Identification of Epigenetic Biomarkers for Early Detection of Rheumatic Disease

Arthritis Northwest

Status: Unknown

Conditions: Arthritis, Rheumatoid

Study type: Observational

Funder types: Industry; Other

Identifiers

NCT02742337

AE010831

Details and patient eligibility

About

• Given the cost and risk associated with biologic disease modifying anti-rheumatic drugs (bDMARDs), selection of the optimal medication is imperative. Current attempts to identify genetic factors that predict bDMARD response and effectiveness in rheumatoid arthritis patients have been inconclusive. Furthermore the presence of epigenetic signatures in rheumatoid arthritis patients has not been established. This protocol is the first step to identifying the practicality and feasibility of epigenetic testing to aid in diagnosis and/or medication selection in rheumatoid arthritis patients. Subsequent research into such epigenetic changes may be indicative of bDMARD response and/or safety. If such epigenetic signatures (EGS) exist the business need for such tests will thus be supported.

Full description

Two groups of patients will be assessed for the presence unique epigenetic signatures. The test group, having a bonafide diagnosis of rheumatoid arthritis (RA) and a control group of subjects who does not fulfill the American College of Rheumatology's classification criteria for RA. A buccal cell sample and blood draw will be sequenced and analyzed from each subject in each group for the presence of epigenetic signatures.

Enrollment: 30 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Test patient Inclusion Criteria:

• Must fulfill the 2010 ACR rheumatoid arthritis classification criteria.
• Must have at least moderate disease activity (CDAI) for most recent disease activity score
• Any history of NSAID or corticosteroid use is acceptable
• Weight at time of blood draw must be greater than 110 lbs.
• Must be RF+ or CCP+

Control patient Inclusion Criteria:

• Female (age: 18 - 80)
• Must not fulfill the 2010 ACR rheumatoid arthritis classification criteria.
• Weight at time of blood draw must be greater than 110 lbs.
• Age will be within 5 years of a test patient.

Exclusion Criteria:

• Male
• Age 17 or less
• History of Disease Modifying Anti-Rheumatic Drugs (DMARDs), or biologic DMARDs.
• History of malignancy, except non-melanoma skin cancer
• Previous treatment for malignancy with chemotherapy agents
• Patient reported history of HIV, HepB, HepC, or TB

Trial design

30 participants in 2 patient groups

Test

Description:

Newly diagnosed female patients with rheumatoid arthritis who have not previously used a disease modifying anti-rheumatic drug.

Control

Description:

Female patients not having a diagnosis of rheumatoid arthritis and who have not previously used a disease modifying anti-rheumatic drug.