects were included. Eighty-nine primary SS patients who met the 2012 American College of Rheumatology (ACR-2012) classification criteria and 89 healthy controls were enrolled.

Inclusion criteria

  • must meet the 2012 American College of Rheumatology classification criteria,
  • without systemic diseases, such as hypertension, diabetes, cardiovascular diseases, and chronic obstructive pulmonary disease,
  • without malignant tumors,
  • without renal failure,
  • without liver diseases,
  • without anemia,
  • without smoking and alcohol consumption,
  • without active infection,
  • without other autoimmune diseases,
  • without medicine usage that could influence the blood coagulation state,
  • without a history of concurrent ocular diseases or trauma,
  • without any surgery within three months.

Exclusion criteria

Exclusion Criteria:

  • systemic diseases, such as hypertension, diabetes, cardiovascular diseases, and chronic obstructive pulmonary disease,
  • malignant tumor,
  • renal failure,
  • liver diseases,
  • anemia,
  • smoking and alcohol consumption,
  • active infection,
  • other autoimmune diseases,
  • medicine usage that could influence the blood coagulation state,
  • a history of concurrent ocular diseases or trauma,
  • any surgery within three months.
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Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
89 participants (actual)
Patient registry
No

Groups and cohorts

  • 89 SS patients

    The medical records were analyzed retrospectively about the 89 patients with first onset of SS (SS group)

    Other: blood sample analysis

  • 89 healthy control subjects

    The medical records were analyzed retrospectively about the 89 age- and gender-matched individuals (Control group) who presented with normal control.

    Other: blood sample analysis

Interventions

  • Otherblood sample analysis

    All subjects went through a routine ocular examination, and the peripheral venous blood samples were collected and analyzed

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What researchers measure

Primary outcomes

  1. HRR

    hemoglobin-to-red cell distribution width ratio

    Time frame: change from baseline at 24 months

07

Study locations

1 site
  • Tianjin Eye Hospital
    Tianjin, Tianjin, China
08

References and documents

Publications

  • Psianou K, Panagoulias I, Papanastasiou AD, de Lastic AL, Rodi M, Spantidea PI, Degn SE, Georgiou P, Mouzaki A. Clinical and immunological parameters of Sjogren's syndrome. Autoimmun Rev. 2018 Oct;17(10):1053-1064. doi: 10.1016/j.autrev.2018.05.005. Epub 2018 Aug 10. PubMed 30103041 ↗
  • Yildiz F, Gokmen O. Haematologic indices and disease activity index in primary Sjogren's syndrome. Int J Clin Pract. 2021 Mar;75(3):e13992. doi: 10.1111/ijcp.13992. Epub 2021 Jan 19. PubMed 33405348 ↗
  • Hu ZD, Sun Y, Guo J, Huang YL, Qin BD, Gao Q, Qin Q, Deng AM, Zhong RQ. Red blood cell distribution width and neutrophil/lymphocyte ratio are positively correlated with disease activity in primary Sjogren's syndrome. Clin Biochem. 2014 Dec;47(18):287-90. doi: 10.1016/j.clinbiochem.2014.08.022. Epub 2014 Sep 7. PubMed 25204965 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05633524
Lead sponsor
Tianjin Eye Hospital
Responsible party
Sponsor
First posted
Dec 1, 2022
Start date
Oct 29, 2020
Primary completion
Nov 21, 2022
Completion
Nov 21, 2022
Last update
Dec 2, 2022

Study contacts

Yan Wang
study chair · Tianjin Eye Hospital and Eye Institute, Nankai University Affiliated Eye Hospital

Oversight

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

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This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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