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NIR-ICG Imaging for Rheumatoid Arthritis

Phase 1
Recruiting
Led By Christopher Ritchlin, MD, MPH
Research Sponsored by University of Rochester
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Established RA: RA subjects must fulfill 2010 ACR criteria with a DAS-CRP >3.5
Early RA: RA subjects must fulfill 2010 American College of Rheumatology (ACR) criteria with a DAS28-C-Reactive Protein (CRP) >3.5
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 16 weeks
Awards & highlights

Study Summary

This trial is examining the progression of RA and the effectiveness of clinical interventions using NIR-ICG imaging, which is a reliable and reproducible method.

Who is the study for?
This trial is for adults with early or established Rheumatoid Arthritis (RA) who meet specific criteria, including being on a stable dose of certain RA medications. They must have active joint inflammation in their hands confirmed by ultrasound and not be pregnant or have other systemic disorders that could affect the study.Check my eligibility
What is being tested?
The trial is testing how well Indocyanine Green, used with a MultiSpectral Imaging System, can track lymphatic vessel function in RA patients. It aims to understand disease progression and response to treatments using imaging techniques developed in earlier research.See study design
What are the potential side effects?
Potential side effects may include sensitivity reactions due to residual iodide in Indocyanine Green. Participants should not have known sensitivity to iodine.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been diagnosed with rheumatoid arthritis and my disease activity is high.
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I have early-stage rheumatoid arthritis with a DAS28-CRP score over 3.5.
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I am 18 years old or older with early rheumatoid arthritis.
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I have been on a stable dose of RA medication for 8 weeks.
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I have active hand arthritis confirmed by an ultrasound.
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I have active inflammation in my hand(s) confirmed by ultrasound.
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I have had rheumatoid arthritis for at least 10 years.
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I am 18 or older with diagnosed rheumatoid arthritis.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~16 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 16 weeks for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Clearance
Secondary outcome measures
Contraction Rate
Lymphatic Vessels

Trial Design

2Treatment groups
Experimental Treatment
Group I: Established RA (> 10 years of disease)Experimental Treatment2 Interventions
Patients with symptomatic established RA (>10 years) will be invited to participate in an ICG injections followed by NIR-ICG imaging and NIR-ICG imaging visit 1 week later. Total length of participation will be up to 1 week (+3 days)
Group II: Early RA (<1 year of disease)Experimental Treatment2 Interventions
In this single center study, early RA subjects (<1 year of disease) who are MTX inadequate responders or experience a flare (see inclusion criteria for detail) on MTX and are starting an anti-TNF therapy will be invited to participate to receive ICG injections at Baseline (prior to the start of medication), week 16 and week 52. NIR-ICG imaging will be done immediately post injection and 1 week later for a total of three injection/imaging visits and three imaging visits without injections. See schedule of events for more detail. Total length of participation will be up to 53 weeks (+3days).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Indocyanine green
2016
Completed Phase 4
~1720
MultiSpectral Imaging System
2019
Completed Phase 1
~30

Find a Location

Who is running the clinical trial?

National Institutes of Health (NIH)NIH
2,701 Previous Clinical Trials
7,506,836 Total Patients Enrolled
9 Trials studying Rheumatoid Arthritis
608 Patients Enrolled for Rheumatoid Arthritis
University of RochesterLead Sponsor
840 Previous Clinical Trials
534,210 Total Patients Enrolled
5 Trials studying Rheumatoid Arthritis
68 Patients Enrolled for Rheumatoid Arthritis
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)NIH
484 Previous Clinical Trials
1,086,805 Total Patients Enrolled
44 Trials studying Rheumatoid Arthritis
560,967 Patients Enrolled for Rheumatoid Arthritis

Media Library

MultiSpectral Imaging System Clinical Trial Eligibility Overview. Trial Name: NCT05197530 — Phase 1
Rheumatoid Arthritis Research Study Groups: Early RA (<1 year of disease), Established RA (> 10 years of disease)
Rheumatoid Arthritis Clinical Trial 2023: MultiSpectral Imaging System Highlights & Side Effects. Trial Name: NCT05197530 — Phase 1
MultiSpectral Imaging System 2023 Treatment Timeline for Medical Study. Trial Name: NCT05197530 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is the research team engaging in patient recruitment for this trial?

"According to the information on clinicaltrials.gov, this experiment is currently not recruiting participants. It was first posted on December 30th 2021 and modified most recently January 20th 2022. Despite no open recruitment for this study at present, there are 379 other trials actively enrolling patients at this time."

Answered by AI

Has the MultiSpectral Imaging System earned regulatory approval by the FDA?

"In accordance with the data provided from our organisation, Power, the MultiSpectral Imaging System is estimated to be of a low level safety rating (1), given that this study is in its first phase and there are limited clinical trials demonstrating efficacy."

Answered by AI
~8 spots leftby Dec 2024