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Sex and gender are important factors that influence treatment response in PsA. The goal of this multi-centre observational study is to understand how sex and gender influence response to advanced therapies in psoriatic arthritis (PsA). The investigators hope to discover biological and socio-cultural mechanisms that explain the differences in treatment response between men and women with PsA.
The study investigators plan to recruit patients from approximately 30 sites across the world. Men and women with active PsA will be assessed before and after they start advanced therapies and information will be collected about sex- and gender-related factors through questionnaires and physical examination. Physicians will assess the patient response to treatment. The investigators will compare the response to treatment in men and women and assess what biological and socio-cultural factors contribute to differences in treatment response.
Study investigators will perform a prospective, multi-center, international cohort study involving approximately 30 sites that specialize in care of patients with PsA. 540 patients with a rheumatologist-confirmed diagnosis of PsA who are initiating advanced therapy for peripheral musculoskeletal manifestations of PsA will be enrolled. The study will include 2 in-person physician visits. Visit 1 (baseline) will take place prior to drug initiation (up to 3 months prior). Visit 2 (follow-up) will occur 3-6 months following drug initiation. In addition, study sites will be asked to report persistence status on the study drug at 1 year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Psoriatic Arthritis | Patients with a rheumatologist-confirmed diagnosis of psoriatic arthritis who are initiating advanced therapy for peripheral musculoskeletal manifestations of psoriatic arthritis |
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| Measure | Description | Time Frame |
|---|---|---|
| Achievement of the American College of Rheumatology (ACR) 20/50/70 | The proportion of patients who have achieved the ACR 20/50/70 following treatment initiation | Within 3-6 months |
| Achievement of Minimal Disease Activity (MDA) state | The proportion of patients who have achieved the MDA state following treatment initiation | Within 3-6 months |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will be comprised of patients with psoriatic arthritis who have been identified in clinic by their rheumatologist
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fahmeen Afgani, MBBS | Contact | 1-416-323-6400 | 7319 | fahmeen.afgani@wchospital.ca |
| Name | Affiliation | Role |
|---|---|---|
| Lihi Eder, MD, PhD | University of Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Women's College Hospital | Recruiting | Toronto | Ontario | M5S 1B2 | Canada |
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| ID | Term |
|---|---|
| D015535 | Arthritis, Psoriatic |
| D001168 | Arthritis |
| D003075 | Coitus |
| ID | Term |
|---|---|
| D025242 | Spondylarthropathies |
| D025241 | Spondylarthritis |
| D013166 | Spondylitis |
| D013122 | Spinal Diseases |
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Serum samples will be collected in selected sites that have a capacity to collect, process and store these samples locally prior to shipment to the coordinating site. These samples will be collected during the baseline and follow-up in person visits.
| D001847 |
| Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D007592 | Joint Diseases |
| D011565 | Psoriasis |
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012725 | Sexual Behavior |
| D001519 | Behavior |