Characterizing gut bacteria in people with spondyloarthritis or rheumatoid arthritis
Official title: Characterisation of Intestinal Microbiota of Patients With Spondyloarthritis or Rheumatoid Arthritis
Run by Assistance Publique - Hôpitaux de Paris · NCT04292067 · Data updated 2026-11-12
This project will test whether the mix of gut bacteria differs between adults with spondyloarthritis or rheumatoid arthritis and healthy volunteers by analyzing stool and blood samples.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Assistance Publique - Hôpitaux de Paris Academic / other |
| Locations | 1 site (Boulogne-Billancourt) |
| Status | Recruiting |
| Started | November 23, 2020 |
| Main results expected | November 2026 |
| Study ends | November 2026 |
| Registry record updated | June 15, 2025 |
| Trial ID | NCT04292067 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) diagnosed with spondyloarthritis by ASAS criteria or rheumatoid arthritis by ACR/EULAR, who can give informed consent, are affiliated to a French social security scheme, and have not taken antibiotics in the month before inclusion or had a colonoscopy in the prior six months.
✕Probably not a fit
People who are pregnant or breastfeeding, under guardianship, have recent antibiotic use or recent colonoscopy, severe comorbidities that interfere with interpretation, or non-French social-security status are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will compare intestinal microbiota biodiversity in adults with spondyloarthritis or rheumatoid arthritis versus healthy volunteers using DNA sequencing of stool samples and parallel blood sampling. The primary aim is to look for disease-specific dysbiosis and identify bacterial biomarkers that differ between the groups. Secondary analyses will relate microbiota composition to clinical factors such as age, sex, disease duration, and ongoing treatments, and will compare faecal and plasma metabolomes with microbiota profiles. The work is performed in the rheumatology department at Hôpital Ambroise Paré (Assistance Publique–Hôpitaux de Paris) and involves collection of stool and blood samples from consenting adults.
Why it matters
Potential benefit: If successful, the study could identify bacterial biomarkers that help diagnose subtypes of spondyloarthritis or rheumatoid arthritis or guide more personalized treatments.
How similar studies have gone: Previous microbiome studies have reported disease-associated dysbiosis in rheumatoid arthritis and spondyloarthritis, but consistent diagnostic biomarkers are not yet established, so this work builds on suggestive but not definitive findings.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients: * Patient ⩾ 18 years; * Diagnosed as spondyloarthritis (SpA) according ASAS classification, or rheumatoid polyarthritis according ACR/EULAR; * Affiliated to a social security scheme; * Have signed the written informed consent form. Healthy control subjects: * Adult women and men; * Subjet free of chronic pathology; * Affiliated to a social security scheme; * Have signed the written informed consent form. Exclusion Criteria: Patients: * Patients unable to understand the proposed study and/or sign a informed consent form; * Pregnant women or breast feeding women; * Patient ⩾ 18 years; * Patients under guardianship or curatorship; * Have taken antibiotic 1 month prior to inclusion or digestive coloscopy 6 months prior inclusion; * Presenting acute or chronic severe pathology may likely to interfere with the interpret of outcome; * Foreign patients under french AME scheme; * Patients had have participated in the prior study Microbiart. Healthy control subjects: * Subjects unable to understand the proposed study and/or sign a informed consent form; * Pregnant women or breast feeding women; * Subjects \< 18 years; * Subjects under guardianship or curatorship; * Presenting acute or chronic severe pathology may likely to interfere with the interpret of outcome; * Refusal of subjects to participate to the study; * Foreign patients under french AME scheme; * Subjects had have participated in the prior study Microbiart.
Where it's running
-
Service de Rhumatologie, Hôpital Ambroise Paré, Assistance Publique-Hôpitaux de Paris
Boulogne-Billancourt, France Recruiting
Study contacts
- Principal investigator: Maxime BREBAN, MD, PhD — Service de Rhumatologie, Hôpital Ambroise Paré, APHP
- Study coordinator: Maxime BREBAN, MD, PhD
- Email: maxime.breban@aphp.fr
- Phone: + 33 1 49 09 56 72
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Impact of ultra-processed foods on rheumatic diseases
This study looks at how eating ultra-processed foods might affect people with chronic rheumatic diseases like rheumatoid arthritis and osteoarthritis to see if it makes their symptoms worse.
-
Biobank for patients with inflammatory chronic diseases and osteoporosis
This study is creating a biobank to collect samples from patients with chronic inflammatory diseases and osteoporosis to see if they can find markers that help doctors choose better treatments.
-
GenAI-assisted RA bone erosion risk and DMARD choice
This study tests whether GenAI-based decision support can help doctors assess rheumatoid arthritis bone erosion risk and pick DMARDs for newly diagnosed inpatients.
-
Pain patterns in rheumatic diseases: see if pain works differently in patients and healthy people
This observational study tests how pain is experienced and measured in people with rheumatic diseases compared with healthy volunteers.
-
Telitacicept for difficult-to-treat rheumatoid arthritis
This study tests whether adding telitacicept to standard therapy helps adults with hard-to-treat rheumatoid arthritis see better control of their symptoms.
-
PTC844 in people with active rheumatoid arthritis
This study tests whether PTC844 is safe and how it behaves in the body compared with placebo for people with active rheumatoid arthritis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.