ARTEMIS: Assessment of Giant Cell Arteritis Medical Practices in France

Sponsor
Chugai Pharma France (Industry)
Overall Status
Completed
CT.gov ID
NCT03658889
Collaborator
ITEC Services (Other)
306
1
3.3
94.1

Study Details

Study Description

Brief Summary

The purpose of this study is to describe medical practices in patients with GCA in terms of patient journey, diagnostic methods and specific GCA treatments since diagnosis.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    This is a cross-sectional, non-interventional, national (France), multicentre study, conducted on a population of 300 patients with GCA, to describe GCA management and patient characteristics.

    The study will be conducted in accordance with the professional code of ethics and the good epidemiological practice guidelines developed by the Association of French-Speaking Epidemiologists.

    The information will be collected during a single visit to the internist or rheumatologist as part of the usual management of the patient with GCA. The physician will not perform any additional examinations specific to the study. The physician will inform the patient about the study before inclusion and seek her/his non-opposition. A patient information form will be given to each patient by the physician. Patients who are eligible to participate in the study and who verbally accept automatic processing of their personal data, will be included in the study.

    Data will be collected from the medical file and from patient questionnaires on health status (SF-36 [36-Item Short Form Survey Instrument], EQ5D [EuroQol-5 Dimensions]) and fatigue (FACIT-fatigue). In addition, GCA activity will be evaluated using a global arteritis activity Visual Analog Scale (VAS) to be completed by the patient and the physician.

    Study Design

    Study Type:
    Observational [Patient Registry]
    Actual Enrollment :
    306 participants
    Observational Model:
    Case-Only
    Time Perspective:
    Cross-Sectional
    Official Title:
    Cross-sectional, Multicentre, Non-interventional Study to Assess Giant Cell Arteritis Medical Practices in France
    Actual Study Start Date :
    Aug 2, 2018
    Actual Primary Completion Date :
    Nov 9, 2018
    Actual Study Completion Date :
    Nov 9, 2018

    Arms and Interventions

    Arm Intervention/Treatment
    Patients under treatment(s) for GCA

    Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA

    Outcome Measures

    Primary Outcome Measures

    1. Patient Journey : Physicians Who Referred the Patient [Baseline only]

      Proportion of patients for each physician specialty that referred the patient

    2. Patient Journey : Physician Encountered by the Patient at Least One Time Since the First Events Related to GCA [Baseline only]

      Physician encountered by the patient at least one time since the first events related to GCA (Multiple answers possible, If a patient encountered a medical speciality more than one time, this speciality will be counted only once)

    3. Patient Journey : Time to GCA Diagnosis [Baseline only]

      Time between GCA signs/symptoms and diagnosis

    4. GCA Diagnostic Method [Baseline only]

      Proportions of each diagnostic method used

    5. GCA Treatments Since Diagnosis : Glucocorticoids Since Diagnosis [Baseline only]

      GCs treatment since diagnosis : Current GC dose at inclusion and total cumulative GC dose according to investigator (excl. IV bolus) since diagnosis.

    6. GCA Treatments Since Diagnosis: Glucocorticoids at Inclusion [baseline only]

      Number of patients with at least one GC kinetic ongoing at inclusion

    7. GCA Treatments Since Diagnosis: Immunosuppressants Stopped Before Inclusion [Baseline only]

      Immunosuppressants for GCA taken since diagnosis and stopped before inclusion

    8. GCA Treatments Since Diagnosis: Immunosuppressants Ongoing at Inclusion [Baseline only]

      Number of patients with at least one immunosuppressant ongoing at inclusion

    9. GCA Treatments Since Diagnosis: Targeted Biologic Therapies Stopped Before Inclusion [Baseline only]

      Number of patients who have taken at least one targeted biologic therapy since diagnosis and stopped before inclusion

    10. GCA Treatments Since Diagnosis: Targeted Biologic Therapies Ongoing at Inclusion [Baseline only]

      Number of patients with at least one targeted biologic therapy ongoing at inclusion

    Secondary Outcome Measures

    1. Comorbidities Related to GCs [Baseline only]

      Comorbidities related/ aggravated by the use of GCs according to the investigator's judgment in at least 2 patients (by SOC)

    2. Treatments in Patients With Comorbidities Related to GCs [Baseline only]

      Number of patients with at least one ongoing treatment for comorbidities related to the use of GCs

    3. Proportion of Incident Patients [Baseline only]

      Proportion of incident patients: patients with a diagnosis of GCA ≤ 6 weeks from inclusion

    4. Proportion of Prevalent Patients [Baseline only]

      Proportion of prevalent patients: patients with a diagnosis of GCA > 6 weeks from inclusion

    5. GCA Duration [Baseline only]

      Time since GCA diagnosis for overall population, prevalent and incident patients

    6. GCA Initial Presentation [Baseline only]

      Proportions of patients with cranial GCA, Polymyalgia Rheumatica (PMR), extracranial GCA, elevated ESR/CRP and general signs at diagnosis

    7. GCA Clinical Form [Baseline only]

      Proportion of patients with at least one relapse and number of relapses

    8. Patients With GCA Complications [Baseline only]

      Proportions of patients with GCA complications

    9. Global Arteritis Activity [Baseline only]

      Score of the physician and patient global arteritis activity on a 100 mm-visual analog scale (100mm-VAS) (Patients with physician's VAS score less than or equal to 10mm will be considered with "non-active GCA", while patients with physician's VAS score greater than 10 mm will be considered with "active GCA")

    10. Patient Reported Outcome (PRO) Scores: Short Form-36 (SF-36) Questionnaire [Baseline only]

      Total and detailed scores of the self reported SF-36 questionnaire (36-Item Short Form Survey Instrument): 36 item survey measuring health-related quality-of-life. For each domains: score ranging from 0 (worst health status) to 100 (best health status)

    11. PRO Scores: EQ5D-3L Questionnaire [Baseline only]

      Total score of the EuroQol-5 Dimensions 3 Levels (EQ5D-3L) questionnaire and perceived current health state (100mm-EQ_VAS score, 0 = 'Worst imaginable health state' and 100 = 'Best imaginable health state)

    12. PRO Scores: FACIT-Fatigue Questionnaire [Baseline only]

      Total score of the 13-items Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) questionnaire. FACIT-Fatigue is an instrument that measures overall fatigue and its effects on the general functioning and daily activities through 13 questions. Each question has 5 levels: not at all, a little bit, somewhat, quite a bit, very much. Lower scores indicate greater fatigue. The total score of FACIT-Fatigue varies from 0 to 52 (score <30 = severe fatigue).

    13. Physician Medical Specialty [Baseline only]

      Physician characteristics: medical specialty

    14. Physician Number of Years of Practice [Baseline only]

      Number of years since medical school graduation

    15. Physician Type of Practice [Baseline only]

      Physician main activity (University Hospital or General Services Hospital)

    16. Physician Characteristics: Number of GCA Diagnosis [Baseline only]

      Number of GCA cases (Horton) personally treated within the last year prior to the date of inclusion of first patient

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    50 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • At least 50 years old.

    • Suffering from GCA as per investigator judgement, newly diagnosed or not.

    • Starting or under treatment for GCA.

    • Informed verbally and in writing about this study and not objecting to their data being electronically processed or subjected to data quality control.

    Non-inclusion Criteria:
    • Unable to consent

    • Participation to a randomised controlled clinical trial

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Hospital of the Archet Nice Alpes-Maritimes France 06202

    Sponsors and Collaborators

    • Chugai Pharma France
    • ITEC Services

    Investigators

    • Principal Investigator: Alfred MAHR, Professor, alfred.mahr@aphp.fr

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Chugai Pharma France
    ClinicalTrials.gov Identifier:
    NCT03658889
    Other Study ID Numbers:
    • CPF_ARTEMIS2018
    First Posted:
    Sep 6, 2018
    Last Update Posted:
    Jul 22, 2022
    Last Verified:
    Jul 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Patients Under Treatment(s) for GCA Physicians
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA Physicians who recruited the patients with Giant Cell Arteritis (GCA)
    Period Title: Overall Study
    STARTED 308 69
    COMPLETED 306 69
    NOT COMPLETED 2 0

    Baseline Characteristics

    Arm/Group Title Patients Under Treatment(s) for GCA Physicians Total
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA Physicians who recruited the patients with Giant Cell Arteritis (GCA) Total of all reporting groups
    Overall Participants 306 69 375
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    73.98
    (7.88)
    73.98
    (7.88)
    Age, Customized (Count of Participants)
    [50-70[ years
    84
    27.5%
    84
    121.7%
    ≥ 70 years
    222
    72.5%
    222
    321.7%
    Sex: Female, Male (Count of Participants)
    Female
    206
    67.3%
    21
    30.4%
    227
    60.5%
    Male
    100
    32.7%
    48
    69.6%
    148
    39.5%
    Race and Ethnicity Not Collected (Count of Participants)
    Count of Participants [Participants]
    0
    0%
    Physician who follows the patient (Count of Participants)
    Internal Medicine
    258
    84.3%
    258
    373.9%
    Rheumatologist
    46
    15%
    46
    66.7%
    Geriatry
    2
    0.7%
    2
    2.9%
    Patients' medical history (Count of Participants)
    Vascular disorders
    148
    48.4%
    148
    214.5%
    Metabolism and nutrition disorders
    73
    23.9%
    73
    105.8%
    Musculoskeletal and connective tissue disorders
    52
    17%
    52
    75.4%
    Cardiac disorders
    41
    13.4%
    41
    59.4%
    Eye disorders
    40
    13.1%
    40
    58%
    Psychiatric disorders
    31
    10.1%
    31
    44.9%
    Patients' comorbidities (Count of Participants)
    Vascular disorders
    140
    45.8%
    140
    202.9%
    Metabolism and nutrition disorders
    79
    25.8%
    79
    114.5%
    Musculoskeletal and connective tissue disorders
    43
    14.1%
    43
    62.3%
    Cardiac disorders
    41
    13.4%
    41
    59.4%
    Psychiatric disorders
    37
    12.1%
    37
    53.6%
    Treatments concomitant to diagnosis (Count of Participants)
    Antiplatelets
    68
    22.2%
    68
    98.6%
    Statins
    40
    13.1%
    40
    58%
    Antiosteoporotics
    26
    8.5%
    26
    37.7%
    Antihypertensives
    141
    46.1%
    141
    204.3%
    Antidiabetics
    25
    8.2%
    25
    36.2%
    Inhibitors of the proton pump
    67
    21.9%
    67
    97.1%
    Hypnotics
    29
    9.5%
    29
    42%
    Antidepressants
    22
    7.2%
    22
    31.9%
    CA Vit D
    22
    7.2%
    22
    31.9%
    Other
    53
    17.3%
    53
    76.8%
    Treatments concomitant to inclusion (Count of Participants)
    Antiplatelets
    158
    51.6%
    158
    229%
    Statins
    64
    20.9%
    64
    92.8%
    Antiosteoporotics
    112
    36.6%
    112
    162.3%
    Antihypertensives
    152
    49.7%
    152
    220.3%
    Antidiabetics
    48
    15.7%
    48
    69.6%
    Inhibitors of the proton pump
    130
    42.5%
    130
    188.4%
    Hypnotics
    35
    11.4%
    35
    50.7%
    Antidepressants
    31
    10.1%
    31
    44.9%
    CA Vit D
    70
    22.9%
    70
    101.4%
    Other
    79
    25.8%
    79
    114.5%

    Outcome Measures

    1. Primary Outcome
    Title Patient Journey : Physicians Who Referred the Patient
    Description Proportion of patients for each physician specialty that referred the patient
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    General Practitioner
    171
    55.9%
    Ophthalmologist
    31
    10.1%
    Neurologist
    21
    6.9%
    Emergency
    17
    5.6%
    Internist
    13
    4.2%
    Rheumatologist
    15
    4.9%
    Other
    12
    3.9%
    Anatomical Pathologist
    0
    0%
    Angiologist/Vascular doctor
    7
    2.3%
    Cardiologist
    10
    3.3%
    Surgeon/Vascular surgeon
    3
    1%
    Endocrinologist/Diabetologist
    1
    0.3%
    Gastro-enterologist
    0
    0%
    Geriatrician
    3
    1%
    Ear, Nose and Throat specialist (ENT)
    0
    0%
    Pulmonologist
    1
    0.3%
    Radiologist
    1
    0.3%
    2. Primary Outcome
    Title Patient Journey : Physician Encountered by the Patient at Least One Time Since the First Events Related to GCA
    Description Physician encountered by the patient at least one time since the first events related to GCA (Multiple answers possible, If a patient encountered a medical speciality more than one time, this speciality will be counted only once)
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    General Practitioner
    260
    85%
    Ophthalmologist
    88
    28.8%
    Neurologist
    38
    12.4%
    Emergency
    54
    17.6%
    Internist
    59
    19.3%
    Rheumatologist
    42
    13.7%
    Anatomical pathologist
    3
    1%
    Angiologist/Vascular surgeon
    17
    5.6%
    Cardiologist
    20
    6.5%
    Surgeon/Vascular surgeon
    9
    2.9%
    Endocrinologist/Diabetologist
    3
    1%
    Gastro-enterologist
    6
    2%
    Geriatrician
    3
    1%
    Ear, Nose, Throat specialist (ENT)
    9
    2.9%
    Pulmonologist
    5
    1.6%
    Radiologist
    7
    2.3%
    Other
    30
    9.8%
    3. Primary Outcome
    Title Patient Journey : Time to GCA Diagnosis
    Description Time between GCA signs/symptoms and diagnosis
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Analysis population (missing data for 2 patients)
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 304
    Median (Inter-Quartile Range) [months]
    1.00
    4. Primary Outcome
    Title GCA Diagnostic Method
    Description Proportions of each diagnostic method used
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Patients for whom the data is filled (ESR, n=285; C-Reactive Protein [CRP], n=275; Temporal Artery Biopsy [TAB], n=294; High resolution echo Doppler, n=292; MRI of the temporal arteries, n=304; 18 Fluorodeoxyglucose-positron emission tomography [18FDG-PET], n=280; Aortic angio-CT, n=293)
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Erythrocyte Sedimentation Rate (ESR
    154
    50.3%
    C-Reactive Protein (CRP)
    266
    86.9%
    Biopsy of the Temporal Artery (TAB)
    249
    81.4%
    High resolution color Doppler ultrasound
    91
    29.7%
    MRI of the temporal arteries
    20
    6.5%
    18FDG PET
    74
    24.2%
    Aortic angio-CT
    87
    28.4%
    5. Primary Outcome
    Title GCA Treatments Since Diagnosis : Glucocorticoids Since Diagnosis
    Description GCs treatment since diagnosis : Current GC dose at inclusion and total cumulative GC dose according to investigator (excl. IV bolus) since diagnosis.
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Current dose at inclusion
    9.00
    Total cumulative dose
    4305.00
    6. Primary Outcome
    Title GCA Treatments Since Diagnosis: Glucocorticoids at Inclusion
    Description Number of patients with at least one GC kinetic ongoing at inclusion
    Time Frame baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Count of Participants [Participants]
    273
    89.2%
    7. Primary Outcome
    Title GCA Treatments Since Diagnosis: Immunosuppressants Stopped Before Inclusion
    Description Immunosuppressants for GCA taken since diagnosis and stopped before inclusion
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    among analysis population, 27 patients have taken at least one immunosuppressant since diagnosis and stopped before inclusion
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 27
    Azathioprine
    2
    Cyclophosphamide
    1
    Cyclosporine
    0
    Leflunomide
    1
    Methotrexate
    25
    Mycophenolate Mofetil
    0
    Other
    0
    8. Primary Outcome
    Title GCA Treatments Since Diagnosis: Immunosuppressants Ongoing at Inclusion
    Description Number of patients with at least one immunosuppressant ongoing at inclusion
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Among analysis population, 35 Patient had at least one immunosuppressant ongoing at inclusion
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 35
    Azathioprine
    0
    0%
    Cyclophosphamide
    0
    0%
    Cyclosporine
    0
    0%
    Leflunomide
    0
    0%
    Methotrexate
    35
    11.4%
    Mycophenolate Mofetil
    0
    0%
    Other
    0
    0%
    9. Primary Outcome
    Title GCA Treatments Since Diagnosis: Targeted Biologic Therapies Stopped Before Inclusion
    Description Number of patients who have taken at least one targeted biologic therapy since diagnosis and stopped before inclusion
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Among analysis population, 8 patients have taken at least one targeted biologic therapy since diagnosis and stopped before inclusion
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 8
    Adalimumab
    1
    Abatacept
    0
    Etanercept
    0
    Infliximab
    0
    Tocilizumab
    9
    Other
    0
    10. Primary Outcome
    Title GCA Treatments Since Diagnosis: Targeted Biologic Therapies Ongoing at Inclusion
    Description Number of patients with at least one targeted biologic therapy ongoing at inclusion
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Among analysis population, 45 patients had at least one targeted biologic therapy ongoing at inclusion
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 45
    Adalimumab
    0
    Abatacept
    0
    Etanercept
    0
    Infliximab
    1
    Tocilizumab
    44
    Other
    0
    11. Secondary Outcome
    Title Comorbidities Related to GCs
    Description Comorbidities related/ aggravated by the use of GCs according to the investigator's judgment in at least 2 patients (by SOC)
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Cardiac disorders
    5
    1.6%
    Endocrine disorders
    2
    0.7%
    Eye disorders
    9
    2.9%
    Gastrointestinal disorders
    4
    1.3%
    Hepatobiliary disorders
    2
    0.7%
    Infections and infestations
    10
    3.3%
    Injury, poisoning and procedural complications
    7
    2.3%
    Investigations
    4
    1.3%
    Metabolism and nutrition disorders
    44
    14.4%
    Musculoskeletal and connective tissue disorders
    25
    8.2%
    Nervous system disorders
    7
    2.3%
    Psychiatric disorders
    18
    5.9%
    Renal and urinary disorders
    2
    0.7%
    Respiratory, thoracic and mediastinal disorders
    3
    1%
    Surgical and medical procedures
    4
    1.3%
    Vascular disorders
    33
    10.8%
    12. Secondary Outcome
    Title Treatments in Patients With Comorbidities Related to GCs
    Description Number of patients with at least one ongoing treatment for comorbidities related to the use of GCs
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Count of Participants [Participants]
    98
    32%
    13. Secondary Outcome
    Title Proportion of Incident Patients
    Description Proportion of incident patients: patients with a diagnosis of GCA ≤ 6 weeks from inclusion
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Count of Participants [Participants]
    39
    12.7%
    14. Secondary Outcome
    Title Proportion of Prevalent Patients
    Description Proportion of prevalent patients: patients with a diagnosis of GCA > 6 weeks from inclusion
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Count of Participants [Participants]
    267
    87.3%
    15. Secondary Outcome
    Title GCA Duration
    Description Time since GCA diagnosis for overall population, prevalent and incident patients
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Overall analysis population: N=306 / Prevalent patients (GCA diagnosis>6weeks), N=267 / Incident patients (GCA diagnosis ≤ 6weeks), N=39
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Overall population
    13.00
    Prevalent patients
    15.00
    Incident patients
    0.60
    16. Secondary Outcome
    Title GCA Initial Presentation
    Description Proportions of patients with cranial GCA, Polymyalgia Rheumatica (PMR), extracranial GCA, elevated ESR/CRP and general signs at diagnosis
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    at least one cranial manifestation
    271
    88.6%
    at least one PMR symptom
    148
    48.4%
    at least one extracranial event (excl. PMR)
    108
    35.3%
    Value of ESR (mm/1st h) > 50 mm/h
    129
    42.2%
    at least one general sign
    227
    74.2%
    17. Secondary Outcome
    Title GCA Clinical Form
    Description Proportion of patients with at least one relapse and number of relapses
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Prevalent patients
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 267
    Patients with 1 relapse
    69
    22.5%
    Patients with 2 relapses
    32
    10.5%
    Patients with 3 relapses
    11
    3.6%
    Patients with 4 relapses
    6
    2%
    Patients with 5 relapses
    4
    1.3%
    18. Secondary Outcome
    Title Patients With GCA Complications
    Description Proportions of patients with GCA complications
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Count of Participants [Participants]
    48
    15.7%
    19. Secondary Outcome
    Title Global Arteritis Activity
    Description Score of the physician and patient global arteritis activity on a 100 mm-visual analog scale (100mm-VAS) (Patients with physician's VAS score less than or equal to 10mm will be considered with "non-active GCA", while patients with physician's VAS score greater than 10 mm will be considered with "active GCA")
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 306
    Patient VAS score
    18.00
    Physician VAS score
    4.00
    20. Secondary Outcome
    Title Patient Reported Outcome (PRO) Scores: Short Form-36 (SF-36) Questionnaire
    Description Total and detailed scores of the self reported SF-36 questionnaire (36-Item Short Form Survey Instrument): 36 item survey measuring health-related quality-of-life. For each domains: score ranging from 0 (worst health status) to 100 (best health status)
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Analysis population, SF-36 scores were missing for 11 patients
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 295
    Physical functioning
    70.00
    Physical role functioning
    56.25
    Bodily pain
    62.00
    General health
    57.00
    Emotional role functioning
    66.67
    Vitality
    50.00
    Emotional well-being
    60.00
    Social functioning
    60.00
    Physical component summary (PCS)
    46.25
    Mental component summary (MCS)
    44.52
    21. Secondary Outcome
    Title PRO Scores: EQ5D-3L Questionnaire
    Description Total score of the EuroQol-5 Dimensions 3 Levels (EQ5D-3L) questionnaire and perceived current health state (100mm-EQ_VAS score, 0 = 'Worst imaginable health state' and 100 = 'Best imaginable health state)
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Analysis population: 303 EQ-5D-3L questionnaires were completed
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 303
    EQ-5D-3L score
    0.79
    EQ_VAS score
    69.00
    22. Secondary Outcome
    Title PRO Scores: FACIT-Fatigue Questionnaire
    Description Total score of the 13-items Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue) questionnaire. FACIT-Fatigue is an instrument that measures overall fatigue and its effects on the general functioning and daily activities through 13 questions. Each question has 5 levels: not at all, a little bit, somewhat, quite a bit, very much. Lower scores indicate greater fatigue. The total score of FACIT-Fatigue varies from 0 to 52 (score <30 = severe fatigue).
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    Analysis population: 300 patients completed the FACIT-fatigue questionnaire
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    Measure Participants 300
    Median (Inter-Quartile Range) [score on a scale]
    39.00
    23. Secondary Outcome
    Title Physician Medical Specialty
    Description Physician characteristics: medical specialty
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Physician Population
    Arm/Group Description Physicians who recruited the patients with Giant Cell Arteritis (GCA)
    Measure Participants 69
    Internal Medicine
    56
    18.3%
    Rheumatology
    12
    3.9%
    Geriatry
    1
    0.3%
    24. Secondary Outcome
    Title Physician Number of Years of Practice
    Description Number of years since medical school graduation
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Physician Population
    Arm/Group Description Physicians who recruited the patients with Giant Cell Arteritis (GCA)
    Measure Participants 69
    Median (Inter-Quartile Range) [years]
    13.00
    25. Secondary Outcome
    Title Physician Type of Practice
    Description Physician main activity (University Hospital or General Services Hospital)
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Physician Population
    Arm/Group Description Physicians who recruited the patients with Giant Cell Arteritis (GCA)
    Measure Participants 69
    University Hospital
    39
    12.7%
    General Services Hospital
    30
    9.8%
    26. Secondary Outcome
    Title Physician Characteristics: Number of GCA Diagnosis
    Description Number of GCA cases (Horton) personally treated within the last year prior to the date of inclusion of first patient
    Time Frame Baseline only

    Outcome Measure Data

    Analysis Population Description
    1 physician for whom the data is missing
    Arm/Group Title Physician Population
    Arm/Group Description Physicians who recruited the patients with Giant Cell Arteritis (GCA)
    Measure Participants 68
    1 to 2 cases
    2
    0.7%
    3 to 5 cases
    17
    5.6%
    6 to 10 cases
    12
    3.9%
    11 to 20 cases
    16
    5.2%
    more than 20 cases
    21
    6.9%

    Adverse Events

    Time Frame
    Adverse Event Reporting Description This was a descriptive observational study on GCA characteristics and management in a real-life setting with no specific medicinal product to be investigated. No adverse events and reactions were collected.
    Arm/Group Title Patients Under Treatment(s) for GCA
    Arm/Group Description Patients at least 50 years old with Giant Cell Arteritis (GCA) and under treatment(s) for GCA
    All Cause Mortality
    Patients Under Treatment(s) for GCA
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)
    Serious Adverse Events
    Patients Under Treatment(s) for GCA
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)
    Other (Not Including Serious) Adverse Events
    Patients Under Treatment(s) for GCA
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Isabelle Idier, Rheumatology Medical Leader
    Organization ChugaiPF
    Phone +33 (0) 1 56 37 44 89
    Email idier@chugai-pharm.fr
    Responsible Party:
    Chugai Pharma France
    ClinicalTrials.gov Identifier:
    NCT03658889
    Other Study ID Numbers:
    • CPF_ARTEMIS2018
    First Posted:
    Sep 6, 2018
    Last Update Posted:
    Jul 22, 2022
    Last Verified:
    Jul 1, 2022