UCAN CAN-DU: Canada-Netherlands Personalized Medicine Network in Childhood Arthritis and Rheumatic Disease
Juvenile Idiopathic ArthritisChildhood arthritis is a chronic disabling disease. New medications called biologic therapies are now available to treat arthritis that target key biologic molecules that cause inflammation. Biologic therapies, while very effective in treating arthritis in children, may have serious side effects including infections and potentially cancers, and are very expensive and doctors don't know, which one to choose for which child. The investigators will develop tests that enable them to learn about the biology of each child's arthritis and be able to predict when and which biologic therapy to start and when to stop.
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Conditions de participation
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Sexe:
ALL -
Âges admissibles:
0 to 18
Critères de participation
Inclusion Criteria:
Cohort 1: - Biologic Basis of JIA
* ≤18 years\*
* Active objective arthritis suspected to be JIA or diagnosed with JIA within 6 months of enrolment
* Treatment naïve except for NSAIDs, allowed to have received NSAIDS within 6 months of diagnosis
Cohort 2 - Start Biologics
* JIA diagnosis as per ILAR criteria (all subtypes)
* ≤18 years\*
* Active arthritis
* For sJIA, active disease not necessarily with arthritis.
* Time of start, restart or switch biologic therapy: e.g. failure, insufficient/partial response or intolerance
Cohort 3 - Stop Biologics
* JIA diagnosis as per ILAR criteria (all subtypes)
* ≤18 years\*
* Inactive disease
* Discontinuing/tapering biologics for inactive disease
Cohort 4: Extreme Phenotypes
* Unexplained systemic inflammation with arthritis/arthralgia as a part of manifestations
* High suspicion of genetic contribution
* Severely affected patients with difficult to control disease (ie failure of multiple biologics)
Exclusion Criteria:
Cohort 1 :
* Arthritis explained by another diagnosis
* Joint injections as previous treatment less than 4 weeks prior to enrollment
Cohort 2:
* Arthritis explained by any other cause
* Start on biologics as an indication for uveitis only
Cohort 3:
- Tapering scheme \> 12 months to complete biologics stop
Cohort 4:
- Arthritis explained by another diagnosis
Lieu de l'étude
BC Children's Hospital
BC Children's HospitalVancouver, British Columbia
Canada
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Montréal Children's Hospital
Montréal Children's HospitalMontréal, Quebec
Canada
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McMaster Children's Hospital
McMaster Children's HospitalHamilton, Ontario
Canada
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Stollery Children's Hospital
Stollery Children's HospitalEdmonton, Alberta
Canada
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IWK Health Centre
IWK Health CentreHalifax, Nova Scotia
Canada
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The Hospital for Sick Children
The Hospital for Sick ChildrenToronto, Ontario
Canada
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Children's Hospital Health Science Centre Winnipeg
Children's Hospital Health Science Centre WinnipegWinnipeg, Manitoba
Canada
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Children's Hospital, London Health Sciences Centre
Children's Hospital, London Health Sciences CentreLondon, Ontario
Canada
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University of Saskatchewan
University of SaskatchewanSaskatoon, Saskatchewan
Canada
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Alberta Children's Hospital - University of Calgary
Alberta Children's Hospital - University of CalgaryCalgary, Alberta
Canada
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Janeway Children's Hospital and Rehabilitation Centre
Janeway Children's Hospital and Rehabilitation CentreSt John's, Newfoundland and Labrador
Canada
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Children's Hospital of Eastern Ontario
Children's Hospital of Eastern OntarioOttawa, Ontario
Canada
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- Étude parrainée par
- The Hospital for Sick Children
- Participants recherchés
- Plus d'informations
- ID de l'étude:
NCT06560606