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Not yet recruitingNCT07751263HPGD-OA-AS-USUpdated Aug 7, 2026

15-Hydroxyprostaglandin Dehydrogenase in Osteoarthritis and Ankylosing Spondylitis

An observational study in Osteoarthritis and Ankylosing Spondylitis, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Assiut University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
51
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 13 studies in Osteoarthritis by Assiut University — 8 open to participants now, 8 under way, none of them phase 3. Osteoarthritis · Assiut University.

Started
2026
with 3 others
Observational
3 of 13
1 open now
Registered
11th of 13
by date

Among the 13 studies in Osteoarthritis by Assiut University, this one is one of 4 that started in 2026, is one of 3 observational ones, and was the 11th registered.

By phase

13 studies; the count open now beside each. This study's row is marked.

No phase7 · 5 open
Observationalthis study3 · 1 open
Other kind2 · 2 open
Phase 41 · 0 open

By the year they started

First in 2017; this study’s year is marked. 4 started in 2026.

Size and results

Median enrollment 60 across the 8 interventional studies, 51 across the 5 observational. None of them has completed or been terminated yet.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 13 studies in Osteoarthritis by Assiut University, or all of them as a file.
02

Study summary

To evaluate serum and synovial fluid 15-PGDH levels in patients with osteoarthritis and ankylosing spondylitis and determine their associations with clinical and musculoskeletal ultrasound features.

To compare 15-PGDH concentrations among patients with knee osteoarthritis, and ankylosing spondylitis with knee effusion

To evaluate whether serum 15-PGDH reflects intra-articular 15-PGDH concentrations.

Analysis the level of 15-PGDH in relation to disease activity and severity of both diseases.

Read the detailed description

Osteoarthritis (OA) and Ankylosing Spondylitis (AS) are chronic musculoskeletal disorders with different pathophysiology, clinical manifestations, and management strategies. OA is a degenerative joint disease in which inflammation also contributes to symptom severity and structural progression, while AS is a chronic inflammatory spondyloarthropathy characterized by axial inflammation and, in some patients, peripheral arthritis.

Prostaglandin E2 (PGE2) is a key mediator involved in pain, inflammation, and tissue remodeling in musculoskeletal disease. 15-hydroxyprostaglandin dehydrogenase (15-PGDH) is the major enzyme responsible for degradation of prostaglandins, especially PGE2, and therefore acts as an important regulator of prostaglandin activity in the joint microenvironment. In inflammatory arthritis, synovial studies have shown that 15-PGDH is present in healthy and inflamed synovial tissue, mainly in lining macrophages, fibroblasts, and vessels, supporting a possible role in local inflammatory regulation.

In osteoarthritis, experimental evidence indicates that 15-PGDH is biologically relevant to cartilage degeneration and repair, and inhibition of 15-PGDH may promote cartilage regeneration and reduce OA-associated pain. These findings support the rationale for investigating 15-PGDH as a biomarker in OA and AS.

Musculoskeletal ultrasound is a valuable non-invasive imaging tool in rheumatology and can detect synovial hypertrophy, effusion, and power Doppler activity. EULAR has published recommendations for standardized ultrasound procedures and reporting in rheumatic and musculoskeletal diseases, supporting its use in this study.

Accordingly, this study will assess serum and synovial fluid 15-PGDH levels in patients with OA and AS and examine their correlation with clinical and musculoskeletal ultrasound features.

03

Conditions studied

  • Osteoarthritis
  • Ankylosing Spondylitis
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Will be recruited from Rheumatology, Rehabilitation and Physical Medicine department- Assuit university hospital. Written informed consent will be obtained from all participants.

Patients include:

  • Patients with osteoarthritis.
  • Patients with AS
  • Age- and sex-matched healthy controls.

Eligibility criteria

Inclusion Criteria:

  • Inclusion criteria

    • Adults aged 18 years or older. AxSpA group Patients diagnosed as ankylosing spondylitis according to ASAS criteria . R OA group

      • Adults with osteoarthritis Diagnosed according to the American College of Rheumatology classification criteria.[8]R ACR Clinical classification criteria for Osteoarthritis of the hip ACR Clinical classification criteria for Osteoarthritis of the knee ACR Clinical classification criteria for Osteoarthritis of the hand Control group Age- and sex-matched healthy controls.

Exclusion Criteria:

    • Other inflammatory arthritides such as psoriatic arthritis, gout, or SLE-related arthritis.

      • Septic arthritis or suspected joint infection.
      • Recent intra-articular injection if it may influence biomarker results.
      • Any major systemic illness likely to affect biomarker measurement or ultrasound interpretation.
      • Patients received certain drugs as non-steroidal anti-inflammatory drugs (NSAIDs)
Terms in these criteria, in plain language(1)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
51 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • • Arm 1: Osteoarthritis • Arm 2: Ankylosing spondylitis • Arm 3: Healthy controls

    Three analytical study arms: OA, AS, and control groups.

06

What researchers measure

Primary outcomes

  1. Serum 15-hydroxyprostaglandin dehydrogenase (15-PGDH) levelr

    To assess the relationship between 15-PGDH and clinical and musculoskeletal ultrasound parameters in osteoarthritis and ankylosing spondylitis.

    Time frame: 2 years

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Gheorghe KR, Sadique S, Leclerc P, Idborg H, Wobst I, Catrina AI, Jakobsson PJ, Korotkova M. Limited effect of anti-rheumatic treatment on 15-prostaglandin dehydrogenase in rheumatoid arthritis synovial tissue. Arthritis Res Ther. 2012 May 22;14(3):R121. doi: 10.1186/ar3851. PubMed 22616846 ↗
  • Kim HJ, Lee S, Lee HY, Won H, Chang SH, Nah SS. 15-hydroxyprostaglandin dehydrogenase is upregulated by hydroxychloroquine in rheumatoid arthritis fibroblast-like synoviocytes. Mol Med Rep. 2015 Sep;12(3):4141-4148. doi: 10.3892/mmr.2015.3931. Epub 2015 Jun 15. PubMed 26082314 ↗
  • Capkin E. Musculoskeletal ultrasonography in rheumatic diseases. Turk J Med Sci. 2023 Jul 20;53(6):1537-1551. doi: 10.55730/1300-0144.5723. eCollection 2023. PubMed 38813491 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07751263
Lead sponsor
Assiut University
Responsible party
Menna Allah Nashaat (Principal Investigator, Assiut University) — Principal investigator
First posted
Aug 7, 2026
Start date
Aug 2, 2026 (estimated)
Primary completion
Aug 2, 2027 (estimated)
Completion
Aug 2, 2028 (estimated)
Last update
Aug 7, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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