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Giant Cell ArteritisNCT04102930

Clinical and Immunogenetic Characterization of Giant Cell Arteritis (GCA) and Polymyalgia Rheumatica (PMR)

An observational study of Giant Cell Arteritis and Polymyalgia Rheumatica, run by University of Leeds at 76 sites in United Kingdom.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

A multi-centre observational study recruiting prospective and retrospective cohorts of patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). The primary aim is to find genetic determinants of GCA and PMR susceptibility, in order to yield novel insights into disease pathogenesis. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Giant Cell Arteritis, Polymyalgia Rheumatica
How many people
4,500 participants
Where
76 sitesUnited Kingdom
Study dates
10 Jun 2005to 31 Mar 2028
How long will I take part?
18 Months
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients predominantly recruited from secondary but can be identified and/or recruited in primary care.

Who may be able to join

  • Willing to self-identify an ethnic group, such as Caucasian, Asian, Afro-Caribbean.
  • Have a firm clinical diagnosis of GCA or PMR, or (for patients identified prospectively) GCA or PMR should be more likely than any alternative explanation for the patient's symptoms.
  • Able and willing to give informed consent. Patients will be 50 years of age or over, unless both biopsy-proven and a clinically classical case of GCA.

Who cannot join

  • Patient unwilling or unable to give fully informed consent.

Trial locations and contacts

76 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Louise Sorensen contact

0113 343 7764

MRCTarget@leeds.ac.uk

76 sites in 1 country

United Kingdom76 sites, 62 recruiting
  • Nevill Hall Hospital, Aneurin Bevan University Health Board

    Abergavenny

    Eleri Thomas

    Recruiting
  • Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust

    Aylesbury

    Malgorzata Magiliano

    Recruiting
  • Betsi Cadwaladr University Health Board

    Bangor, LL57 2PW

    Subhra Raghuvanshi

    Subhra Raghuvanshi

    Recruiting
  • Barnsley Hospital, Barnsley Hospital NHS Foundation Trust

    Barnsley

    Completed
  • Basildon University Hospital, Basildon and Thurrock University Hospitals NHS Foundation Trust

    Basildon

    Anupama Nandagudi

    Recruiting
  • Basingstoke and North Hampshire Hospital, Hampshire Hospitals NHS Foundation Trust

    Basingstoke

    Emma Williams

    Recruiting
  • Royal National Hospital for Rheumatic Diseases, Royal United Hospitals Bath NHS Foundation Trust

    Bath

    Sarah Skeoch

    Recruiting
  • Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust

    Birmingham

    Asad Khan

    Recruiting
  • Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust

    Birmingham

    Susie Mollan

    Recruiting
  • Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust

    Bristol

    Jo Robson

    Recruiting
  • Queen's Hospital, University Hospitals of Derby and Burton NHS Foundation Trust

    Burton-on-Trent

    Ramasharan Laxminarayan

    Recruiting
  • West Suffolk Hospital, West Suffolk NHS Foundation Trust

    Bury St Edmunds

    Shweta Bhagat

    Recruiting
  • Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust

    Cambridge

    Ei Phyu Htut

    Recruiting
  • Queen Elizabeth The Queen Mother Hospital

    Canterbury, Kent, CT 1 3NG

    Denise De Lord

    Recruiting
  • Chelsea and Westminster Hospital, Chelsea and Westminster Hospital NHS Foundation Trust

    Chelsea

    Amjad Jilani

    Recruiting
  • West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust

    Chelsea

    Diana Davis

    Recruiting
  • Ashford and St Peter's Hospitals, Ashford & St Peter's Hospitals NHS Foundation Trust

    Chertsey

    Rod Hughes

    Recruiting
  • Countess of Chester Hospital, Countess of Chester NHS Foundation Trust

    Chester

    Deepti Kapur

    Recruiting
  • Christchurch Hospital, University Hospitals Dorset NHS Foundation Trust

    Christchurch

    Jonathan Marks

    Recruiting
  • Croydon University Hospital, Croydon Health Service NHS Trust

    Croydon

    Sarah Levy

    Recruiting
  • Darlington Memorial Hospital, County Durham and Darlington NHS Foundation Trust

    Darlington

    Nathan Rushby

    Recruiting
  • Royal Derby Hospital, University Hospitals of Derby and Burton NHS Foundation Trust

    Derby

    Azza Hussein

    Recruiting
  • Doncaster Royal Infirmary, Doncaster and Bassetlaw Hospitals NHS Foundation Trust

    Doncaster

    Chee-Seng Yee

    Recruiting
  • Ninewells Hospital and Medical School, NHS Tayside

    Dundee

    Completed
  • Royal Devon and Exeter Hospital, Royal Devon and Exeter NHS Foundation Trust

    Exeter

    Mahdi Abusalameh

    Recruiting
  • Frimley Park Hospital, Frimley Park Hospital NHS Foundation Trust

    Frimley

    Completed
  • Gateshead Queen Elizabeth Hospital, Gateshead Health NHS Foundation Trust

    Gateshead

    Vadivelu Saravanan

    Recruiting
  • Inverclyde Royal Hospital, NHS Greater Glasgow and Clyde

    Glasgow

    Completed
  • Royal Alexandra Hospital, NHS Greater Glasgow and Clyde

    Glasgow

    Completed
  • Vale of Leven Hospital, NHS Greater Glasgow and Clyde

    Glasgow

    Completed
  • James Paget Hospital, James Paget University Hospitals NHS Foundation Trust

    Great Yarmouth

    Completed
  • Royal Surrey County Hospital, Royal Surrey County Hospital NHS Foundation Trust

    Guildford

    Completed
  • Harrogate and District Hospital, Harrogate and District NHS Foundation Trust

    Harrogate

    Andrew Gough

    Recruiting
  • Hull Royal Infirmary, Hull and East Yorkshire NHS Trust

    Hull

    Yusuf Patel

    Recruiting
  • Ipswich Hospital, East Suffolk and North Essex NHS Foundation Trust

    Ipswich

    Completed
  • Airedale General Hospital, Airedale NHS Foundation Trust

    Keighley

    Shabina Sultan

    Recruiting
  • Westmorland General Hospital, University Hospitals of Morecambe Bay NHS Foundation Trust

    Kendal

    Marwan Bukhari

    Recruiting
  • The Queen Elizabeth Hospital, The Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust

    Kings Lynn

    Completed
  • Royal Lancaster Infirmary, University Hospitals of Morecambe NHS Foundation Trust

    Lancaster

    Marwan Bukhari

    Recruiting
  • Chapel Allerton Hospital, Leeds Teaching Hospitals NHS Foundation Trust

    Leeds

    Sarah Mackie

    Recruiting
  • Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust

    Leicester

    Kehinde O Sunmboye

    Recruiting
  • Aintree University Hospital, Aintree University Hospitals NHS Trust

    Liverpool

    Robert Moots

    Recruiting
  • Royal Glamorgan Hospital, Cwm Taf University Health Board

    Llantrisant

    Ceril Rhys Dillon

    Recruiting
  • Hammersmith Hospital, Imperial College Healthcare NHS Trust

    London

    James Peters

    Recruiting
  • King's College Hospital, King's College Hospital NHS Foundation Trust, London

    London

    Eoin O'Sullivan

    Recruiting
  • Royal Free Hospital, Royal Free NHS Foundation Trust

    London

    Animesh Singh

    Recruiting
  • St George's Hospital, St George's University Hospitals NHS Foundation Trust

    London

    Nidhi Sofat

    Recruiting
  • University College London Hospital, University College London NHS Foundation Trust

    London

    Vanessa Morris

    Recruiting
  • Manchester Royal Infirmary, Manchester University NHS Foundation Trust

    Manchester

    Ben Parker

    Recruiting
  • Arrowe Park Hospital, Wirral University Hospital NHS Foundation Trust

    Metropolitan Borough of Wirral

    Emmanuel George

    Recruiting
  • Freeman Hospital, The Newcastle-upon-Tyne Hospitals NHS Foundation Trust

    Newcastle

    John Isaacs

    Recruiting
  • North Tyneside General Hospital, Northumbria Healthcare NHS Foundation Trust

    North Shields

    Ischmael Atchia

    Recruiting
  • Northampton General Hospital, Northampton General Hospital NHS Trust

    Northampton

    Pradip Nandi

    Recruiting
  • Norfolk and Norwich University Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust

    Norwich

    Completed
  • Queens Medical Centre, Nottingham University Hospitals NHS Trust

    Nottingham

    Peter Lanyon

    Recruiting
  • Oxford Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust

    Oxford

    Raashid Luqmani

    Not yet recruiting
  • Peterborough City Hospital, North West Anglia NHS Foundation Trust

    Peterborough

    Poonam Sharma

    Recruiting
  • Derriford Hospital, University Hospital Plymouth NHS Trust

    Plymouth

    Jon King

    Recruiting
  • Poole Hospital, University Hospitals Dorset NHS Foundation Trust

    Poole

    Muhammad Khursid

    Recruiting
  • Whiston Hospital

    Prescot, Merseyside, L35 5DR

    Julie Dawson

    Recruiting
  • Minerva Health Centre, Lancashire and South Cumbria NHS Foundation Trust

    Preston

    Sarah Horton

    Recruiting
  • Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust

    Preston

    Hedley Emsley

    Anna Bhargava

    Recruiting
  • Salford Royal Hospital, Salford Royal NHS Foundation Trust

    Salford

    Sanjeet Kamath

    Recruiting
  • Scarborough General Hospital, York and Scarborough Teaching Hospitals NHS Foundation Trust

    Scarborough

    Zaid Al-Saffar

    Recruiting
  • Southend University Hospital, Southend University Hospital NHS Foundation Trust

    Southend-on-Sea

    Bridgett Masunda

    Recruiting
  • Lister Hospital, East and North Hertfordshire NHS Trust

    Stevenage

    Thiraupathy Marianayagam

    Recruiting
  • Haywood Hospital, Midlands Partnership NHS Foundation Trust

    Stoke-on-Trent

    Ajit Menon

    Recruiting
  • Great Western Hospital, The Great Western Hospitals NHS Foundation Trust

    Swindon

    David Collins

    Recruiting
  • Torbay Hospital, Torbay and South Devon NHS Foundation Trust

    Torquay

    Completed
  • Royal Cornwall Hospital, Royal Cornwall Hospitals NHS Trust

    Truro

    David Hutchinson

    Recruiting
  • Pinderfields Hospital, Mid Yorkshire Hospitals NHS Trust

    Wakefield

    Chamila Hettiarachchi

    Recruiting
  • Warrington Hospital, Warrington and Halton Hospitals NHS Foundation Trust

    Warrington

    Hala Sadik

    Recruiting
  • Warwick Hospital, South Warwickshire NHS Foundation Trust

    Warwick

    Completed
  • Royal Hampshire County Hospital, Hampshire Hospitals NHS Foundation Trust

    Winchester

    Emma Williams

    Recruiting
  • University Hospital Wishaw, NHS Lanarkshire

    Wishaw

    James Dale

    Recruiting
  • York Hospital, York and Scarborough Teaching Hospitals NHS Foundation Trust

    York

    Completed

Other trials in United Kingdom

About this study

Official title: UK GCA Consortium: Clinical and Immunogenetic Characterization of Giant Cell Arteritis (GCA) and Polymyalgia Rheumatica (PMR)

A multi-centre observational study recruiting prospective and retrospective cohorts of patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). The primary aim is to find genetic determinants of GCA and PMR susceptibility, in order to yield novel insights into disease pathogenesis. A subset of the retrospective cohort is also enrolled in a post-marketing surveillance registry of patients eligible for, or receiving tocilizumab, to treat their relapsing or refractory GCA.

Read the detailed description

Giant cell arteritis (GCA), also known as temporal arteritis, is the most common form of primary systemic vasculitis, with up to 75,000 cases a year identified in the EU and US. It occurs almost exclusively in people over the age of 50 years and is considered to be a medical emergency. If not treated with high-dose glucocorticoids immediately, the thickening of the inflamed blood vessel wall can cause irreversible visual loss or stroke. GCA can lead to significant morbidity across a variety of systems, due to both the disease, and complications of treatment. Diagnosis may be confirmed with a temporal artery biopsy, imaging (e.g. USS/CT/MRA/PET-CR) or based on clinical signs (e.g. erythrocyte sedimentation rate) and symptoms (e.g. a new headache, jaw claudication, visual disturbances, temporal artery abnormality such as tenderness or decreased pulsation) .

Polymyalgia rheumatica (PMR) is characterised by inflammatory limb-girdle pain with early morning stiffness, and a systemic inflammatory response demonstrated by elevated inflammatory markers.

The UK GCA Consortium is a multi-centre observational study, the main arms of which recruit prospective (participants with suspected GCA) and retrospective cohorts (participants with confirmed GCA diagnosis). Analysis of data collected on these cohorts will help achieve the primary aim of finding genetic determinants of GCA and PMR susceptibility, in order to yield novel insights into disease pathogenesis. Secondary aims, and their associated analyses, are as follows:

  • Phenotype: characterising GCA and PMR subtypes, based on clinical features; imaging; cells; subcellular fractions and molecules in the circulation and/or arterial tissue; genetic/epigenetic/transcriptomic/proteomic or metabolomics factors, including next generation sequencing (whole exome sequencing) of selected cases.
  • Life impact: determining what aspects of the disease and treatments affect patients' quality of life, as assessed by patient-reported outcomes.
  • Long-term outcomes: characterising prognosis of GCA and PMR - both effects of the disease and its treatment - by longitudinal follow-up through electronic linkage to health records.
  • Exploratory analyses: exploring the potential role of environmental factors and co-morbidities on phenotype and outcomes.
  • Diagnosis, prognosis: improving diagnosis of GCA and PMR, and identifying factors that predict diagnosis, such as diagnostic clinical features, and prognostic and diagnostic biomarkers.
  • Disease activity: monitoring participants who commence a synthetic or biological disease-modifying anti-rheumatic drug (s/bDMARD). Finding a biomarker for GCA and PMR disease activity, which might be clinically useful in helping to optimise steroid and s/bDMARD treatments for individual patients.
Medical subject headings
Giant Cell Arteritis, Polymyalgia Rheumatica

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT04102930
Study groupRoleWhat they receive
RetrospectiveA patient who has a diagnosis of GCA or PMR
ProspectivePatient with suspected GCA and PMR

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary outcome for genetic susceptibility studies:

    Diagnosis of GCA (or PMR), confirmed by a specialist (e.g. rheumatologist, ophthalmologist) with relevant expertise.

    Measured: At baseline

Secondary outcomes (7)
  1. Phenotype

    Clinical phenotype or subtype of GCA/PMR based on disease features and imaging undertaken as part of routine clinical practice, and on research tests, such as imaging performed for research purposes, cells, subcellular fractions and molecules in the circulation and/or arterial tissue and genetic/ epigenetic/ transcriptomic/ proteomic or metabolomic factors, including next generation sequencing (whole exome sequencing) of selected cases.

    Measured: At baseline

  2. Life impact questionnaires

    Assessment of the impact the disease and treatment has on the patients' lives as reported by the patient

    Measured: At baseline

  3. Long term outcomes

    Longitudinal follow-up of patients (as far as is possible from medical and electronic records and without requiring additional study visits) to define prognosis/disease outcomes, such as ischaemic manifestations, aneurysm formation, duration of steroid therapy, disease flares, complications related to steroid therapy.

    Measured: At baseline

  4. Diagnosis of GCA/PMR

    Diagnosis in patients presenting with suspected GCA/PMR (prospective study).

    Measured: Through study completion, an average of 1 year

  5. Exploratory analyses

    To investigate role of genetics, environmental factors (e.g. diet and sunlight) and co-morbidities (e.g. periodontal disease) on disease phenotype and outcome as assessed by the patient-administered questionnaires.

    Measured: At baseline

  6. Disease activity defined as an increase in clinical and patient reported activity of disease

    Participants commencing a synthetic or biological disease modifying anti-rheumatic drug with or without additional steroid therapy will have their disease activity assessed.

    Measured: At baseline

  7. Proteomic and genomic analyses on serum, plasma and urine samples.

    A variety of 'omic technologies will be applied to cell populations isolated from the blood and/or routine diagnostic arterial biopsies, including, but not limited to, RNASeq and a variety of proteomic approaches.

    Measured: At baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Sep 2019
  2. Study start10 Jun 2005
  3. Primary completion31 Mar 2028 (estimated)
  4. Study completion31 Mar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Cross-sectional
Enrolment
4,500 participants (estimated)
Target duration
18 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT04102930
Sponsor's protocol ID
MM05/7037
Status last verified
Mar 2025
First submitted
30 Jul 2019
Last updated
30 Mar 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Giant Cell Arteritis and Polymyalgia Rheumatica, run by University of Leeds at 76 sites in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Louise Sorensen (0113 343 7764, MRCTarget@leeds.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary outcome for genetic susceptibility studies: (time frame: At baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Mar 2025.

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