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WORK PACKAGE 1

WP1: Optimized medical interventions

The aim of WORK PACKAGE 1 is to carry out high-quality clinical studies to investigate the effect of personalized treatment strategies, drugs, surgical procedures, injections and non-pharmacological interventions.

The work package will also be responsible for the clinical trial unit (Clinical Trial Unit).

More about the projects included in or associated with WORK PACKAGE 1:

WP1 - Optimized medical interventions

ARCTIC

Remission in patients with rheumatoid arthritis: a randomized controlled trial investigating the use of ultrasound in clinical follow-up

Project Manager:
Espen A. Haavardsholm
WP1 - Optimized medical interventions

ARCTIC FORWARD

10-year follow-up of patients with rheumatoid arthritis who received structured treatment-to-target therapy in the early disease phase.

Project Manager:
Siri Lillegraven
WP1 - Optimized medical interventions

ARCTIC REWIND

 

Project managers

Post doc
PhD fellow

ABOUT THE PROJECT

Rheumatoid arthritis is an inflammatory disease affecting 0.5-1% of the population. The disease is characterized by joint lifts and joint pain, which can lead to joint damage and reduced functional level. Using modern treatment strategies, which include disease -modifying drugs, good disease control without signs of inflammation has become an achievable measure of an ever -increasing number of people. However, there has been no professional agreement or clear guidelines for how this group should be treated further; Should one continue with a stable dose of medication, or step down and possibly end treatment?

Arctic Rewind is a randomized controlled multi -center study where the main goal is to investigate whether a strategy in which the disease -modifying treatment is reduced and possibly discontinued is not inferior to still stable treatment when it comes to taking care of good disease control. In addition, the study will provide sought -after data for research on more personalized treatment.

WHO CAN JOIN?

The study included adults with rheumatoid arthritis where there had been no signs of activity in the disease last 12 months. Both recruitment and follow -up of the included have been completed.

WHAT DOES THE STUDY INCLUDE?

In one study arm, the treatment was stepped down and possibly discontinued, in the other, participants continued unchanged treatment. Both groups were followed with regular checks every 4 months for 3 years with thorough mapping of signs of flare -up of activity in the disease (clinical examination, blood tests and patient -reported outcome measures), as well as registration and handling of potential side effects. In addition, ultrasound examination, x -ray of hands and feet, was carried out by dominant hand and biobank.

The study was divided into two; One part included people who used synthetic disease-modifying treatment, the other included people who used biological drugs (TNF inhibitors).

MENTION

Arctic Rewind: New Norwegian study can change how we treat arthritis (Healthtalk.no)

Awakening with publication: These researchers took a double Jama news, research, specialist health service - Dagens Medisin

Treatment Strategies for Patients With Immune-Mediated Inflammatory Diseases | Dermatology | Jama | Jama Network

The Marie Spångberg Prize 2022 (medical federingen.no)

PUBLICATIONS

Effect of Half-Dose vs Stable-Dose Conventional Synthetic Disease-Modifying Antirheumatic Drugs On Disease Flares in Patients With Rheumatoid Arthritis in Remission: The Arctic Rewind Randomized Clinical Trial-Pub.

Half-dose vs stable-dose conventional synthetic disease modifying antirheumatic drugs and disease flare in patients with rheumatoid arthritis-reply-pubmed (nih.gov)

Project Manager:
Espen A. Haavardsholm
WP1 - Optimized medical interventions

BackToBasic

Anti-inflammatory drugs for long-term low back pain and Modic changes

Project Manager:
Kjersti Storheim
WP7 - Empowering the individual

BRIDGE

Continuity and quality in the rehabilitation of patients with diseases and ailments in the musculoskeletal system

Project Manager:
Ingvild Kjeken
WP7 - Empowering the individual

Occupational therapy and surgery

 

Project Manager:
Ingvild Kjeken
WP4 - Managing comorbidities

ExeHeart

Better cardiovascular health for patients with inflammatory joint disease

Project Manager:
Anne Therese Tveter
WP1 - Optimized medical interventions

HIFSAT

Study of surgical approach in hip fracture

Project Manager:
Siri Lillegraven
WP2 - PPhenotyping for personalized medicine

MDR-RA

The Norwegian study for therapeutic drug monitoring

Project Manager:
Espen A. Haavardsholm
WP1 - Optimized medical interventions

MERINO

Methotrexate in the treatment of erosive hand osteoarthritis

Project Manager:
Ida Bos-Haugen
WP1 - Optimized medical interventions

MethMax

Maximization of treatment effect

Project Manager:
Siri Lillegraven
WP1 - Optimized medical interventions

MinJIA

Strategies for personalized treatment of juvenile idiopathic arthritis (JIA)

Project Manager:
Berit Flatø
WP1 - Optimized medical interventions

MOVE-JIA

 

Project Manager:
Anna-Birgitte Aga
WP1 - Optimized medical interventions

NOR-CACTUS

Comparison of treatment strategies in carpal tunnel syndrome

Project Manager:
Hilde Berner Hammer
WP2 - PPhenotyping for personalized medicine

NOR DRUM

The Norwegian study for therapeutic drug monitoring

Project Manager:
Espen A. Haavardsholm
WP5 - Innovative approaches to remote care

NOR Flare

Distance follow-up of patients with rheumatoid arthritis

Project Manager:
Anne Therese Tveter
WP1 - Optimized medical interventions

NOR Sprint

Follow-up of newly diagnosed patients with psoriatic arthritis with and without imaging

Project Manager:
Siri Lillegraven
WP1 - Optimized medical interventions

NOR SWITCH

Switching from the original preparation to a biosimilar medicine to patients with inflammatory disease of the joints, intestines or skin.

Project Manager:
Tore K. Kvien
WP1 - Optimized medical interventions

NORTH STAR

The Nordic study of strategy tests and registries for rheumatic diseases

Project Manager:
Espen A. Haavardsholm
WP5 - Innovative approaches to remote care

OA-AID

Digital coping tools and digital follow-up to support shared decisionmaking in the treatment of patients with knee osteoarthritis

Project Manager:
Anne Therese Tveter
WP1 - Optimized medical interventions

PICASSO

Treatment of painful inflammatory carpometacarpal-1 osteoarthritis with intra-articular steroids, saline or occupational therapy

Project Manager:
Ida K. Bos-Haugen
WP1 - Optimized medical interventions

RA DRUM

Therapeutic drug monitoring in patients with rheumatoid arthritis (RA-DRUM)

Project Manager:
Silje Watterdal Syversen
WP5 - Innovative approaches to remote care

ReMonit

remote monitoring of patients with spondyloarthritis

Project Manager:
Nina Østerås
WP5 - Innovative approaches to remote care

ReMonit Gout

Mastering app for uric acid

Project Manager:
Nina Østerås
WP1 - Optimized medical interventions

SQUEEZE

Maximizing the effect of prescription drugs in rheumatoid arthritis 

Project Manager:
Espen A. Haavardsholm
WP1 - Optimized medical interventions

Zebra

Zoledronate Early to Hip Fracture Patients - Safe and Effective? A Double-Blinded Randomized Controlled Treatment Strategy Trial On Zoledronate in Hip Fracture Patients

Project Manager:
Birgitte Nellemann