There are 2 clinical trials
A case-control study to investigate whether job exposures are an under-recognized cause of idiopathic pulmonary fibrosis (IPF) using an interview to collect information about previous jobs and a blood test to investigate genetic susceptibility.
Gene-environment interaction (for MUC5B rs35705950 and asbestos exposure) odds ratio.. MUC5B rs35705950 and asbestos exposure odds ratio..
Description: estimated using logistic regression for any vs no asbestos exposure and adjusting for age and smoking status
Measure: Association between asbestos exposure and IPF Time: 2 yearsDescription: estimated using logistic regression for categories of cumulative exposure and adjusting for age and smoking status
Measure: Dose-response relationship between asbestos exposure and IPF Time: 2 yearsDescription: MUC5B rs35705950 and asbestos exposure odds ratio.
Measure: Gene-environment interaction (for MUC5B rs35705950 and asbestos exposure) odds ratio. Time: 2 yearsTo determine factors associated with early RA-ILD (which may be asymptomatic). It is planned to recruit all patients with a newly diagnosed RA (symptoms since less than 3 years). In this study, all relevant demographic and clinical data will be collected. All patients will undergo lung function tests and high-resolution CT-scan of the lungs. Blood sample will be collected for measurement of (1) anti-CCP and rheumatoid factor measurement (good clinical practice) and a specific sample for the detection of the MUC5 promoter variant rs35705950. Our aim is thus to identify determinants of RA-ILD in the following population: - Adults aged 18 to 90 years-old - Diagnosis of rheumatoid arthritis (RA) based on ACR-EULAR 2010 criteria - Onset of disease duration at least 1 year and at most 10 years prior to inclusion
Blood sample will be collected for measurement of (1) anti-CCP and rheumatoid factor measurement (good clinical practice) and a specific sample for the detection of the MUC5 promoter variant rs35705950.
rs35705950 variant of the MUC5B promoter.
Proportion of patients carrying the variant rs35705950 of the MUC5B promoter.
Detection of the rs35705950 variant for MUC5B promoter Lung assessment (SOC) 1. Lung function tests (standard of care) 1. Dynamic and static volumes (FVC, FEV1, TPC, RV) 2. Lung diffusion capacity for CO (DLCO) 2. Chest Xrays 3. High resolution CT scanner (HRCT) 1. Good clinical practice (INAMI/RIZIV) 2. Including expiratory slices (detection of early air trapping) Primary outcome Detection of an interstitial lung disease associated with RA.
Secondary outcomes 1. Proportion of different ILD subtypes (usual interstitial pneumonia, non-specific interstitial pneumonia, others) 2. Detection of non-ILD lung involvement of RA including: - Rheumatoid nodules - Emphysema - Bronchiectasis not related to an ILD - Bronchiolitis obliterans 3. Proportion of patients carrying the variant rs35705950 of the MUC5B promoter 4. Proportion of patients with anti-CCP antibodies 5. Proportion of patients with a relevant toxic exposure (smoking, drug, occupational or domestic exposure) 4.4 Expected timeline Start of recruitment: 01-July-2019 End of recruitment: 31-Dec-2022 Based on our local recruitment of RA patients, it is expect to recruit 300 patients.
Description: Detection of an interstitial lung disease associated with RA. We define RA-ILD by the presence of reticulations, ground-glass opacity and/or honeycombing at HRCT not explained by another cause (i.e. cardiac disease, infection or neoplasia).
Measure: Presence of an interstitial lung disease Time: from enrollment of patient to 3 months post enrollmentDescription: usual interstitial pneumonia, non-specific interstitial pneumonia, others
Measure: Proportion of different ILD subtypes Time: from enrollment of patient to 3 months post enrollmentDescription: Non-ILD lung involvement is a composite of the following variables: rheumatoid nodules, emphysema, bronchiectasis and bronchiolitis obliterans
Measure: Proportion of patients presenting with a non-ILD lung involvement of RA Time: from enrollment of patient to 3 months post enrollmentDescription: Proportion of patients carrying the variant rs35705950 of the MUC5B promoter
Measure: rs35705950 variant of the MUC5B promoter Time: from enrollment of patient to 3 months post enrollmentDescription: Proportion of patients with anti-CCP antibodies
Measure: anti-CCP antibodies Time: from enrollment of patient to 3 months post enrollmentDescription: Proportion of patients with a relevant toxic exposure (smoking, drug, occupational or domestic exposure)
Measure: relevant exposure Time: from enrollment of patient to 3 months post enrollment