Inflammatory Joint DiseasesNOR-DMARDNCT01581294
The Norwegian Antirheumatic Drug Register
An observational study of Inflammatory Joint Diseases, run by Diakonhjemmet Hospital at 6 sites in Norway.
Trial summary
NOR-DMARD is a register-based longitudinal observational study of which the main objectives are to study the effectiveness of treatment of inflammatory joint diseases with biological disease modifying anti-rheumatic drugs (DMARDs) in clinical practice, by measuring disease activity, health related quality of life… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Inflammatory Joint Diseases
- How many people
- 15,000 participants
- Where
- 6 sitesNorway
- Study dates
- Apr 2012to Dec 2050
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adult patients with inflammatory arthropathies starting a new treatment with a biological disease modifying anti-rheumatic drug
Who may be able to join
- Age >18 years
- Diagnosis of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, spondyloarthritis, adult juvenile idiopathic arthritis, undifferentiated arthritis, or any other inflammatory arthritis
- Clinical indication to start a new treatment with a biological disease modifying anti-rheumatic drug or a kinase inhibitor
Who cannot join
- Unwillingness or unability to give written informed consent
- Psychiatric or mental disorders, alcohol abuse or other abuse of substances, language barriers or other factors which makes adherence to the study protocol impossible
- Participation in blinded RCTs or other studies incompatible with the NOR-DMARD study protocol
Trial locations and contacts
6 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Eirik K Kristianslund, MD, PhD contact
6 sites in 1 country
Norway6 sites, 4 recruiting
- Completed
Vestre Viken HF Drammen Hospital
Drammen, Buskerud, 3004
- Recruiting
Førde Hospital
Førde, Sogn Og Fjordane, 6807
Pawel F Mielnik, MD, PhD, +4757839000, pawel.franciszek.mielnik@helse-forde.no
Pawel F Mielnik, MD, PhD
- Recruiting
Lillehammer Hospital for Rheumatic Diseases
Lillehammer, Oppland, 2609
Yi Hu, MD PhD, Yi.Hu@revmatismesykehuset.no
Yi Hu, MD PhD
- Recruiting
Diakonhjemmet Hospital
Oslo, 0319
Eirik K Kristianslund, MD, PhD, eirik.kristianslund@gmail.com
Espen A Haavardsholm, MD, PhD, +4722454086, e.a.haavardsholm@medisin.uio.no
- Recruiting
University Hospital of Northern Norway
Tromsø, Troms, 9038
Synøve Kalstad, MD, +4791507766, Synove.Kalstad@unn.no
Synøve Kalstad, MD
- Completed
St. Olavs Hospital
Trondheim, Sør-Trøndelag, 7006
About this study
Official title: Long-term Safety and Effectiveness of Disease Modifying Therapies in Inflammatory Arthropathies: a Multicentre, Phase IV, Longitudinal Observational Study
NOR-DMARD is a register-based longitudinal observational study of which the main objectives are to study the effectiveness of treatment of inflammatory joint diseases with biological disease modifying anti-rheumatic drugs (DMARDs) in clinical practice, by measuring disease activity, health related quality of life, function and joint damage, and to study the long-term safety of such treatment. Other objectives include the assessment of cost-effectiveness of treatment, to identify and and validate clinical, genetic and immunological predictors of efficacy and adverse events, to assess the impact of treatment with biological DMARDs on work participation and work productivity, to investigate different strategies for use of biological DMARDs, to assess the performance of different outcome measures, and to ensure a systematic and timely follow-up of patients treated with biological DMARDs.
Read the detailed description
This study is a modification, and an extension, of the NOR-DMARD study that was conducted in 5 Norwegian rheumatology departments in the period 2000-2012. The study includes a structured follow-up with study visits at baseline (start of biological drug) and after 3, 6, 12 months and every 12 months thereafter. Each study visit includes clinical assessment, patient-reported outcomes and measurement of acute-phase reactants. The data collection also includes blood samples for biobank at baseline and 3 months. Serious adverse events data will be systematically recorded, but other adverse events can also be retrieved by linkage to other registers.
- Conditions
- Inflammatory Joint Diseases
- Keywords
- Rheumatoid arthritis, Psoriatic arthritis, Ankylosing spondylitis, Spondyloarthritis
- Medical subject headings
- Arthritis, Rheumatoid, Arthritis, Psoriatic, Spondylitis, Ankylosing, Spondylarthritis
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2012 (estimated)
- Study startApr 2012
- Primary completionDec 2050 (estimated)
- Study completionDec 2050 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Inflammatory Joint DiseasesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 15,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Diakonhjemmet Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- University Hospital of North Norway, St. Olavs Hospital, Lillehammer Hospital for Rheumatic Diseases, Vestre Viken Hospital Trust, Helse Forde
- Responsible party
- Principal investigator, Tore K Kvien, Diakonhjemmet Hospital
- Investigators
- Tore K Kvien, MD, PhD, Principal investigator, Diakonhjemmet Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01581294
- Sponsor's protocol ID
- DIA 2011-1
- Acronym
- NOR-DMARD
- Status last verified
- Aug 2022
- First submitted
- 18 Apr 2012
- Last updated
- 23 Aug 2022
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Yoshida Y, Hammer HB, Sexton J, Nordberg L, Aga AB, Terslev L, Lillegraven S, Haarvardsholm EA. How to score the wrist joint by ultrasound: exploration of the most sensitive joint assessment during follow-up of early or established rheumatoid arthritis. Arthritis Res Ther. 2025 Oct 30;27(1):200. doi: 10.1186/s13075-025-03668-8.
PubMed 41168848Mielnik P, Sexton J, Lie E, Bakland G, Loli LP, Kristianslund EK, Rodevand E, Lexberg AS, Kvien TK. Does Older Age have an Impact on Rituximab Efficacy and Safety? Results from the NOR-DMARD Register. Drugs Aging. 2020 Aug;37(8):617-626. doi: 10.1007/s40266-020-00782-x.
PubMed 32648248Gehin JE, Goll GL, Warren DJ, Syversen SW, Sexton J, Strand EK, Kvien TK, Bolstad N, Lie E. Associations between certolizumab pegol serum levels, anti-drug antibodies and treatment response in patients with inflammatory joint diseases: data from the NOR-DMARD study. Arthritis Res Ther. 2019 Nov 29;21(1):256. doi: 10.1186/s13075-019-2009-5.
PubMed 31783773Olsen IC, Lie E, Vasilescu R, Wallenstein G, Strengholt S, Kvien TK. Assessments of the unmet need in the management of patients with rheumatoid arthritis: analyses from the NOR-DMARD registry. Rheumatology (Oxford). 2019 Mar 1;58(3):481-491. doi: 10.1093/rheumatology/key338.
PubMed 30508189
Study at a glance
From the registry record, last updated by the sponsor on 23 Aug 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long-term Safety and Effectiveness of Disease Modifying Therapies in Inflammatory Arthropathies: a Multicentre, Phase IV, Longitudinal Observational Study
- ClinicalTrials.gov ID
- NCT01581294
- Acronym / sponsor ID
- NOR-DMARD / DIA 2011-1
- Conditions
- Inflammatory Joint Diseases
- Keywords
- Rheumatoid arthritis, Psoriatic arthritis, Ankylosing spondylitis, Spondyloarthritis
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 15,000 participants (estimated)
- Lead sponsor
- Diakonhjemmet HospitalUniversity, hospital or other
- Collaborators
- University Hospital of North Norway, St. Olavs Hospital, Lillehammer Hospital for Rheumatic Diseases, Vestre Viken Hospital Trust, Helse Forde
- Study start
- Apr 2012
- Primary completion
- Dec 2050 (estimated)
- Study completion
- Dec 2050 (estimated)
- First posted
- 20 Apr 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
NOR-DMARD is a register-based longitudinal observational study of which the main objectives are to study the effectiveness of treatment of inflammatory joint diseases with biological disease modifying anti-rheumatic drugs (DMARDs) in clinical practice, by measuring disease activity, health related quality of life, function and joint damage, and to study the long-term safety of such treatment. Other objectives include the assessment of cost-effectiveness of treatment, to identify and and validate clinical, genetic and immunological predictors of efficacy and adverse events, to assess the impact of treatment with biological DMARDs on work participation and work productivity, to investigate different strategies for use of biological DMARDs, to assess the performance of different outcome measures, and to ensure a systematic and timely follow-up of patients treated with biological DMARDs.
Detailed description
This study is a modification, and an extension, of the NOR-DMARD study that was conducted in 5 Norwegian rheumatology departments in the period 2000-2012. The study includes a structured follow-up with study visits at baseline (start of biological drug) and after 3, 6, 12 months and every 12 months thereafter. Each study visit includes clinical assessment, patient-reported outcomes and measurement of acute-phase reactants. The data collection also includes blood samples for biobank at baseline and 3 months. Serious adverse events data will be systematically recorded, but other adverse events can also be retrieved by linkage to other registers.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients with inflammatory arthropathies starting a new treatment with a biological disease modifying anti-rheumatic drug
Key inclusion criteria (3 listed)
- Age >18 years
- Diagnosis of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, spondyloarthritis, adult juvenile idiopathic arthritis, undifferentiated arthritis, or any other inflammatory arthritis
- Clinical indication to start a new treatment with a biological disease modifying anti-rheumatic drug or a kinase inhibitor
Key exclusion criteria (3 listed)
- Unwillingness or unability to give written informed consent
- Psychiatric or mental disorders, alcohol abuse or other abuse of substances, language barriers or other factors which makes adherence to the study protocol impossible
- Participation in blinded RCTs or other studies incompatible with the NOR-DMARD study protocol
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Not reported in the source record.
18 secondary outcomes
Disease Activity Score-28 (DAS28)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
American College of Rheumatology (ACR) responses (ACR20, ACR50, ACR70)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Simplified Disease Activity Index (SDAI)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) remission
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Ankylosing Spondylitis Disease Activity Score (ASDAS)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Assessments of Spondyloarthritis International Society (ASAS) responses (ASAS20, ASAS40)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Modified Health Assessment Questionnaire (MHAQ)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Rheumatoid Arthritis Impact of Disease (RAID)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Work Productivity and Activity Impairment (WPAI) Questionnaire
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
EuroQol 5-dimensions (EQ-5D) questionnaire
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
28-Swollen joint count
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
28-Tender joint count
Time frame: All follow-up visits
Erythrocyte Sedimentation Rate (ESR)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
C-Reactive Protein (CRP)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Sharp/van der Heijde score
Time frame: 12, 24, 36, 48, 60 months
Number of participants with adverse events
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120 months
Clinical Disease Activity Index (CDAI)
Time frame: 3, 6, 9, 12, 18, 24, 36, 48, 60 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Aug 2022.
- Derived from this study: PubMed 41168848Yoshida Y, Hammer HB, Sexton J, Nordberg L, Aga AB, Terslev L, Lillegraven S, Haarvardsholm EA. How to score the wrist joint by ultrasound: exploration of the most sensitive joint assessment during follow-up of early or established rheumatoid arthritis. Arthritis Res Ther. 2025 Oct 30;27(1):200. doi: 10.1186/s13075-025-03668-8.
- Derived from this study: PubMed 32648248Mielnik P, Sexton J, Lie E, Bakland G, Loli LP, Kristianslund EK, Rodevand E, Lexberg AS, Kvien TK. Does Older Age have an Impact on Rituximab Efficacy and Safety? Results from the NOR-DMARD Register. Drugs Aging. 2020 Aug;37(8):617-626. doi: 10.1007/s40266-020-00782-x.
- Derived from this study: PubMed 31783773Gehin JE, Goll GL, Warren DJ, Syversen SW, Sexton J, Strand EK, Kvien TK, Bolstad N, Lie E. Associations between certolizumab pegol serum levels, anti-drug antibodies and treatment response in patients with inflammatory joint diseases: data from the NOR-DMARD study. Arthritis Res Ther. 2019 Nov 29;21(1):256. doi: 10.1186/s13075-019-2009-5.
- Derived from this study: PubMed 30508189Olsen IC, Lie E, Vasilescu R, Wallenstein G, Strengholt S, Kvien TK. Assessments of the unmet need in the management of patients with rheumatoid arthritis: analyses from the NOR-DMARD registry. Rheumatology (Oxford). 2019 Mar 1;58(3):481-491. doi: 10.1093/rheumatology/key338.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Eirik K Kristianslund, MD, PhD contact
Tore K Kvien, MD, PhD principal investigator
Diakonhjemmet Hospital
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Inflammatory Joint Diseases, run by Diakonhjemmet Hospital at 6 sites in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 23 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Eirik K Kristianslund, MD, PhD (eirik.kristianslund@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01581294, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Aug 2022.