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RecruitingNCT07724847MVAS2025Updated Jul 24, 2026

Multicenter Validation of the 2025 Classification Criteria for Axial Spondyloarthritis

An observational study in Axial Spondyloarthritis (AxSpA), Spondyloarthritis (SpA) and Chronic Back Pain, sponsored by Chinese PLA General Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-07-24.

Sponsored by Chinese PLA General Hospital · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
247
Ages
18 Years to 45 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Axial Spondyloarthritis with a site in China — 6 open to participants now, 7 under way, none of them phase 3. Axial Spondyloarthritis · China.

Started
2026
with 1 other
Observational
3 of 16
2 open now
Registered
16th of 16
by date
Lead sponsor
2 of 16
Chinese PLA General Hospital

Among the 16 studies in Axial Spondyloarthritis with a site in China, this one is one of 2 that started in 2026, is one of 3 observational ones, and was the 16th registered.

Axial Spondyloarthritis

186 studies on the registry are indexed under Axial Spondyloarthritis; 56 are open to participants now.

Browse Axial Spondyloarthritis studies →

Open to participants now

6 of the 16 studies in Axial Spondyloarthritis with a site in China are open now. Recruiting first, the newest first:

All 6 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 38 Axial Spondyloarthritis studies recruiting now, 20 (53%) set no upper age limit and 12 (32%) stop at 75 or younger; 5 take children under 18; 3 take healthy volunteers.

This study: 18 Years to 45 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Axial Spondyloarthritis with a site in China, or all of them as a file.
02

Study summary

This study aims to validate the 2025 ASAS-SPARTAN revised classification criteria for axial spondyloarthritis (axSpA) in the Chinese population through a multicenter, prospective, cross-sectional observational study.

Axial spondyloarthritis is a chronic inflammatory disease primarily affecting the spine and sacroiliac joints, causing back pain and stiffness. Early and accurate diagnosis is essential for timely treatment and improved patient outcomes. The 2025 ASAS-SPARTAN revised classification criteria were recently developed by the Assessment of SpondyloArthritis International Society (ASAS) and the SpondyloArthritis Research and Treatment Network (SPARTAN) to improve diagnostic accuracy and reduce over-diagnosis, with preset targets of sensitivity ≥75% and specificity ≥90%. However, the original validation study included only 71 Chinese patients out of 1,015 total participants, and racial differences in susceptibility genes, living environments, and socioeconomic-cultural backgrounds may affect the criteria's performance in Chinese patients.

This study will enroll patients with chronic back pain (CBP) lasting ≥3 months and onset age ≤45 years from multiple hospitals in China. All participants will undergo comprehensive diagnostic assessments including clinical history, physical examination, CRP testing, HLA-B27 testing, pelvic X-ray, and sacroiliac joint MRI. The 2025 ASAS-SPARTAN criteria will be applied to evaluate diagnostic performance, and results will be compared with the 2009 ASAS classification criteria and clinicians' gold-standard diagnoses.

The primary objective is to validate the sensitivity, specificity, and internal scoring rationality of the 2025 ASAS-SPARTAN criteria in Chinese axSpA patients. The secondary objective is to assess the concordance between the 2025 and 2009 ASAS criteria and analyze reasons for any discrepancies.

The findings will provide evidence for Chinese clinicians to select appropriate classification tools, reduce over-diagnosis of axSpA, and alleviate the burden on the healthcare system.

Read the detailed description

This is a multicenter, observational, cross-sectional study conducted across 4 hospitals in China, led by the Department of Rheumatology and Immunology at Chinese PLA General Hospital (First Medical Center).

Study Design:

  • Prospective enrollment of eligible patients over 12 months
  • No intervention; all diagnostic and treatment decisions are made by clinicians based on clinical judgment
  • Data collection through standardized electronic case report forms (eCRF) using EpiData platform

Study Population:

  • Adults with chronic back pain (CBP) duration ≥3 months
  • Back pain onset age ≤45 years
  • Patients presenting to rheumatologists without confirmed diagnosis of axSpA, AS, or other rheumatic diseases
  • Patients willing to complete full diagnostic assessments and provide informed consent

Assessments:

  • Clinical history and physical examination
  • Laboratory tests: complete blood count, liver and renal function, HLA-B27, ESR, CRP
  • Imaging: pelvic and whole-spine X-ray, sacroiliac joint MRI, sacroiliac joint CT; additional imaging (hip/spine MRI or CT, joint ultrasound, bone scan) as clinically indicated

Diagnostic Evaluation:

  • Clinicians will establish a gold-standard diagnosis based on comprehensive clinical, laboratory, and imaging findings
  • Both 2025 ASAS-SPARTAN and 2009 ASAS classification criteria will be applied to each patient
  • Statistical analysis will evaluate sensitivity, specificity, and concordance between criteria

Sample Size: 247 patients (calculated using PASS 2021 software for one-sample sensitivity and specificity confidence intervals, based on expected sensitivity 75%, specificity 90%, and prevalence 0.7)

Statistical Methods:

  • Continuous variables: mean ± standard deviation, independent sample t-test
  • Categorical variables: relative frequencies, Chi-square test
  • Multivariate logistic regression and Cox regression for prognostic factor analysis
  • P \< 0.05 considered statistically significant

Data Management:

  • Standardized eCRF with defined variable definitions and coding rules
  • Password-protected online data entry platform
  • De-identification of personal information for publication and data sharing
  • Compliance with GCP, Declaration of Helsinki, and Chinese regulatory requirements
03

Conditions studied

  • Axial Spondyloarthritis (AxSpA)
  • Spondyloarthritis (SpA)
  • Chronic Back Pain

Keywords

  • Classification Criteria
  • Validation
  • Diagnostic Accuracy
  • ASAS-SPARTAN
04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults with chronic back pain (duration ≥3 months, onset age ≤45 years) who are suspected of having axial spondyloarthritis and present to rheumatology clinics for diagnostic evaluation. Participants must be willing to undergo comprehensive clinical, laboratory, and imaging assessments.

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

  • 1. Presence of current chronic back pain with duration ≥3 months and without a definitive diagnosis 2. Age at onset of back pain ≤45 years 3. Presentation to a rheumatologist for evaluation of suspected axial spondyloarthritis or related conditions, without a confirmed diagnosis of axSpA or other rheumatic diseases 4. Willingness to complete comprehensive diagnostic assessments including clinical history, physical examination, CRP testing, HLA-B27 testing, pelvic X-ray, and sacroiliac joint MRI (recent imaging may be acceptable if completed within appropriate timeframe) 5. Voluntary participation with provision of signed electronic

Exclusion criteria

Exclusion Criteria:

  • 1. Inability to communicate due to cognitive impairment, visual impairment, or other factors affecting self-assessment 2. Confirmed diagnosis of axial spondyloarthritis (axSpA), ankylosing spondylitis (AS), or other established rheumatic diseases (e.g., rheumatoid arthritis, psoriatic arthritis) 3. Back pain duration \<3 months or age at onset >45 years 4. Refusal or inability to complete full diagnostic evaluation due to medical (e.g., metallic implants preventing MRI, severe hepatic or renal dysfunction precluding laboratory testing) 5. Presence of clearly identified non-SpA causes of chronic back pain with established diagnosis, including lumbar disc herniation, spinal stenosis, spinal tumors, infectious spondylitis, or osteoporotic fractures 6. Failure to provide , inability to cooperate with study follow-up, or inability to provide complete data
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
247 participants (estimated)
Target follow-up
1 Month
Patient registry
Yes

Groups and cohorts

  • Chronic Back Pain Patients

    Patients with chronic back pain (duration ≥3 months, onset age ≤45 years) who are suspected of having axial spondyloarthritis and undergo comprehensive diagnostic assessments including clinical evaluation, laboratory tests, and imaging studies.

    Other: Diagnostic Assessment

Interventions

  • OtherDiagnostic Assessment

    Comprehensive diagnostic evaluation including clinical history, physical examination, laboratory tests (CBC, liver/renal function, HLA-B27, ESR, CRP), and imaging studies (pelvic X-ray, sacroiliac joint MRI/CT). No therapeutic intervention is provided as part of this study; all diagnostic and treatment decisions are made by clinicians according to standard clinical practice

06

What researchers measure

Primary outcomes

  1. Diagnostic accuracy of the 2025 ASAS-SPARTAN classification criteria for axial spondyloarthritis

    Sensitivity and specificity of the 2025 ASAS-SPARTAN revised classification criteria for diagnosing axial spondyloarthritis, compared against the clinician's gold-standard diagnosis based on comprehensive clinical, laboratory, and imaging assessments.

    Time frame: At baseline (single assessment during index visit)

Secondary outcomes

  1. Concordance between 2025 ASAS-SPARTAN and 2009 ASAS classification criteria

    Agreement rate (percentage of consistent diagnoses) between the 2025 ASAS-SPARTAN revised criteria and the 2009 ASAS classification criteria for axial spondyloarthritis, including analysis of reasons for discordant cases.

    Time frame: At baseline (single assessment during index visit)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Ez-Zaitouni Z, Bakker PAC, van Lunteren M, Berg IJ, Landewe R, van Oosterhout M, Lorenzin M, van der Heijde D, van Gaalen FA. Presence of multiple spondyloarthritis (SpA) features is important but not sufficient for a diagnosis of axial spondyloarthritis: data from the SPondyloArthritis Caught Early (SPACE) cohort. Ann Rheum Dis. 2017 Jun;76(6):1086-1092. doi: 10.1136/annrheumdis-2016-210119. Epub 2017 Jan 6. PubMed 28062405 ↗

Individual participant data

Plan to share: No — Individual participant data will not be made available outside the research team. This decision is based on institutional data management policies, requirements for protection of patient privacy and personal information under Chinese regulations, and compliance with national laws governing human genetic resources. De-identified aggregate data and study results will be published in peer-reviewed journals and presented at scientific conferences.

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

Started Apr 2026 (actual). Primary completion is estimated for Apr 2027, 12 months after the start.

Of 28 observational studies under Axial Spondyloarthritis, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 48. This study's planned 12 months is below that.

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

Registered
Jul 21, 2026
First posted
Jul 24, 2026
StartActual
Apr 10, 2026
Primary completionEst.
Apr 10, 2027
CompletionEst.
Apr 10, 2027
Last update
Jul 24, 2026
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 Jul 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07724847
Collaborators
Beijing Electric Power Hospital, The General Hospital of Central Theater Command
Responsible party
Jian Zhu (Professor and Chief Physician, Chinese PLA General Hospital) — Principal investigator
First posted
Jul 24, 2026
Start date
Apr 10, 2026
Primary completion
Apr 10, 2027 (estimated)
Completion
Apr 10, 2027 (estimated)
Last update
Jul 24, 2026

Study contacts

Jian Zhu
Contact
jian_jzhu@126.com
13671105096
Jian Zhu
Contact
Jian Zhu
principal investigator · Chinese PLA General Hospital, Department of Rheumatology and Immunology

Oversight

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

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