Study of Systemic Lupus Erythematosus
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|ClinicalTrials.gov Identifier: NCT00001372|
Recruitment Status : Recruiting
First Posted : November 4, 1999
Last Update Posted : February 6, 2023
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This protocol will evaluate patients with systemic lupus erythematosus (SLE) and their relatives to learn more about how the disease develops and changes over time. It will also study genetic factors that make a person susceptible to SLE.
Patients 10 years of age and older with known or suspected SLE and their relatives may be eligible for this study. Patients will be evaluated with a medical history and physical examination, blood and urine tests. Other procedures may include:
- 24-hour urine collection
- Imaging studies, such as chest and joint X-rays, magnetic resonance imaging (MRI) scans, bone scans, and bone densitometry.
- Questionnaire about the degree of disease activity, and survey of risk factors for disease complications.
- Apheresis Collection of plasma (fluid portion of blood) or blood cells for analysis. Whole blood is collected through a needle in an arm vein. The blood circulates through a machine that separates it into its components. The required component (plasma or cells) is removed and the rest of the blood is returned to the body through the same needle or through a second needle in the other arm.
- Skin biopsy Removal of a small skin sample for microscopic analysis. An area of skin is numbed with an anesthetic and a small circular portion (about 1/4 inch in diameter) is removed, using a sharp cookie cutter-type instrument.
- Kidney, bone marrow or other organ biopsy Removal of a small sample of organ tissue. These biopsies are done only if they can provide information useful in better understanding the disease or making treatment decisions.
- Genetic studies Collection of a blood sample for gene testing.
Patients will be followed at least once a year with a brief history and physical examination and routine blood and urine tests. Some patients may be seen more often. Treatment recommendations will be offered to patients' physicians, and patients who are eligible for other research treatment studies will be invited to enroll.
Participating relatives of patients will fill out a brief medical history questionnaire and provide a DNA sample (either a blood sample or tissue swab from the inside of the cheek) for genetic testing.
|Condition or disease|
|Systemic Lupus Erythematosus|
|Study Type :||Observational|
|Estimated Enrollment :||2250 participants|
|Official Title:||Studies of the Pathogenesis and Natural History of Systemic Lupus Erythematosus (SLE)|
|Actual Study Start Date :||February 10, 1994|
Longitudinal cohort study with affected SLE patients
Unrelated healthy volunteers
- Natural History of SLE [ Time Frame: 12/31/2050 ]Natural History of SLE
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:||9 Years and older (Child, Adult, Older Adult)|
|Sexes Eligible for Study:||All|
|Accepts Healthy Volunteers:||Yes|
|Sampling Method:||Non-Probability Sample|
- INCLUSION CRITERIA:
- SLE or suspected SLE established by ACR criteria
- Ability to give informed consent
- Adult and minor relatives (first and second degree) of individuals Included in IV-G (only for genetic studies)
- Ability of the patient or minor relative s parents to give informed consent
- Affected individuals age greater than or equal to 9 years with no upper age limit
- Healthy Volunteers (non-related) age greater than or equal to 18 with no upper age limit
- Healthy Volunteers (first- and second-degree relatives) age greater than or equal to 9 with no upper age limit
- Vascular studies adults only age greater than or equal to 18 with no upper age limit
- Concomitant medical problems which would confound the interpretation of studies gathered by this protocol. Included in this is the presence of HIV in the blood, active malignancies, or other significant medical conditions that may interferes with interpretation of some lupus studies.
- Concomitant medical, surgical or other conditions for which inadequate facilities are available to support their care at NIH.
- Inability or unwillingness to comply with follow up requirements (e.g. distance, social, physical limitations)
- Any comorbidity of medical or psychological/psychiatric condition or treatment after reviewing of patients previous or outside medical records, that in the opinion of the Principal Investigator, would exclude the subjects from the research studies (e.g. Patient
requiring urgent and/or acute medical care, surgical or other procedures)
-Unwilling to participate in research studies or to provide research samples or data
Criteria for Exclusion:
Any concomitant medical problems or are taking medications which would confound the interpretation of studies they are considered for
EXCLUSION CRITERIA FOR VASCULAR STUDIES ONLY, FOR SLE AND HEALTHY CONTROLS:
Subjects with a contraindication to MRI scanning will not receive the optional Cardiovascular MRI. These contraindications include subjects with the following devices:
- Central nervous system aneurysm clips unless it is labeled safe or conditional for MRI
- Implanted neural stimulator (e.g.TENS-Unit) unless it is labeled safe or conditional for MRI
- Implanted cardiac pacemaker or defibrillator
- Cochlearor any type of ear implant unless it is labeled safe or conditional for MRI
- Ocular foreign body (e.g. metal shavings)
- Implanted Insulin pump or drug infusion device unless it is labeled safe or conditional for MRI
- Metal shrapnel or bullet unless cleared by plain x-ray as safe for MRI
- Subjects with renal excretory dysfunction, estimated glomerular filtration rate < 60 mL/min/1.73m(2) using the CKD-EPI equation or equivalent (using the CRIS-calculated eGFR to define the threshold) and a serum creatinine measured within 2 weeks without intercurrent change in medical condition or medications. Subjects meeting this exclusion criterion may still be included in the study but will not be exposed to the cardiac CT angiography, or gadolinium-based contrast agents.
- Any clinical instability precluding subject from getting MRI as determined by the enrolling clinician.
- Pregnant or lactating women will be excluded from vascular studies.
- Healthy controls with known history of coronary artery disease, peripheral vascular disease or atherosclerosis.
- Individuals younger than 18 years old will be excluded given the radiation exposure as well as the lack of proper validation for the proposed vascular function studies.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00001372
|Contact: Sarfaraz A Hasni, M.D.||(301) firstname.lastname@example.org|
|United States, Maryland|
|National Institutes of Health Clinical Center||Recruiting|
|Bethesda, Maryland, United States, 20892|
|Contact: For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR) 800-411-1222 ext TTY dial 711 email@example.com|
|Principal Investigator:||Sarfaraz A Hasni, M.D.||National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)|
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
|Responsible Party:||National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)|
|Other Study ID Numbers:||
|First Posted:||November 4, 1999 Key Record Dates|
|Last Update Posted:||February 6, 2023|
|Last Verified:||November 2, 2022|
|Individual Participant Data (IPD) Sharing Statement:|
|Plan to Share IPD:||No|
|Plan Description:||.We plan to share aggregate data for analysis. Any IPD shared will be deidentified and coded.|
|Studies a U.S. FDA-regulated Drug Product:||No|
|Studies a U.S. FDA-regulated Device Product:||No|
Lupus Erythematosus, Systemic
Connective Tissue Diseases
Immune System Diseases