ClinicalTrials.gg
Status unknownNCT06347237PDPIDUpdated Apr 4, 2024

PsA Digital Phenotyping and Inflammation Drivers Study

An observational study in Psoriatic Arthritis, Flare Up, Symptom and Psoriatic Arthritis Aggravated, sponsored by Jolanda Luime. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-04.

Sponsored by Jolanda Luime · Observational

The sponsor has not verified this record recently (last verified Apr 2024), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
600
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to develop and internally validate a machine learning model for detecting flare using a digital biomarker and a machine learning model for predicting flare, in patients with psoriatic arthritis. The main questions it aims to answer are:

  • In patients with psoriatic arthritis, is a digital biomarker capable of detecting a flare as compared to clinical defined flare by the rheumatologist?
  • In patients with psoriatic arthritis, what factors trigger a psoriatic arthritis flare ?

Participants will be requested to:

  • Install app on their phone
  • Use a smartwatch
  • Complete questionnaires
  • Collect biological material
02

Conditions studied

  • Psoriatic Arthritis
  • Flare Up, Symptom
  • Psoriatic Arthritis Aggravated

Keywords

  • psoriatic arthritis
  • inflammation
  • digital biomarker
  • flare
03

In context

Arthritis, Psoriatic

594 studies on the registry are indexed under Arthritis, Psoriatic; 132 are open to participants now.

This study's planned enrollment of 600 is above the median of 300 across 243 observational studies indexed under Arthritis, Psoriatic.

Browse Arthritis, Psoriatic studies →

Lead sponsor

This is the only study on the registry with Jolanda Luime as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

Patients with psoriatic arthritis

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosed with PsA
  • Age 18 years or older and competent
  • Using a smartphone
  • Agree to use smartwatch
  • Good command of the local language

Exclusion criteria

Exclusion Criteria:

  • Less than 18 years of age
  • Incapacitated
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
600 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Absence of flare in patients

    Flare in psoriatic arthritis evaluated as: Patients * 'At this time, is your psoriatic arthritis in remission, if this means: you feel your disease is as good as gone?' yes/ no (for remission) * 'At this time, are you in low disease activity, if this means: your disease is in low activity but it's not as good as gone?' yes/ no (for low disease activity) Patient Acceptable Symptom State \- 'If you were to remain for the next few months as you were during the last 48 hours, would this be acceptable or unacceptable for you?' yes/ no Doctors * 'At this time, is the psoriatic arthritis in remission, if this means: the absence of clinical and laboratory evidence of significant inflammatory disease activity?' yes/ no (for remission) * 'At this time, is the psoriatic arthritis in low or minimal disease activity?' yes/ no (for low disease activity)

    Time frame: 12 months (follow-up every 3 months)

Secondary outcomes

  1. Minimal disease Activity (MDA)

    MDA as defined by patient meeting 5 out of 7 of the following criteria: (i) tender joint count ≤1; (ii) swollen joint count ≤1; (iii) Psoriasis Area and Severity Index ≤ 1 or body surface area ≤3%; (iv) tender entheseal points ≤ 1 (v) patient pain visual analogue scale VAS ≤15; (vi) patient global activity VAS ≤20; (vii) Health Assessment Questionnaire (HAQ) ≤0.5

    Time frame: 12 months (follow-up every 3 months)

  2. Psoriatic Arthritis Disease Activity Score (PASDAS)

    PASDAS calculated as a composite score using the following criteria: physician global VAS, patient global VAS, SF36 physical (PCS), swollen joint count, tender joint count, Leeds Enthesitis Index, tender dactylitis count, and CRP. Higher scores indicate higher disease activity.

    Time frame: 12 months (follow-up every 3 months)

  3. Disease Activity Psoriatic Arthritis (DAPSA)

    DAPSA calculated as a summation score of the following: tender and swollen joints, patient global assessment VAS, patient pain VAS and C-reactive protein. Higher scores indicate higher disease activity.

    Time frame: 12 months (follow-up every 3 months)

  4. Psoriatic Arthritis Impact of Disease (PsAID)

    PsAID:10-point Likert scale questions on 12 items (pain, fatigue, skin, work/leisure activities, functional capacity, discomfort, sleep, coping, anxiety, embarrassment, social life, depression). Higher score indicates higher impact of disease.

    Time frame: 12 months (follow-up every 3 months)

  5. Morning stiffness

    Morning stiffness on a 10-point Likert scale. Higher scores indicate higher morning stiffness.

    Time frame: 12 months (follow-up every 3 months)

Other outcomes

  1. Keystroke dynamics

    Keypad time-related data and metadata collected unobtrusively from smartphone of patient

    Time frame: Continuous throughout 12 months

  2. Screen time

    Screen time (hours) metrics collected unobtrusively from smartphone of patient

    Time frame: Continuous throughout 12 months

  3. Accelerometer data

    Accelerometer data collected unobtrusively from smartphone of patient and smartwatch to measure physical activity. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  4. Gyroscope sensor data

    Gyroscope sensor data for orientation collected unobtrusively from smartphone of patient

    Time frame: Continuous throughout 12 months

  5. Steps count

    Count of steps collected unobtrusively from the smartwatch of patient to measure physical activity. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  6. Physical activity intensity and categories

    Physical activity intensity and physical activity categories collected unobtrusively from the smartwatch of patient to measure physical activity. Intensity and categories are features provided by the smartwatch. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  7. Motion

    Motion intensity collected unobtrusively smartwatch of patient to measure physical activity. This is a feature provided by the smartwatch. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  8. Distance

    Distance (km) collected unobtrusively from smartwatch of patient to measure physical activity. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  9. Pulse Ox

    Pulse Ox collected unobtrusively from smartwatch of patient to measure physical activity. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  10. Respiration

    Respiration rate collected unobtrusively from smartwatch of patient to measure physical activity. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  11. Body battery

    Body battery collected unobtrusively from smartwatch of patient to measure stress on a scale. This is a feature provided by the smartwatch. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  12. Stress (digital)

    Stress levels collected unobtrusively from smartwatch of patient to measure stress on a scale. This is a feature provided by the smartwatch. Patients will wear the smartwatch daily

    Time frame: Continuous throughout 12 months

  13. Heart rate

    Heart rate collected unobtrusively from smartwatch of patient to measure stress

    Time frame: Continuous throughout 12 months

  14. Beat-to-beat intervals

    Beat-to-beat intervals collected unobtrusively from smartwatch of patient to measure stress

    Time frame: Continuous throughout 12 months

  15. Sleeping time

    Sleeping time (hours) collected unobtrusively from smartwatch of patient

    Time frame: Continuous throughout 12 months

  16. Sleeping type

    Sleeping type (%) collected unobtrusively from smartwatch of patient

    Time frame: Continuous throughout 12 months

  17. Hand and feet photos

    Images of hands and feet of the patient captured by the smartphone camera of the patient, to produce a feature vector relative to the condition of nails and joints of hands and toes resulting in an imaging digital biomarker

    Time frame: 12 months (follow-up every 6 weeks and in case of flare)

  18. Hand and body movements videos

    Videos of pre-specified movements of hand and body recorded by the smartphone camera of the patient, to produce a set of time series with landmark coordinates (obtained from the videos) resulting in an imaging digital biomarker

    Time frame: 12 months (follow-up every 6 weeks and in case of flare)

  19. Medical history

    * Age (years) * Sex * Years of disease (years) * Medication over the year of the study * Comorbidity * Care activities * Job title, shift work * Frequent flying (days)

    Time frame: 12 months (follow-up every 3 months)

  20. Joint count

    66/68 joint count for swelling and tenderness. Higher count indicates higher swollen/tender joints.

    Time frame: 12 months (follow-up every 3 months)

  21. Enthesitis

    6 tendon count for enthesitis using Leeds Enthesitis Index

    Time frame: 12 months (follow-up every 3 months)

  22. Body surface area

    Body Surface Area for skin

    Time frame: 12 months (follow-up every 3 months)

  23. Weight

    Weight (kg) to calculate body mass index (BMI)

    Time frame: Baseline

  24. Height

    Height (cm) to calculate BMI

    Time frame: Baseline

  25. Abdominal circumference

    Abdominal circumference (cm)

    Time frame: Baseline

  26. ClASsification criteria for Psoriatic ARthritis (CASPAR) score

    CASPAR score calculation for the classification of PsA using points from the following criteria: (i) evidence of current psoriasis, or personal or family history of psoriasis, (ii) dactylitis, (iii) juxtaarticular new bone formation, (iv) nail dystrophy, and (v) negative for rheumatoid factor.

    Time frame: Baseline

  27. Demographics

    Questionnaire to assess demographics

    Time frame: 12 months (follow-up every 3 months)

  28. VAS Pain

    VAS for pain assessment. Higher score indicate higher pain levels.

    Time frame: 12 months (follow-up every 3 months)

  29. HAQ questionnaire

    HAQ questionnaire to measure physical function

    Time frame: 12 months (follow-up every 3 months)

  30. VAS patient global

    VAS for patient global assessment

    Time frame: 12 months (follow-up every 3 months)

  31. PSAID questionnaire

    PSAID questionnaire to measure impact of disease. Higher score indicates higher impact of disease.

    Time frame: 12 months (follow-up every 3 months)

  32. SF-36 questionnaire

    SF-36 questionnaire for general health assessment

    Time frame: 12 months (follow-up every 3 months)

  33. EQ5d questionnaire

    EQ5d questionnaire for general health assessment

    Time frame: 12 months (follow-up every 3 months)

  34. Work Productivity and Activity Impairment (WPAI) questionnaire

    WPAI questionnaire for work impairment

    Time frame: 12 months (follow-up every 3 months)

  35. Health care questionnaire

    Health care questionnaire for health care usage

    Time frame: 12 months (follow-up every 3 months)

  36. Patient Health Questionnaire (PHQ9) questionnaire

    (PHQ9) questionnaire for depression assessment

    Time frame: 12 months (follow-up every 3 months)

  37. Perceived Stress Scale (PSS)

    PSS questionnaire for stress

    Time frame: 12 months (follow-up every 3 months)

  38. Global Rating of Change (GRoC) Scale

    GRoC scale to evaluate change in disease activity.

    Time frame: 12 months (follow-up every 3 months)

  39. Life events questionnaire

    Life events questionnaire for life events

    Time frame: 12 months (Baseline and month 12)

  40. Digital literacy questionnaire

    Digital literacy questionnaire for technology readiness

    Time frame: Baseline

  41. Inflammatory blood marker

    Blood C-reactive protein levels (ml/L)

    Time frame: 12 months (follow-up every 3 months)

  42. Genetic variants

    Salivary DNA analysis

    Time frame: Baseline

  43. Gut microbiome

    Stool analysis to extract bacterial DNA using 16S sequencing

    Time frame: 12 months (Baseline, in case of flare, and months 6 and 12 in subgroup of patients)

  44. Stress (cortisol levels)

    Hair cortisol analysis to measure stress

    Time frame: 12 months (follow-up every 3 months)

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hojeij B, Tchetverikov I, Vasileiou E, Apostolidis G, Dimitroulas T, Mytilinaiou M, Goncalves C, Rodrigues AM, Coates L, Konstantinidis D, Dimitropoulos K, Melanitis N, Foolen J, Wagenaar W, Charisis V, Hadjileontiadis LJ, Luime JJ. Psoriatic arthritis digital phenotyping and inflammation drivers (PDPID) study: protocol for an international multicentre prospective cohort. BMJ Open. 2026 Sep 28;16(9):e115903. doi: 10.1136/bmjopen-2025-115903. PubMed 42805667 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for May 2024; primary completion for Dec 2025, 19 months later.

Of 75 non-industry observational studies under Arthritis, Psoriatic, half reached primary completion within 53 months of starting (the median), counting those still running; a quarter within 20. This study's planned 19 months is below that.

Counting every sponsor, half of 127 studies reached it within 47 months; a quarter within 28 and three quarters within 82.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 14, 2024
First posted
Apr 4, 2024
StartEst.
May 2024
Primary completionEst.
Dec 2025
CompletionEst.
Dec 2025
Last update
Apr 4, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 4, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06347237
Lead sponsor
Jolanda Luime
Collaborators
University of Oxford - Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Aristotle University Of Thessaloniki, Portuguese Society of Rheumatology - The Rheumatic Diseases Portuguese Registry (Reuma.pt)
Responsible party
Jolanda Luime (Principle investigator, Erasmus Medical Center) — Sponsor-investigator
First posted
Apr 4, 2024
Start date
May 2024 (estimated)
Primary completion
Dec 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Apr 4, 2024

Oversight

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

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