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GenAI-Assisted Rheumatoid Arthritis Bone Erosion Risk Assessment and DMARD Selection

NCT07914907, Not applicable, Recruiting, Guang'anmen Hospital of China Academy of Chinese Medical Sciences

Trial 10

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

FieldValueSource
TitleGenAI-Assisted Rheumatoid Arthritis Bone Erosion Risk Assessment and DMARD SelectionClinicalTrials.gov
NCT numberNCT07914907ClinicalTrials.gov
StatusRecruitingClinicalTrials.gov
PhasesNot applicableClinicalTrials.gov
Enrollment100 participants, estimatedClinicalTrials.gov
Lead sponsorGuang'anmen Hospital of China Academy of Chinese Medical SciencesClinicalTrials.gov
ConditionsRheumatoid ArthritisClinicalTrials.gov
InterventionsGenAI-Assisted Clinical Decision Support for RABER Assessment and DMARD SelectionClinicalTrials.gov
First posted2026-11-04ClinicalTrials.gov
Last updated2026-11-04ClinicalTrials.gov

Registered outcomes 3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescriptionSource
PrimaryPercentage of Participants With a Change in Physician-Assessed Rheumatoid Arthritis Bone Erosion Risk Level After GenAI-Assisted Decision SupportDuring index hospitalization, at pre-AI and post-AI physician assessments (approximately 1-7 days)
The percentage of participants for whom the treating physician changes the rheumatoid arthritis bone erosion risk level after reviewing the GenAI-generated clinical decision support report, compared with the initial assessment before reviewing the report. Risk levels are categorized from 0 to 3. A change is defined as any difference between the pre-AI and post-AI risk levels. The percentage is calculated using participants with complete paired assessments.
ClinicalTrials.gov
PrimaryCohen's Kappa Agreement Between Physician-Assessed Rheumatoid Arthritis Bone Erosion Risk Levels and the Reference Standard Before and After GenAI-Assisted Decision SupportDuring index hospitalization, at pre-AI and post-AI physician assessments (approximately 1-7 days)
Agreement between physician-assessed rheumatoid arthritis bone erosion risk levels (0-3) and the reference standard will be evaluated separately before and after review of the GenAI report using Cohen's kappa coefficient. The pre-AI and post-AI kappa coefficients will be compared to assess changes in agreement following GenAI-assisted decision support. Cohen's kappa ranges from -1 to 1, with higher values indicating greater agreement beyond chance. The difference between post-AI and pre-AI kappa coefficients will be reported, with positive values indicating improved agreement. The reference classification will be established during the data analysis stage by three independent expert physicians who are not involved in patient treatment, with disagreements resolved through consensus.
ClinicalTrials.gov
SecondaryCohen's Kappa Agreement Between Physician DMARD Treatment Selection Categories and the Reference Standard After GenAI-Assisted Decision SupportDuring index hospitalization, after physician review of the GenAI report (approximately 1-7 days)
Agreement between physician-selected disease-modifying antirheumatic drug (DMARD) treatment categories (0-4) and the reference standard will be assessed after physicians review the GenAI-generated clinical decision support report. Agreement will be quantified using Cohen's kappa coefficient, with higher values indicating greater agreement beyond chance. The analysis will include participants with complete post-AI physician treatment selections and corresponding reference standard classifications. The reference classification will be established during the data analysis stage by three independent expert physicians who are not involved in patient treatment, with disagreements resolved through consensus.
ClinicalTrials.gov

Outcomes 0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured asSource

Results by group 0

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnitsSource

Participant flow 0

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits countedSource

Adverse events 0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 0

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource

Papers 0

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource

Grants 0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource

Tests 0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299 ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)