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Arthritis, RheumatoidNCT05855109

Developing a Screening Tool for Interstitial Lung Disease in People With Rheumatoid Arthritis Using Risk Factors

An observational study of Arthritis, Rheumatoid and Lung Diseases, Interstitial, run by Boehringer Ingelheim at 28 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The overall aim of the study is to develop and validate a Rheumatoid Arthritis-Interstitial Lung Disease (RA-ILD) clinical prediction model (screening tool) based on risk factors to guide screening for ILD in patients with RA using High Resolution Computed Tomography (HRCT). Read more about this study

Who is it for?
Ages 18 years and older
How many people
1,304 participants
Where
28 sitesin 6 countries
Study dates
27 Nov 2023to 26 Jun 2025
Phase
Observational
Are there results?
None posted in the registry

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

Study population: Patients with Rheumatoid Arthritis (RA) and 2 or more risk factors for developing Interstitial Lung Disease (ILD)

Who may be able to join

  • Adult patients with RA according to 1987 American College of Rheumatology (ACR) or 2010 ACR / European League Against Rheumatism (EULAR) classification of RA, with any RA duration
  • Patient must have ≥ 2 of the following risk factors for ILD (i.e., any 2 or more):
  • Male
  • Current or previous smoker
  • Age of ≥ 60 years at RA diagnosis
  • Rheumatoid factor high-positive (titer > 3x upper limit of normal) AND/OR anti-cyclic citrullinated peptide (anti-CCP) high-positive (titer > 3x upper limit of normal) at RA diagnosis or any time after RA diagnosis
  • High/severe RA disease activity score at screening visit or within 12 months of screening visit, as defined with any of the following measures: Disease Activity Score-28 (DAS-28), Clinical Disease Activity Index (CDAI), Routine Assessment of Patient Index Data 3 (RAPID-3), Simple Disease Activity Index (SDAI), Patient Activity Scale (PAS), PAS-II
  • Presence or history of these extra-articular manifestations of RA: vasculitis, Felty's syndrome, secondary Sjogren's syndrome, cutaneous rheumatoid nodules, serositis and/or scleritis/uveitis

Who cannot join

  • Patients previously diagnosed with any ILD or interstitial lung abnormality (ILA)
  • Patients who have had a chest computerized tomography (CT) in the past 2 years
  • Pregnancy at time of HRCT (to be checked in women of child-bearing potential before scan)
  • Unwilling or unable to obtain HRCT
  • Patients previously received drugs or treatments that are known to induce ILD (e.g., radiation therapy to chest region, bleomycin). Note: All disease-modifying antirheumatic drugs (DMARDs) including methotrexate and biologics are allowed.
  • Patients who have had a lung transplant
Show all 9Show fewer
  • Patients suspected of having developed ILD due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection / coronavirus disease 19 (COVID-19) (based on Investigators' judgement)
  • Patients diagnosed with another autoimmune disorders overlapping with RA-associated with the development of ILD (systemic sclerosis, myositis, dermatomyositis, mixed connective tissue disease, systemic lupus erythematosus, antineutrophilic cytoplasmic antibody (ANCA)-associated vasculitis or primary Sjogren's syndrome)
  • Patients currently enrolled in an investigational new drug trial

Trial locations and contacts

28 sites in 6 countries.

28 sites in 6 countries

Italy6 sites
  • Di.M.I. Irccs A.O.S.Martino (U.O.Clinica Reumatological)

    Genova, 16132

  • Fondazione Irccs Ca' Granda Ospedale Maggioe Policlinico Di Milano

    Milan, 20122

  • Azienda Ospedaliero-Universitaria Policlinico di Modena

    Modena, 41124

  • AOU di Padova

    Padova, 35128

  • Fondazione Policlinico Universitario - Agostino Gemelli, Universita Cattolica del Sacro Cuore

    Roma, 00168

  • Azienda Ospedaliera Universitaria Integrata di Verona - Ospedale Borgo Roma

    Verona, 37134

Other trials in Italy

Spain6 sites
  • Hospital Clinic de Barcelona (Hospital Clinic i Provincial)

    Barcelona, 08036

  • Hospital Universitario Reina Sofia

    Córdoba, 14004

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

  • Hospital General Universitario De Valencia

    Valencia, 46007

  • Hospital Do Meixoeiro

    Vigo, 36200

Other trials in Spain

United States5 sites
  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • University of Colorado

    Aurora, Colorado, 80045

  • Harvard Medical School - Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198-3025

  • Stanford University School of Medicine

    Palo Alto, California, 94304

Other trials in United States

France4 sites
  • Clinique de l'infirmerie Protestante

    Caluire-et-Cuire, 69300

  • Assistance Publique - Hopitaux de Paris (AP-HP) - Hopital Cochin

    Paris, 75014

  • Hopital Bichat, APHP

    Paris, 75018

  • Centre Hospitalier Universitaire (CHU) de Saint-Etienne - Hopital Nord

    Saint-Priest-en-Jarez, 42270

Other trials in France

United Kingdom4 sites
  • Nottingham University Hospitals NHS Trust - Nottingham City Hospital

    Nottingham, NG5 1PB

  • Southampton General Hospital - University Hospital Southampton NHS Foundation Trust

    Southampton, SO16 6YD

  • Leeds University

    West Yorkshire, LS2 9JT

  • Southend University Hospital - Mid Essex Hospital Services NHS Trust

    Westcliff-on-Sea, SS0 0RY

Other trials in United Kingdom

Germany3 sites
  • Rheumazentrum Prof. Dr. med Gunther Neeck

    Bad Doberan, 18209

  • Charite - Universitaetsmedizin Berlin - Campus Charite Mitte (CCM)

    Berlin, 10117

  • Dr. Jochen Walter MD, Office Of

    Rendsburg, 24768

Other trials in Germany

About this study

Official title: A Prospective, Multi-national, Cross-sectional Study on a Risk-factor Guided Approach to Interstitial Lung Disease Screening in Patients With Rheumatoid Arthritis at Higher Risk for ILD Using High Resolution Computed Tomography

The overall aim of the study is to develop and validate a Rheumatoid Arthritis-Interstitial Lung Disease (RA-ILD) clinical prediction model (screening tool) based on risk factors to guide screening for ILD in patients with RA using High Resolution Computed Tomography (HRCT).

Medical subject headings
Arthritis, Rheumatoid, Lung Diseases, Interstitial

What participants receive

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

Study groups in NCT05855109
Study groupRoleWhat they receive
Patients with Rheumatoid Arthritis (RA)RA and 2 or more risk factors for developing Interstitial Lung Disease (ILD)

What is being measured

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

  1. Probability score based on multi-variable diagnostic model that incorporates risk factors commonly available in clinical practice for RA-ILD screening

    The endpoint of the model will be to recommend screening HRCT scan based on risk factors.

    Measured: up to 1 year

  2. Prevalence of RA-ILD and radiological features of RA-ILD on HRCT

    Measured: up to 1 year

Secondary outcomes (7)
  1. Demographics of patients with and without ILD symptoms

    Age, sex, race (Baseline characteristics)

    Measured: up to 1 year

  2. Disease characteristics of patients with and without ILD symptoms: Duration of Rheumatoid Arthritis

    Measured: up to 1 year

  3. Disease characteristics of patients with and without ILD symptoms: Disease Activity Score (DAS) 28

    The DAS28 score ranges from 0 to 9.4 with higher values reflecting a higher disease activity.

    Measured: up to 1 year

  4. Disease characteristics of patients with and without ILD symptoms: Forced Vital Capacity

    Measured: up to 1 year

  5. Disease characteristics of patients with and without ILD symptoms: Diffusing Capacity for Carbon Monoxide

    Measured: up to 1 year

  6. Diagnostic performance of clinical prediction model in asymptomatic and symptomatic sub-populations

    The overall apparent performance of the model will primarily be assessed using the Brier Score. Discrimination will be assessed using the Area Under the Curve (AUC) (c-statistic) and callibration will be analysed with a calibration plot.

    Measured: up to 1 year

  7. Correlation of abnormal findings on pulmonary function testing (PFT) and auscultation relevant to ILD to HRCT findings

    Measured: up to 1 year

Timeline

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

  1. First posted11 May 2023
  2. Study start27 Nov 2023
  3. Primary completion19 Jun 2025
  4. Study completion26 Jun 2025

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
Cohort
Time perspective
Prospective
Enrolment
1,304 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05855109
Sponsor's protocol ID
1199-0510
Status last verified
Nov 2025
First submitted
3 May 2023
Last updated
12 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Publications

  • Sparks JA, Dieude P, Hoffmann-Vold AM, Burmester GR, Walsh SL, Kreuter M, Stock C, Sambevski S, Alves M, Emery P. Design of ANCHOR-RA: a multi-national cross-sectional study on screening for interstitial lung disease in patients with rheumatoid arthritis. BMC Rheumatol. 2024 May 21;8(1):19. doi: 10.1186/s41927-024-00389-4.

    PubMed 38773593

Questions about this trial

What is this clinical trial studying?

An observational study of Arthritis, Rheumatoid and Lung Diseases, Interstitial, run by Boehringer Ingelheim at 28 sites in 6 countries.

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 8 inclusion and 9 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: finished, as of the sponsor's last update on 12 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Italy, Spain, United States, France, United Kingdom and 1 more country. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Probability score based on multi-variable diagnostic model that incorporates risk factors commonly available in clinical practice for RA-ILD screening (time frame: up to 1 year). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05855109, which also lists 1 linked publication.

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 12 Nov 2025.

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