Clinical trial Recruiting at 3 sites Interventional Ages 6 to 18

Exploring how treatment affects gut bacteria in young patients with spondylarthropathy

Official title: Descriptive Study on the Evolution of Intestinal Microbiota Profiles in Patients With Juvenile Spondylarthropathy According to the Typology of Treatment and Response to it: A Descriptive, Prospective Pilot Study

Run by Centre Hospitalier Universitaire de Nīmes · NCT04540432 · Data updated 2026-11-12

This study is trying to see how different treatments for juvenile spondylarthropathy affect gut bacteria in kids aged 8 to 17.

Quick facts

Study typeInterventional
Ages6 Years to 18 Years
SexAll
Enrollment25 (estimated)
SponsorCentre Hospitalier Universitaire de Nīmes
Academic / other
Drugs / interventionsMethotrexate
Locations4 sites (Nîmes, Gard and 3 other locations)
StatusRecruiting
StartedSeptember 22, 2021
Main results expectedJune 28, 2029
Study endsJune 28, 2029
Registry record updatedNovember 17, 2025
Trial IDNCT04540432 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 8 to 17 diagnosed with juvenile spondylarthropathy who have not received specific treatments recently.

Probably not a fit

Patients currently enrolled in other clinical studies or those who have recently participated in similar studies may not benefit from this research.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the evolution of intestinal microbiota in pediatric patients diagnosed with juvenile spondylarthropathy who are receiving different types of treatments. It aims to understand how anti-inflammatory drugs and DMARDs influence gut bacteria and potentially affect treatment efficacy. The methodology includes stool collection at home and blood tests to analyze the microbiota and its relationship with treatment response. The study focuses on patients aged 8 to 17 who have not been treated with certain medications for a specified period.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment strategies for juvenile spondylarthropathy by considering the role of gut microbiota.

How similar studies have gone: While the impact of microbiota on treatment response has been explored in adults, this specific approach in pediatric patients is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients aged over 6 and under 17 years old (included).
* Patients diagnosed with arthritis with juvenile enthesitis according to the International League of Associations for Rheumatology (ILAR) criteria.
* Patients who haven't been treated by Methotrexate or biotherapy for at least 3 months.
* Patients who haven't been treated by cortisone for over a month.
* Patients whose parents have given written informed consent.
* Patients for whom the consent form has been signed by their legal guardian.
* Patients covered by the Social Security System or benefitting from private health insurance.

Exclusion Criteria:

* Patients enrolled in another category 1 study or who have already taken part in a category 1 study within 3 months prior to inclusion.
* Patients who are within an exclusion period determined by another study.

Where it's running

  • Nîmes University Hospital
    Nîmes, Gard, France
    Recruiting
  • Montpellier University Hospital, Arnaud de Villeneuve Hospital
    Montpellier, Hérault, France
    Recruiting
  • APHM, Hopital Nord
    Marseille, France
    Recruiting
  • Hopital des enfants, CHU de Toulouse
    Toulouse, France
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.