Clinical trial Recruiting at 1 site Observational Ages 18 and up

Whole-body MRI for non-invasive lesion detection and therapy follow-up in radiographic and non-radiographic axial spondyloarthritis

Official title: Research on a New Disease Activity Assessment System for axSpA Based on Whole-body Magnetic Resonance Imaging Cohort

Run by The First Affiliated Hospital with Nanjing Medical University · NCT07230327 · Data updated 2026-11-12

This project will try whole-body MRI to find lesions and track treatment response in people with radiographic or non-radiographic axial spondyloarthritis.

More Spondyloarthritis (SpA) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorThe First Affiliated Hospital with Nanjing Medical University
Academic / other
Locations1 site (Nanjing, Jiangsu)
StatusRecruiting
StartedJanuary 1, 2022
Main results expectedJanuary 2026
Study endsDecember 2026
Registry record updatedNovember 17, 2025
Trial IDNCT07230327 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Newly referred people with symptom onset before age 45 who have chronic back pain (>3 months) and/or peripheral arthritis, enthesitis, or dactylitis and who are not already diagnosed with axial SpA are the intended participants.

Probably not a fit

People already diagnosed with radiographic or non-radiographic axial SpA, those with symptom onset after age 45, or individuals with contraindications to MRI (for example certain implanted devices or severe claustrophobia) 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

This is an observational cohort using whole-body MRI (WB-MRI) to image multiple body regions in patients with suspected axial spondyloarthritis and to follow them over time. Imaging features from WB-MRI will be correlated with clinical measures of disease activity, inflammation, and structural damage. The project will apply data mining and machine-learning methods to build a WB-MRI–based disease activity model, with separate discovery and validation cohorts to test accuracy and reliability. Dynamic follow-up imaging will be used to examine how MRI findings change with therapy and clinical course.

Why it matters

Potential benefit: If successful, the project could provide a more objective, imaging-based way to measure disease activity and monitor treatment response in axial spondyloarthritis.

How similar studies have gone: Whole-body MRI has shown promise in small axSpA cohorts for detecting inflammation, but using WB-MRI combined with machine-learning to create a validated disease-activity model is relatively novel and not yet widely proven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Include newly referred patients if:

The onset of symptoms (back pain/arthritis/enthesitis) \< 45 years

Undiagnosed disease with the following symptoms:

chronic back pain (duration of back pain more than 3 months) and/or peripheral arthritis (asymmetric arthritis/predominantly of the lower limbs) and/or enthesitis and/or dactylitis

Exclusion Criteria:

And diagnosed with non-radiographic or radiographic axial SpA

Where it's running

  • The First Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu, China
    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.