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出境医 / 临床实验 / Pilot Study of the Impact of Giant Cell Arteritis and Its Treatment on the Autonomy of the Elderly in the First Year of Care (EPACAPA)

Pilot Study of the Impact of Giant Cell Arteritis and Its Treatment on the Autonomy of the Elderly in the First Year of Care (EPACAPA)

Study Description
Brief Summary:
Giant cell arteritis is the leading cause of vasculitis in the elderly. No work evaluates its impact on autonomy. At the diagnosis a gerontological evaluation will be carried out including the scores ADL, iADL, MNA, SF 36, SPPB, FRIED and GDS. A monthly telephone reassessment will collect ADL and iADL. The end-of-study consultation at M12, conducted by a geriatrician, will have the same scores as at M0. This will make it possible to evaluate the difference in the functional autonomy score between M0 and M12 in the elderly with ACG.

Condition or disease Intervention/treatment
Giant Cell Arteritis in Dependency of Elderly Other: Assessment by questionnaire

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 50 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Pilot Study of the Impact of Giant Cell Arteritis and Its Treatment on the Autonomy of the Elderly in the First Year of Care
Actual Study Start Date : May 17, 2019
Estimated Primary Completion Date : May 17, 2023
Estimated Study Completion Date : May 17, 2023
Arms and Interventions
Group/Cohort Intervention/treatment
assessment by questionnaire Other: Assessment by questionnaire

At diagnosis a gerontological evaluation will be carried out including the following tests: ADL, iADL, MNA, SF 36, SPPB, FRIED criteria and GDS. The set of scales and scores of the procedure is commonly used in geriatrics to assess the fragility of the patient.

A monthly telephone reassessment conducted by an ARC will collect ADL and iADL from the first month to the eleventh month. The end-of-study consultation will be conducted by a geriatrician at the 12th month and will include the following tests: ADL, iADL, MNA, SF 36, the SPPB, the criteria of FRIED and the GDS


Outcome Measures
Primary Outcome Measures :
  1. Activities of Daily Living (ADL) [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12. The scale is evaluated from 0 (dependence) to 6 (autonomy).


Secondary Outcome Measures :
  1. Activities of Daily Living (ADL) [ Time Frame: Month 11 ]
    Compare the evolution every month at M0 and every month up to Month 11 The scale is evaluated from 0 (dependence) to 6 (autonomy).


Other Outcome Measures:
  1. Instrumental Activities of Daily Living (iADL) [ Time Frame: Month 12 ]
    Compare the evolution every month at Month 0 and every month up to Month 12 The scale is evaluated from 0 (dependence) to 8 (autonomy).

  2. Mini Nutritional Assessment (MNA) [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12 The scale is evaluated from 0 (poor nutritional status) to 30 (correct)

  3. The Short Form Health Survey (SF-36) : Physical score [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12 The scale is evaluated from 13,6 (poor physical condition) to 61.9 (good physical condition)

  4. The Short Form Health Survey (SF-36) : Psychic score [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12 The scale is evaluated from 15.6 (poor psychic condition) to 70 (good physical condition)

  5. Short Physical Performans Battery (SPPB) [ Time Frame: Month 12 ]
    compare score between Month 0 and Month 12 The scale is evaluated from 0 (poor performance) to 12 (high performance)

  6. fragility criteria questionnaire (Fried) [ Time Frame: Month 12 ]
    compare score between Month 0 and Month 12 The scale is evaluated from 0 (robust) to 5 (fragile)

  7. Geriatric Depression Scale (GDS) [ Time Frame: Month 12 ]
    compare score between Month 0 and Month 12 The scale is evaluated from 0 (normal) to 30 (severe depression)

  8. The cumulative dose of corticosteroids and autonony loss [ Time Frame: Month 12 ]

Eligibility Criteria
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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
patient with giant cell arteritis
Criteria

Inclusion Criteria:

  • Age greater than or equal to 65 years with at least 2 comorbidities * present, or age greater than or equal to 75 years
  • Diagnosis of ACG meeting the diagnostic criteria of ACG 1990 ACR

    • comorbidity = chronic pathology

Exclusion Criteria:

  • Neoplastic pathology under treatment
  • Brain pathology with motor disability
  • Dementia at a severe stage (MMS <22/30)
  • Unable to answer the phone
  • Participation in a therapeutic clinical trial
Contacts and Locations

Contacts
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Contact: Anne Laure FAUCHAIS, PU PH + 33 555 058 076 anne-laure.fauchais@chu-limoges.fr

Locations
Layout table for location information
France
University Hospital Recruiting
Limoges, France, 87042
Contact: Anne Laure FAUCHAIS, PU PH    + 33 555 058 076    anne-laure.fauchais@chu-limoges.fr   
Sponsors and Collaborators
University Hospital, Limoges
Tracking Information
First Submitted Date May 17, 2019
First Posted Date May 23, 2019
Last Update Posted Date March 17, 2021
Actual Study Start Date May 17, 2019
Estimated Primary Completion Date May 17, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 22, 2019)
Activities of Daily Living (ADL) [ Time Frame: Month 12 ]
Compare score between Month 0 and Month 12. The scale is evaluated from 0 (dependence) to 6 (autonomy).
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: May 22, 2019)
Activities of Daily Living (ADL) [ Time Frame: Month 11 ]
Compare the evolution every month at M0 and every month up to Month 11 The scale is evaluated from 0 (dependence) to 6 (autonomy).
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures
 (submitted: May 22, 2019)
  • Instrumental Activities of Daily Living (iADL) [ Time Frame: Month 12 ]
    Compare the evolution every month at Month 0 and every month up to Month 12 The scale is evaluated from 0 (dependence) to 8 (autonomy).
  • Mini Nutritional Assessment (MNA) [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12 The scale is evaluated from 0 (poor nutritional status) to 30 (correct)
  • The Short Form Health Survey (SF-36) : Physical score [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12 The scale is evaluated from 13,6 (poor physical condition) to 61.9 (good physical condition)
  • The Short Form Health Survey (SF-36) : Psychic score [ Time Frame: Month 12 ]
    Compare score between Month 0 and Month 12 The scale is evaluated from 15.6 (poor psychic condition) to 70 (good physical condition)
  • Short Physical Performans Battery (SPPB) [ Time Frame: Month 12 ]
    compare score between Month 0 and Month 12 The scale is evaluated from 0 (poor performance) to 12 (high performance)
  • fragility criteria questionnaire (Fried) [ Time Frame: Month 12 ]
    compare score between Month 0 and Month 12 The scale is evaluated from 0 (robust) to 5 (fragile)
  • Geriatric Depression Scale (GDS) [ Time Frame: Month 12 ]
    compare score between Month 0 and Month 12 The scale is evaluated from 0 (normal) to 30 (severe depression)
  • The cumulative dose of corticosteroids and autonony loss [ Time Frame: Month 12 ]
Original Other Pre-specified Outcome Measures Same as current
 
Descriptive Information
Brief Title Pilot Study of the Impact of Giant Cell Arteritis and Its Treatment on the Autonomy of the Elderly in the First Year of Care
Official Title Pilot Study of the Impact of Giant Cell Arteritis and Its Treatment on the Autonomy of the Elderly in the First Year of Care
Brief Summary Giant cell arteritis is the leading cause of vasculitis in the elderly. No work evaluates its impact on autonomy. At the diagnosis a gerontological evaluation will be carried out including the scores ADL, iADL, MNA, SF 36, SPPB, FRIED and GDS. A monthly telephone reassessment will collect ADL and iADL. The end-of-study consultation at M12, conducted by a geriatrician, will have the same scores as at M0. This will make it possible to evaluate the difference in the functional autonomy score between M0 and M12 in the elderly with ACG.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population patient with giant cell arteritis
Condition Giant Cell Arteritis in Dependency of Elderly
Intervention Other: Assessment by questionnaire

At diagnosis a gerontological evaluation will be carried out including the following tests: ADL, iADL, MNA, SF 36, SPPB, FRIED criteria and GDS. The set of scales and scores of the procedure is commonly used in geriatrics to assess the fragility of the patient.

A monthly telephone reassessment conducted by an ARC will collect ADL and iADL from the first month to the eleventh month. The end-of-study consultation will be conducted by a geriatrician at the 12th month and will include the following tests: ADL, iADL, MNA, SF 36, the SPPB, the criteria of FRIED and the GDS

Study Groups/Cohorts assessment by questionnaire
Intervention: Other: Assessment by questionnaire
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: May 22, 2019)
50
Original Estimated Enrollment Same as current
Estimated Study Completion Date May 17, 2023
Estimated Primary Completion Date May 17, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Age greater than or equal to 65 years with at least 2 comorbidities * present, or age greater than or equal to 75 years
  • Diagnosis of ACG meeting the diagnostic criteria of ACG 1990 ACR

    • comorbidity = chronic pathology

Exclusion Criteria:

  • Neoplastic pathology under treatment
  • Brain pathology with motor disability
  • Dementia at a severe stage (MMS <22/30)
  • Unable to answer the phone
  • Participation in a therapeutic clinical trial
Sex/Gender
Sexes Eligible for Study: All
Ages 65 Years and older   (Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Anne Laure FAUCHAIS, PU PH + 33 555 058 076 anne-laure.fauchais@chu-limoges.fr
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03961113
Other Study ID Numbers 87RI18_0008 (EPACAPA)
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party University Hospital, Limoges
Study Sponsor University Hospital, Limoges
Collaborators Not Provided
Investigators Not Provided
PRS Account University Hospital, Limoges
Verification Date March 2021