About this trial
Long-term follow-up of aortal adverse events, as well as glucocortioid-associated adverse events in patients with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age greater or similar to 18 years
Primary diagnosis of GCA or PMR
Disqualifiers
Age under 18 years
lack of capacity to consent
Trial population
GCA and PMR patients will be recruited in the department of rheumatology of the university hospital of Würzburg
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Incidence of aortic adverse events
Aortic adverse events include new foramation or progress of aortic aneurysms, and aortic dissection
Secondary outcomes
Incidence of glucocorticoid-related adverse events
Assessment of the glucocorticoid toxicity index (GTI; excluding regular bone density measurements) to detect glucocorticoid-related adverse events. The GIT includes 1) a cumulative worsening score, which includes the cumulative glucocorticoid toxicity over time (minimum value of 0 and a maximum value of 439, a decrease is not possible) and 2) an aggregate improvement score, which allows for decreases and increases of toxicity (range from -346 to 439, with negative values indicating improvement and positive values indicating worsening of glucocorticoid toxicity)
Detection of ischemic complications in the eyes
Is orbital MRI together with optic coherence tomography suitable to detect ischemic manifestations of GCA in the eye?
Performance of gadopiclenol in detecting vessel wall inflammation
The contrast agent gadopiclenol should be evaluated for its use in MR angiography, i.e. if it depicts (peri) vessel wall inflammation equally to older contrast agents. In a sub-cohort of 20 % of the patients , MR angiographies will be performed with 25% reduced gadoplicenol.
Sponsors and contacts
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