Rheumatoid Arthritis
Conditions
Brief summary
Rheumatoid arthritis (RA) is the most common chronic inflammatory joint disease in adults and is characterized by chronic inflammation of the joints leading to their destruction, resulting in a major loss of function. The investigators propose a pilot study for studying changes in bone microarchitecture with High Resolution peripheral micro Computerized Tomography (HR-pQCT) in patients with RA treated with anti-TNF(Tumor Necrosis Factor), with the measurement of micro-architectural parameters in subchondral area near an inflammatory joint during the first 12 months of initiation of an anti-TNF therapy (Infliximab®, Etanercept®, Adalimumab®).
Interventions
HR-pQCT (High Resolution peripheral micro Computerized Tomography) is a device used for 3D bone measurements at radius levels in humans.
Sponsors
Study design
Eligibility
Inclusion criteria
* Men from 18 to 65 years old * Women from 18 years old to menopause * Patient with a polyarthritis rheumatoid no controlled by the usual treatment (DAS28\>3) * Patient affiliated or beneficiary of a national insurance system * Patient with signed consent
Exclusion criteria
* Concomitant osseous disease (Paget's disease, osteomalacia...) * Endocrinopathy defined on biological criteria (Cushing's disease, hyperthyroidism, hypogonadism...) * Patients under protection of justice * Refusal consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| trabecular volume (bone volume / tissue volume) in percent for bone microarchitecture measured by HR-pQCT | 12 months after intitiation of anti-TNF treatment | Describe changes to trabecular volume of the distal radius in subchondral area in patients with rheumatoid polyarthritis inadequately controlled by a conventional treatment, occurring during the first 12 months of initiation of an anti-TNF therapy (Infliximab®, Etanercept®, Adalimumab®). |
Countries
France