Clinical trial Recruiting at 1 site Observational Ages Any age to 21

Registry for chronic nonbacterial osteomyelitis

Official title: CHronic Nonbacterial Osteomyelitis International Registry (CHOIR)

Run by Seattle Children's Hospital · NCT04725422 · Data updated 2026-11-12

This study is creating a registry to track how children and teens with chronic nonbacterial osteomyelitis respond to different treatments over time to help improve their care.

Quick facts

Study typeObservational
AgesAny age to 21 Years
SexAll
Enrollment2000 (estimated)
SponsorSeattle Children's Hospital
Academic / other
Locations1 site (Seattle, Washington)
StatusRecruiting
StartedAugust 1, 2018
Main results expectedAugust 2028
Study endsAugust 2050
Registry record updatedJuly 30, 2024
Trial IDNCT04725422 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are children and adolescents aged 21 years or younger who exhibit bone edema on MRI and meet specific diagnostic criteria.

Probably not a fit

Patients with a history of malignancy or current infectious osteomyelitis will not benefit from this study.

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

What this trial studies

This study aims to create a prospective registry for chronic recurrent multifocal osteomyelitis (CRMO) and chronic nonbacterial osteomyelitis (CNO) to better understand the disease's natural history and patient responses to various treatments over a decade. It focuses on children and adolescents affected by this autoinflammatory bone disease, which can lead to serious complications if not treated properly. The registry will collect data on clinical assessments, imaging studies, and treatment outcomes to standardize care and improve management strategies for affected patients.

Why it matters

Potential benefit: If successful, this registry could lead to improved treatment protocols and outcomes for patients with chronic nonbacterial osteomyelitis.

How similar studies have gone: Other studies have shown success in establishing disease registries for similar conditions, indicating a potential for valuable insights and advancements in treatment.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* \- Age at enrollment is equal to or younger than 21 years of age
* Presence of bone edema on STIR or T2 fat saturation sequence on MRI within 12 weeks of enrollment
* Whole body imaging evaluation (either WB MRI or bone scintigraphy)
* Bone biopsy to exclude infection or malignancy unless bone lesions follow typical distribution or there is IBD, psoriasis, or palmar plantar pustulosis

Exclusion Criteria:

* \- History of or current malignancy
* Current infectious osteomyelitis
* Contraindication to the selected treatment agent

Where it's running

  • Seattle Children's Hospital
    Seattle, Washington, United States
    Recruiting

Study contacts

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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.