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Tocilizumab and Sarilumab are first-line biological disease-modifying anti-rheumatic drug (bDMARD) which inhibits Interleukin 6 (IL-6) pathway through blockade of its receptor on the treatment of Rheumatoid Arthritis and other rheumatic diseases as Giant Cell Arteritis, Still's disease and Idiopathic Juvenile Arthritis. At present, there is a lack of evidence to recommend the treatment of one bDMARD over another. Seeking for genetic biomarkers to predict response to treatment could be key towards a personalized treatment strategy in rheumatology.
The investigators aime to evaluate whether functional single nucleotide polymorphisms (SNPs) in the IL6R gene could predict response and/or toxicity in patients with rheumatic diseases treated with anti-IL-6 receptor drugs.
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| Measure | Description | Time Frame |
|---|---|---|
| DAS28-C-reactive Protein (CRP) change | Activity measure for patients with Rheumatoid Arthritis (RA) | at 6 months |
| Rate of adverse events | Known adverse events during treatment with anti-IL6R drugs | During treatment with anti-IL6R drugs |
| CRP change | Acute phase reactant reduction in the other diseases different of RA. | 6 months |
| Erythrocyte sedimentation rate (ESR) change | Acute phase reactant reduction in the other diseases different of RA. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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Patients being followed-up in the Hospital de la Santa Creu i Sant Pau, diagnosed of Rheumatoid Arthritis, Idiopathic Juvenile Arthritis, Still disease or Giant Cell Arteritis treated with anti-IL6R drugs.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Luis Sainz | Contact | 679743541 | +34 | lsainz@santpau.cat |
| Name | Affiliation | Role |
|---|---|---|
| Patricia Moya, Doctor | Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de la Santa Creu i Sant Pau | Recruiting | Barcelona | 08041 | Spain |
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DNA samples will be collected and stored following the appropriate national laws of Spain ( Ley de Investigación Biomédica 14/2007) regarding the use of human biological samples in biomedical investigation. Collection and storage approved by the organization's ethic committee.
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D001171 | Arthritis, Juvenile |
| D013700 | Giant Cell Arteritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D020293 | Vasculitis, Central Nervous System |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001167 | Arteritis |
| D014657 | Vasculitis |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
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