Rheumatoid Arthritis (RA) Clinical Trials

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Comparison of Bone Microarchitecture Analysed by High Resolution Peripheral Microscanner (HR-pQCT) and Peripheral Microscanner (pQCT) in Pathologies With Bone Loss and/or Muscle Loss

Status: Recruiting
Location: See location...
Intervention Type: Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The study aims to utilize medical devices, such as the Xtreme CT and XCT 3000, to assess bone and muscle microarchitecture for various pathologies. The devices provide crucial data on bone and muscle density, aiding in understanding fracture risks associated with conditions like rheumatoid arthritis and neurological disorders. Current methods like DXA scanning have limitations in predicting fracture risks accurately due to their inability to assess cortical and trabecular microstructure. The study emphasizes the importance of evaluating cortical porosity and trabecular volume loss, especially in conditions like post-menopausal osteoporosis and sarcopenia. Additionally, it explores the impact of neurological disorders, renal insufficiency, and endocrinopathies on bone health. Furthermore, the study aims to establish a control group to differentiate pathological changes from age-related variations. Expected outcomes include a comprehensive understanding of bone microarchitecture alterations across various pathologies and the potential to improve fracture risk estimation beyond conventional methods like DEXA scanning. Ultimately, the study anticipates facilitating better management strategies to reduce fracture risks associated with these conditions.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

∙ For the patients:

∙ Women or men treated at the Saint-Etienne University Hospital and presenting an osteoporotic risk with one of the following associated pathologies:

• Osteoporosis defined by: History of a documented brittle bone fracture

• Bone fragility: Patient with indication for bone densitometry but no history of fracture

• Inflammatory joint disease:

‣ Rheumatoid arthritis

⁃ Spondyloarthritis

• Chronic kidney disease

• Endocrinopathies:

‣ Primary hyperparathyroidism

⁃ Constitutional thinness

⁃ Anorexia nervosa

⁃ Obesity (BMI \>30)

⁃ Sarcopenia

• Neuropathies - Parkinson's disease

∙ For the controls:

∙ Acute episode of spinal or radiculalgia (less than one month old) with corticosteroid treatment of less than 1 month Signature of written consent

Locations
Other Locations
France
Chu Saint Etienne
RECRUITING
Saint-etienne
Contact Information
Primary
Hubert MAROTTE, PhD
hubert.marotte@chu-st-etienne.fr
(0)477127643
Time Frame
Start Date: 2026-02-02
Estimated Completion Date: 2035-05
Participants
Target number of participants: 1000
Treatments
Experimental: Patient group
Describe bone quality and quantity with HR-pQCT, pQCT and DEXA in the group of patients at risk of osteoporosis.
Experimental: Control group
Describe the quality and quantity of bones with HR-pQCT, pQCT and DEXA in the group of patients not at risk of osteoporosis.
Sponsors
Leads: Centre Hospitalier Universitaire de Saint Etienne

This content was sourced from clinicaltrials.gov