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Familial Mediterranean FeverNCT06923124

A Study to Describe a Group of Spanish Patients With FMF and to Identify Suboptimally Treated Patients With Minimal Disease Activity and Its Impact on Quality of Life

An observational study of Familial Mediterranean Fever, run by Novartis Pharmaceuticals at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A retrospective, non-interventional, single-center study conducted in Spain, based on the collection of data from the medical histories of patients with Familial Mediterranean fever (FMF) diagnosed during childhood from January 2005 to December 2021. Read more about this study

Who is it for?
Ages Up to 28 years
Conditions the study is for
Familial Mediterranean Fever
How many people
44 participants
Where
1 siteUnited States
Study dates
30 Mar 2023to 28 May 2024
Phase
Observational
Are there results?
None posted in the registry

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 Up to 28 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: This was a retrospective, non-interventional cohort study.

Who may be able to join

  • Patients with FMF clinically and/or genetically diagnosed during childhood according to the site's clinical practice.
  • Patients with at least 3 months of follow-up from the date of diagnosis, at the time of their enrollment in the study.

Who cannot join

  • Patients with autoinflammatory disease excluding FMF.
  • Patients with recurrent fever of another etiology (infectious, tumor or other).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis

    East Hanover, New Jersey, 07936

Other trials in United States

About this study

Official title: A Retrospective, Non-interventional, Single-center Study to Describe a Spanish Cohort of Patients With FMF and to Identify Suboptimally Treated Patients With Minimal Disease Activity and Its Impact on HRQoL (Health-Related Quality of Life)

A retrospective, non-interventional, single-center study conducted in Spain, based on the collection of data from the medical histories of patients with Familial Mediterranean fever (FMF) diagnosed during childhood from January 2005 to December 2021.

Data from the patients' medical records was collected retrospectively, from the time of diagnosis to the current moment of the patient's enrollment in the study. Patients had a minimum follow-up of 3 months after diagnosis.

Medical subject headings
Familial Mediterranean Fever

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06923124
Study groupRoleWhat they receive
FMF CohortSpanish patients diagnosed with FMF during childhood from January 2005 to December 2021.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Patients per Clinical Characteristic Category

    Clinical characteristic categories included:

    • Diagnostic criteria of FMF (symptom associated with FMF, without a proven infectious cause, with a recurrent pattern and/or accompanied by a genetic test suggestive of Mediterranean FeVer gene [MEFV])
    • Family history of FMF
    • MEFV genotypes
    • Phenotypes of interleukin-1 (IL-1) mediated autoinflammatory disease
    • Diagnosis prior to FMF

    Measured: Baseline

  2. Clinical Characteristic: Time From FMF Diagnosis to Study Inclusion

    Measured: Baseline

  3. Clinical Characteristic: Time From the Start of Symptomatology to Study Inclusion

    Measured: Baseline

  4. Clinical Characteristic: Time From the Start of Symptomatology to FMF Diagnosis

    Measured: Baseline

  5. Clinical Characteristic: Age at the Start of Symptomatology

    Measured: Baseline

  6. Number of Patients by Symptomatology

    Symptoms included:

    • Abdominal pain
    • Arthralgia
    • Myalgia
    • Articulatory inflammation
    • Chest pain
    • Rash
    • Fatigue
    • Symptoms compatible with Periodic Fever, Aphthous stomatitis, Pharyngitis and Adenitis (PFAPA)
    • Other

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  7. Number of Patients by Characteristics of Relapses (Flares)

    Relapse characteristics included:

    • Fever: high (> 38C), low (≤ 38C), no fever
    • Relapse frequency (<1 or ≥1 relapse per month for 3 months)
    • Presence of triggers
    • Presence of complications
    • Flare and non-flare related inflammatory markers: C-reactive protein (CRP), serum amyloid A protein (SAA), and erythrocyte sedimentation rate (ESR)
    • Disease remission

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  8. Flare and Non-flare Related Inflammatory Marker Levels

    Inflammatory markers included CRP and SAA.

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  9. Flare and Non-flare Related Erythrocyte Sedimentation Rate (ESR)

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  10. Number of Flares per Month Since Last Visit

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  11. Flare Duration Since Last Visit

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  12. Number of Patients With Recurrency of Flares at Diagnosis

    Measured: Baseline

  13. Number of Patients by Comorbidity

    Comorbidities included vasculitis, panniculitis, inflammatory bowel disease, psoriasis, celiac disease, autoimmune disease, other inflammatory diseases, juvenile idiopathic arthritis, multiple sclerosis, attention deficit hyperactivity disorder (ADHD), and other.

    Measured: Baseline, Month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120, and 132

  14. Number of Patients by Treatment Received Before FMF Diagnosis

    Treatments included:

    • Non-steroidal anti-inflammatory drugs (NSAIDs)
    • Corticoids
    • Colchicine
    • Anti-IL-1
    • Other

    Measured: Baseline

  15. Number of Patients by Treatment Received At Least Once During the Study

    Treatments included:

    • Colchicine
    • Canakinumab
    • Anakinra
    • Corticoids
    • Methotrexate (MTX)
    • Anti-IL-6
    • Anti-tumor necrosis factor (TNF)

    Measured: Up to 11 years

  16. Number of Patients by Treatment and Treatment Combinations Used at the end of the Study

    Treatments and treatment combinations included:

    • Colchicine
    • Canakinumab
    • Anakinra
    • Corticoids
    • MTX
    • Anti-IL-6
    • Anti-TNF
    • Colchicine / Canakinumab
    • Colchicine / Corticoids
    • Anakinra
    • Canakinumab
    • Colchicine / Anti-TNF
    • Colchicine / MTX / Anti-IL- 6

    Measured: Up to 11 years

  17. Number of Patients Using Colchicine With Another Treatment at the end of the Study

    Measured: Up to 11 years

  18. Number of Patients by First Prescribed Colchicine Dose and Age Group

    Measured: Up to 11 years

  19. Number of Patients by Colchicine Maximum Global Dose and Age Group

    Measured: Up to 11 years

  20. Number of Patients With a Change in Colchicine Dose

    Measured: Up to 11 years

  21. Number of Patients by Reason for Stopping Colchicine Treatment and Age Group

    Measured: Up to 11 years

  22. Number of Patients by Anti-IL-1 Treatment Used at the end of the Study

    Anti-IL-1 treatment included canakinumab and anakinra.

    Measured: Up to 11 years

  23. Number of Patients by Anti-IL-1 Dose at the end of the Study

    Measured: Up to 11 years

  24. Number of Patients With a Change in Anti-IL-1 Dose

    Measured: Up to 11 years

  25. Number of Patients With a Change in Anti-IL-1 Treatment

    Changes in treatment included:

    • Change of treatment to a treatment of the same family (anti-IL-1)
    • Change of treatment to a treatment of another family

    Measured: Up to 11 years

  26. Number of Patients by Reason for Stopping Anti-IL-1 Treatment

    Measured: Up to 11 years

Secondary outcomes (18)
  1. Number of Patients by Last Reported Response to Colchicine Treatment

    Responses included:

    • Complete response: absence of clinical manifestations and normal CRP/SAA levels.
    • Partial response: <1 flare/month or persistent high CRP/SAA levels with maximum tolerated dose of colchicine or partial response with unknown frequency.
    • Resistant: ≥1 flare/month or persistent high CRP/SAA levels with maximum tolerated dose of colchicine.
    • Intolerant: intolerance to treatment as reason for stopping colchicine treatment or changing to another treatment.

    Measured: Up to 11 years

  2. Time to Achieve Response to Colchicine Treatment

    Time to achieve first complete response, complete response, and complete response maintenance were measured.

    Measured: Up to 11 years

  3. Number of Patients With Intolerance to Colchicine Treatment

    Measured: Up to 11 years

  4. Autoinflammatory Disease Activity Index (AIDAI) Score

    The AIDAI is an assessment tool used to evaluate the level of disease activity. The AIDAI for FMF includes 7 variables: fever, abdominal pain, chest pain, arthralgia or myalgia, swelling of the joints, skin rash, and pain relief taken. Disease activity scores are calculated from the daily scores collected in a patient diary completed during flares. Fever is scored as 0 (absent) or present (1), with all other clinical variables scored from 0 (absent) to 3 (severe). Pain relief taken is not included in the disease activity score calculation. A higher total score indicates a higher level of disease activity.

    AIDAI was used to assess the association between disease activity and colchicine resistance/intolerance, response to canakinumab treatment, pain, fatigue, and quality of life (absenteeism at school during flares, limitation of physical activity, psychological care, and overall health status).

    Measured: Up to 11 years

  5. Autoinflammatory Disease Damage Index (ADDI) Score

    The ADDI is an assessment tool used to evaluate the level of damage caused by autoinflammatory disease. It consists of 18 damage items grouped by organ system: reproductive, renal/amyloidosis, developmental, serosal, neurological, ears, ocular and musculoskeletal damage. Each damage item is defined and assigned a score of 1, 2, or 3, with each organ system having a maximum allowed score. A higher total score indicates a higher level of damage.

    ADDI was used to assess the association between disease damage and colchicine resistance/intolerance, response to canakinumab treatment, pain, fatigue, and quality of life (absenteeism at school during flares, limitation of physical activity, psychological care, and overall health status).

    Measured: Up to 11 years

  6. Familial Mediterranean Fever 50 (FMF50) Score

    The FMF50 is an assessment tool used to evaluate response to treatment for FMF. It consists of 6 items:

    1. Percentage change in the frequency of attacks with the treatment.
    2. Percentage change in the duration of attacks with the treatment.
    3. Patients/parents' global assessment of disease severity.
    4. Physicians' global assessment of disease severity.
    5. Percentage change in arthritis attacks with the treatment.
    6. Percentage change in CRP, ESR, or SAA level with the treatment. An improvement of at least 50% in 5 of the 6 items without worsening in any one item indicates that the patient is responding to treatment.

    FMF50 was used to assess response to canakinumab treatment and the association between response to treatment and colchicine resistance/intolerance, pain, fatigue, and quality of life (absenteeism at school during flares, limitation of physical activity, psychological care, and overall health status).

    Measured: Up to 11 years

  7. Number of Patients by Last Response Reported to Anti-IL-1 Treatment During the Study

    Responses included:

    • Complete response: absence of clinical manifestations and normal CRP/SAA levels.
    • Incomplete response: persistent febrile episodes or high CRP/SAA levels
    • Partial response: <1 flare/month or persistent high CRP/SAA levels with maximum tolerated dose of colchicine or partial response with unknown frequency.
    • Resistant: ≥1 flare/month or persistent high CRP/SAA levels with maximum tolerated dose of colchicine.

    Anti-IL-1 treatments included canakinumab and anakinra.

    Measured: Up to 11 years

  8. Time to Achieve Response to Anti-IL-1 Treatment

    Time to achieve complete response and complete response maintenance were measured. Anti-IL-1 treatments included canakinumab and anakinra.

    Measured: Up to 11 years

  9. Number of Patients With MEFV Mutation by Treatment Response

    Response categories included:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  10. Number of Patients Without MEFV Mutation by Treatment Response

    Response categories included:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  11. Number of Patients With Mutation in Other Loci by Treatment Response

    Response categories included:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  12. Number of Medical Visits of Patients With Scholar Absenteeism During Flares by Response to Anti-IL-1 Treatment

    Anti-IL-1 treatments included canakinumab and anakinra. Responses were categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  13. Number of Medical Visits of Patients With Physical Activity Limitations by Response to Anti-IL-1 Treatment

    Anti-IL-1 treatments included canakinumab and anakinra. Responses were categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  14. Number of Medical Visits of Patients Requiring Psychological Care by Response to Anti-IL-1 Treatment

    Anti-IL-1 treatments included canakinumab and anakinra. Responses were categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  15. Number of Medical Visits of Patients With Presence of Pain by Response to Anti-IL-1 Treatment

    Anti-IL-1 treatments included canakinumab and anakinra. Responses were categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  16. Number of Medical Visits of Patients With Presence of Fatigue by Response to Anti-IL-1 Treatment

    Anti-IL-1 treatments included canakinumab and anakinra. Responses were categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  17. Visual Analogue Scale (VAS) Score From Clinician Point of View

    Patients' overall state of health was assessed using VAS scoring. The VAS is a straight line with a scale ranging from 0 (worst health) to 10 (best health). The clinician marks a point on the line, scoring how they perceive the patient's overall state of health.

    VAS was used to assess the association between anti-IL-1 treatment response and overall state of health. Anti-IL-1 treatments included canakinumab and anakinra. Treatment response was categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

  18. Visual Analogue Scale (VAS) Score From Patient Point of View

    Patients' overall state of health was assessed using VAS scoring. The VAS is a straight line with a scale ranging from 0 (worst health) to 10 (best health). Patients mark a point on the line, scoring how they perceive their overall state of health.

    VAS was used to assess the association between anti-IL-1 treatment response and overall state of health. Anti-IL-1 treatments included canakinumab and anakinra. Treatment response was categorized as follows:

    • Respondent: without flares and with normal inflammatory markers in the last 3 months.
    • Non-respondent: with flare and/or elevated inflammatory markers in the last 3 months.
    • Partial respondent: did not fulfill some of the criteria for complete response.

    Measured: Up to 11 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Apr 2025
  2. Study start30 Mar 2023
  3. Primary completion28 May 2024
  4. Study completion28 May 2024

Resources

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
Retrospective
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06923124
Sponsor's protocol ID
CACZ885NES01R
Status last verified
Apr 2025
First submitted
3 Apr 2025
Last updated
11 Apr 2025
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Familial Mediterranean Fever, run by Novartis Pharmaceuticals at 1 site in United States.

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 2 inclusion and 2 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: finished, as of the sponsor's last update on 11 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Patients per Clinical Characteristic Category (time frame: Baseline). The study lists 26 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 11 Apr 2025.

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