IL-6, IL-12, IL-15 and IL-23 Expression Levels in Rheumatoid Arthritis Patients
NCT06558305 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 80
Last updated 2024-08-16
Summary
Rheumatoid Arthritis (RA) is a systemic autoimmune disease characterized by chronic inflammation and articular damage.
Continuous medical research has dramatically improved the outcomes for patients with RA. Traditional therapeutic approaches have relied on glucocorticoids, nonsteroidal anti-inflammatory drugs (NSAIDs) and disease modifying antirheumatic drugs (DMARDs) such as methotrexate, sulfasalazine or leflunomide. Glucocorticoids and NSAIDs interfere with the inflammatory cascades while DMARDs impede both the inflammatory and the destructive processes of RA.
These drugs, although efficient, are not specifically directed against inflammatory cells or cytokines and are associated with significant toxicity. The development of biologic DMARDs (bDMARDs), has been an important step forward. Their ability to neutralize specific cytokines or target distinct immune cells filled a gap in existing treatment options for RA. \[3\]. However, some patients still have only partial or no response to bDMARDs. More recently, a group of drugs has been developed that inhibit the janus kinase (JAK) family of intracellular tyrosine kinases, which transmit cytokine- mediated signals via the JAK-signal transducer and activator of transcription (STAT) pathway \[4\]. Baricitinib, with a selectivity to inhibit JAK1 and 2, has been FDA approved for RA in 2018 \[5\].
Many cytokines such IL-6, IL-12, IL-15, IL-23, (GM-CSF) and (IFNs) are associated with the pathogenesis of RA. These cytokines transduce signals via the JAK-STAT pathway.
Conditions
Interventions
- OTHER
-
blood sample
Total RNA will be extracted from the whole blood using a commercial extraction kit (RNA Extraction Kit, applied biotechnology Co.Ltd, Egypt) according to the manufacturer's instructions. RNA will be stored at -80°C.The extracted RNA will be used for cDNA synthesis using commercial kits (cDNA Synthesis Kit, applied biotechnology Co.Ltd, Egypt), according to the manufacturer's instruction.
Sponsors & Collaborators
-
Assiut University
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-09-30
- Primary Completion
- 2025-03-31
- Completion
- 2025-04-30
More Related Trials
-
Duration of Immune Response to Influenza Vaccination in Patients With RA
NCT02311855 ·Status: COMPLETED ·Phase: PHASE4
-
The Clinical Efficacy of Immunomodulators in RA Patients
NCT05626348 ·Status: RECRUITING ·Phase: PHASE4
-
Rheumatoid Arthritis (DMARD) Intervention and UtilizationStudy
NCT00116714 ·Status: COMPLETED
-
The Role of Microbiome on Biological Therapy Efficacy in axSpA and RA
NCT04973787 ·Status: UNKNOWN
-
A Trial of NNC0109-0012, an Anti-IL-20 Biologic, in Patients With Active Rheumatoid Arthritis Who Are Inadequate Responders to Anti-TNFa Biologics
NCT01636817 ·Status: TERMINATED ·Phase: PHASE2
-
A Trial of NNC0109-0012, an Anti-IL-20 Biologic, in Patients With Active Rheumatoid Arthritis Who Are Inadequate Responders to Methotrexate
NCT01636843 ·Status: TERMINATED ·Phase: PHASE2
-
Effects of MEDI-522 On Disease Activity and Progression of Joint Damage in Patients With Active Rheumatoid Arthritis Suboptimally Responding to Methotrexate
NCT00069017 ·Status: COMPLETED ·Phase: PHASE2
-
Anti IL6R Reduce Complement Serum Level in Rheumatoid Arthritis Patients: Facts and Implications
NCT04505982 ·Status: UNKNOWN
-
Efficacy of a Sequential Treatment Strategy in Rheumatoid Arthritis
NCT05428488 ·Status: RECRUITING ·Phase: PHASE3
-
Evaluation Effects of Treatment With IL-6R Inhibitor on Clinical Response and Biomarkers in Patients With Rheumatoid Arthritis (RA) Not Responding to DMARDs and/or a First Biological Agent.
NCT01835613 ·Status: UNKNOWN ·Phase: PHASE4
-
Standard Versus High Dose Inactivated Influenza Vaccine in RA
NCT02936180 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Sarilumab on Patient-reported Outcomes in Patients With Active Rheumatoid Arthritis
NCT03449758 ·Status: COMPLETED ·Phase: PHASE4
-
Infliximab and Classic DMARDs in the Rheumatoid Arthritis Patients
NCT01915537 ·Status: UNKNOWN ·Phase: NA
-
Ultrasonographic Monitoring of Response to Infliximab in Patients With Rheumatoid Arthritis
NCT01282528 ·Status: UNKNOWN ·Phase: PHASE4
-
Comparison Between JAK Inhibitors and Traditional Treatment of Rheumatoid Arthritis
NCT07272850 ·Status: NOT_YET_RECRUITING
-
Combination of Baricitinib and Anti-TNF in Rheumatoid Arthritis
NCT04870203 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
An Exploratory Study of Changes in Synovial Immune Responses Following BMS-188667 Therapy in Subjects With Active Rheumatoid Arthritis on Background DMARDs Who Have Failed Anti-TNF Therapy
NCT00162201 ·Status: COMPLETED ·Phase: PHASE1
-
An Efficacy and Safety Study of Infliximab in Participants With Rheumatoid Arthritis
NCT00896168 ·Status: COMPLETED ·Phase: PHASE4
-
COVID-SErology in Rheumatoid Arthritis (COVID-19)
NCT04407559 ·Status: COMPLETED
-
A Study in Patients With Rheumatoid Arthritis
NCT00966875 ·Status: COMPLETED ·Phase: PHASE2
-
Interleukin-6 Inhibitors and Drug-drug Interactions in Patients With Rheumatoid Arthritis
NCT04842981 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Clinical Disease Activity and Modulation of Synovial Lymphoid Structures and B Cell Function in Rheumatoid Arthritis
NCT02528292 ·Status: UNKNOWN
-
Serum Anti-PCOLCE as Novel Diagnostic Biomarker in Rheumatoid Arthritis With Emphasis on Seronegative Patients.
NCT07129837 ·Status: NOT_YET_RECRUITING
-
Impact Of RA Therapy Compliance On Patient-Reported Outcomes
NCT01438892 ·Status: COMPLETED
-
IL-6 as a Biomarker for Personalized Treatment of PR
NCT04779983 ·Status: COMPLETED