New screening tool aims to catch lung disease early in arthritis patients
NCT ID NCT05855109
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study involved 1304 adults with rheumatoid arthritis who had at least two risk factors for interstitial lung disease (ILD), such as being male, a smoker, or over 60. Researchers used CT scans to develop a prediction model that helps doctors decide who should be screened for ILD. The goal is to catch lung problems early in high-risk patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,304 people
The number who actually took part.
- Started
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Nov 2023
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with Rheumatoid Arthritis (RA) and 2 or more risk factors for developing Interstitial Lung Disease (ILD)
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: 1. 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 2. 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 Exclusion criteria: 1. Patients previously diagnosed with any ILD or interstitial lung abnormality (ILA) 2. Patients who have had a chest computerized tomography (CT) in the past 2 years 3. Pregnancy at time of HRCT (to be checked in women of child-bearing potential before scan) 4. Unwilling or unable to obtain HRCT 5. 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. 6. Patients who have had a lung transplant 7. 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) 8. 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) 9. Patients currently enrolled in an investigational new drug trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AOU di Padova
Padova, 35128, Italy
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Assistance Publique - Hopitaux de Paris (AP-HP) - Hopital Cochin
Paris, 75014, France
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Azienda Ospedaliera Universitaria Integrata di Verona - Ospedale Borgo Roma
Verona, 37134, Italy
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Azienda Ospedaliero-Universitaria Policlinico di Modena
Modena, 41124, Italy
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Centre Hospitalier Universitaire (CHU) de Saint-Etienne - Hopital Nord
Saint-Priest-en-Jarez, 42270, France
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Charite - Universitaetsmedizin Berlin - Campus Charite Mitte (CCM)
Berlin, 10117, Germany
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Clinique de l'infirmerie Protestante
Caluire-et-Cuire, 69300, France
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Di.M.I. Irccs A.O.S.Martino (U.O.Clinica Reumatological)
Genova, 16132, Italy
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Dr. Jochen Walter MD, Office Of
Rendsburg, 24768, Germany
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Fondazione Irccs Ca' Granda Ospedale Maggioe Policlinico Di Milano
Milan, 20122, Italy
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Fondazione Policlinico Universitario - Agostino Gemelli, Universita Cattolica del Sacro Cuore
Roma, 00168, Italy
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Harvard Medical School - Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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Hopital Bichat, APHP
Paris, 75018, France
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Hospital Clinic de Barcelona (Hospital Clinic i Provincial)
Barcelona, 08036, Spain
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Hospital Do Meixoeiro
Vigo, 36200, Spain
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Hospital General Universitario De Valencia
Valencia, 46007, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Ramon y Cajal
Madrid, 28034, Spain
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Hospital Universitario Reina Sofia
Córdoba, 14004, Spain
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Leeds University
West Yorkshire, LS2 9JT, United Kingdom
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Nottingham University Hospitals NHS Trust - Nottingham City Hospital
Nottingham, NG5 1PB, United Kingdom
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Rheumazentrum Prof. Dr. med Gunther Neeck
Bad Doberan, 18209, Germany
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Southampton General Hospital - University Hospital Southampton NHS Foundation Trust
Southampton, SO16 6YD, United Kingdom
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Southend University Hospital - Mid Essex Hospital Services NHS Trust
Westcliff-on-Sea, SS0 0RY, United Kingdom
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Stanford University School of Medicine
Palo Alto, California, 94304, United States
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University of Colorado
Aurora, Colorado, 80045, United States
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University of Michigan Health System
Ann Arbor, Michigan, 48109, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198-3025, United States
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