Fatigue and Skeletal Muscle Impact in Severe Axial Spondyloarthritis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Strasbourg, France

About this trial

Axial spondyloarthropathy (SpA) is the most common inflammatory rheumatism (1% of the general population) with important medico-economic consequences.

Fatigue is a major feature of SA. It can be defined as a feeling of reduced muscle capacity, lack of energy and exhaustion. The fatigue reaches an abnormally high level (fatigue severity score (FSS) ≥4, called severe fatigue in this protocol) in more than two thirds of patients with SA.

Skeletal muscle repercussions are present during SA. It is characterized by a decrease in exercise capacity independently of pain and ankylosis but is associated with a decrease in strength and muscle mass, the importance of which varies from one study to another.

The link between fatigue (subjective sensation) and the skeletal muscular impact (objective) of SA has never been studied.

Eligibility criteria

Qualifiers

Axial SA according to the ASAS criteria;

Targeted therapy naïve patients

Indication to start a targeted therapy;

Initiation of targeted therapy ≤ 15 days before inclusion

Disqualifiers

Targeted therapy in progress for > 15 days prior to inclusion

Contraindication to the use of targeted therapy

Systemic corticosteroids in the 15 days preceding the V0 visit

Associated extramuscular inflammatory disease (s) (excluding ocular and cutaneous involvement) eg chronic inflammatory bowel disease

Trial design

Treatments tested in this trial

  • Measurement of aerobic exercise on cycloergometer

Treatment groups

122 Participants
are divided into 2 treatment groups