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Quality of Sleep in Patients With Rheumatoid Arthritis
This study is currently recruiting participants.
Verified by Kobe University, March 2008
Sponsored by: Kobe University
Information provided by: Kobe University
ClinicalTrials.gov Identifier: NCT00287794
  Purpose

As one of the characteristic clinical features of the patients with rheumatoid arthritis, the unique character of the patients, somewhat difficult to be persuaded but theoretical, has long been pointed out. We hypothesized that this unique character might be due to the sleep disturbance in the patients possibly due to severe pain of arthritis or unique biochemical disease activities. We test (1)the sleep quality of the patients and draw some characteristic features, and (2)investigated the connection between unique biochemical changes such as the increase of c-fos or wee-1.


Condition Intervention Phase
Rheumatoid Arthritis
Drug: diazepam, melatonin
Phase I

MedlinePlus related topics: Rheumatoid Arthritis Sleep Disorders
Drug Information available for: Diazepam Melatonin
U.S. FDA Resources
Study Type: Observational
Study Design: Case-Only, Prospective
Official Title: Study on the Quality of Sleep in Patients With Rheumatoid Arthritis

Further study details as provided by Kobe University:

Biospecimen Retention:   Samples Without DNA

Biospecimen Description:

Samples for Western blot for inflammatory cytokines and transcription factors responsible for arthritis.


Estimated Enrollment: 1000
Study Start Date: February 2006
Estimated Study Completion Date: December 2010
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: diazepam, melatonin
    Administration of diazepam or such drugs may improve the sleep disturbance of patients with RA.
Detailed Description:

Under the hypothesis the unique character of patients might be due to the sleep disturbance in the patients possibly due to severe pain of arthritis or unique biochemical disease activities. We do following studies; The study of sleep quality of the patients; The number of patients expected to be included in the study is 1,000. Inclusion criteria is the ACR criteria, and exclusion criteria is any defined disease conditions of sleep disorders in ICSD. The method includes questionnaire using the Pittsburgh Sleep Quality Index (PSQI) scoring and Epworth scoring, and actigraphy measurement for more than 3 days. In a portion of the patients, we measure clinical arthritis activities in conjunction with western blot for c-fos and wee-1 as well as routine clinical laboratory tests. Also in a portion of the patients, we do the polysomnography study; expected number of participants would be 100. We also plan to test the effect of good sloop on arthritis in a portion of the patients.

  Eligibility

Ages Eligible for Study:   17 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

All the patients with rheumatoid arthritis with or without sleep disturbance.

Criteria

Inclusion Criteria:

  • Fulfilling the American College of Rheumatology criteria of rheumatoid arthritis

Exclusion Criteria:

  • Any defined sleep disorders of International Classification of Sleep Disorders (ICSD)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00287794

Contacts
Contact: Shunichi Shiozawa, MD, PhD +81-78-796-4543 ext direct shioz@kobe-u.ac.jp
Contact: Akira Hashiramoto, MD, PhD +81-78-796-4526 hash@kobe-u.ac.jp

Locations
Japan, Hyogo
Konan Kakogawa Hospital Recruiting
Kakogawa, Hyogo, Japan, 675-8545
Contact: Kazuko Shiozawa, MD, PhD     +81-794-38-0621 ext 403     Shiozawa_kkb@knc.kakogawa.or.jp    
Principal Investigator: Kazuko Shiozawa, MD, PhD            
Sponsors and Collaborators
Kobe University
Investigators
Study Director: Shunichi Shiozawa, MD, PhD Faculty of Heath Science, Kobe University School of Medicine
  More Information

Kobe University Home Page  This link exits the ClinicalTrials.gov site
Division of Rheumatology, Kobe Univ Grad School Med  This link exits the ClinicalTrials.gov site

Responsible Party: Kobe University Graduate Scool of Medicine ( Shunichi Shiozawa MD )
Study ID Numbers: sshiozawah180206
Study First Received: February 6, 2006
Last Updated: March 28, 2008
ClinicalTrials.gov Identifier: NCT00287794  
Health Authority: Japan: Ministry of Education, Culture, Sports, Science and Technology

Keywords provided by Kobe University:
rheumatoid arthritis
sleep disturbance

Study placed in the following topic categories:
Autoimmune Diseases
Musculoskeletal Diseases
Diazepam
Joint Diseases
Arthritis
Connective Tissue Diseases
Arthritis, Rheumatoid
Dyssomnias
Sleep Disorders
Melatonin
Rheumatic Diseases

Additional relevant MeSH terms:
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
GABA Modulators
Physiological Effects of Drugs
Psychotropic Drugs
Antiemetics
Anesthetics
Neuromuscular Agents
Therapeutic Uses
Muscle Relaxants, Central
Hypnotics and Sedatives
Anesthetics, Intravenous
Tranquilizing Agents
Immune System Diseases
Gastrointestinal Agents
Central Nervous System Depressants
Pharmacologic Actions
Adjuvants, Anesthesia
Autonomic Agents
Anesthetics, General
GABA Agents
Anti-Anxiety Agents
Peripheral Nervous System Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on January 16, 2009