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WHAT IS THE CONQUER REGISTRY AND WHY IS IT NEEDED?

Scleroderma can manifest in many different ways. Some patients have fibrotic skin disease while others do not. Some patients have lung disease, heart disease, or gastrointestinal disease while other patients have many affected organs. Why is this and why is it so difficult for physicians to predict an individual patient’s disease course? Similarly, scleroderma patients need and are treated with many different therapies that span from simply monitoring the disease coupled with symptomatic therapy (e.g. H2 blockers and PPIs for heartburn/reflux) all the way to aggressive therapy aimed at modifying their underlying disease, such as chemotherapeutic immune system resetting with autologous stem cell rescue. What is the right therapy for any one patient and what is the range of outcomes that patient might expect? Unfortunately, the answers to critical questions such as these are not fully understood and comprehensive data does not yet exist to allow researchers to evaluate them.

The path to answering these questions requires tracking and collecting data on the health status, disease complications, treatments and outcomes of many patients over many years. The Scleroderma Research Foundation began developing the CONQUER Registry in 2013 with the goal of defining the epidemiology of scleroderma in the current era by enrolling a large group of patients and building a powerful database to track them. Data will be collected over the course of the normal clinic visits – ultimately for thousands of patients over many years. The data generated through the CONQUER Registry will allow researchers to refine disease subsets (going beyond “diffuse” and “limited”) and track patient outcomes for each subset with the aim of enabling more precise and tailored care for individual patients.

BACKGROUND AND HISTORY

Due to the rarity of scleroderma, a broad consortium of scleroderma centers is required to enroll a sufficiently large patient population and assemble a sufficiently comprehensive data set to enable deeper insights into the disease. International scleroderma groups have launched large observational studies in Europe, Canada, and Australia; however, these do not necessarily reflect the U.S. scleroderma patient population and, in any case, have some methodologic flaws that compromise their utility.

In 2011, the Prospective Registry of Early Systemic Sclerosis (PRESS) registry was developed in the U.S. in response to the FDA’s and the NIH’s calls for attention to Therapeutics for Rare and Neglected Diseases and developing tissue banks linked to clinical outcomes. The PRESS investigators were approached by the Scleroderma Research Foundation (“SRF”) to build upon their efforts. The overarching goal of the partnership of the SRF and the participating academic Scleroderma Centers is to amass the broadest possible cohort of early-stage scleroderma patients. This highly collaborative effort, initially among 12 of the largest scleroderma centers in the U.S., has been named CONQUER (an acronym for COllaborative, National QUality and Efficacy Registry for Tracking Disease Progression in Systemic Sclerosis (scleroderma) Patients).

GOALS

The CONQUER Registry will enable researchers to:

  1. Determine whether certain disease features are associated with or predict clinical and patient-reported outcomes (short-term and long-term).
    • Identify which patients require early and aggressive intervention and which patients are better suited for “watchful waiting
  2. Evaluate the response in the real world (as opposed to the controlled and constrained setting of a clinical trial) to therapeutic agents and to combinations of therapeutic agents.
    • Drive more personalized and effective therapy for patients
    • Develop insights into drug toxicities that are unique to scleroderma patients (e.g. underlying heart disease due to pulmonary vascular disease)
    • Understanding patient satisfaction/issues with the current Standard of Care
  3. Collect biosamples for future analyses (e.g. genetic factors contributing to disease)
  4. Establish and support a collaborative network for U.S. scleroderma investigators
  5. Support the critical infrastructure for future scleroderma studies, including trials for novel therapeutics

PATIENT BENEFITS

Participation in the CONQUER Registry enables patients to:

  • Make a critical contribution to better therapy for all patients with minimal personal impact. (This is an observational trial and blood is the only biosample that must be collected)
  • Be positioned on the cutting edge of disease diagnostics
  • Supported in the tracking of their disease with precision

WHO IS ELIGIBLE TO PARTICIPATE IN THE CONQUER REGISTRY PROJECT?

Eligible participants will be identified by on-site staff at participating institutions. Inclusion criteria are:

  1. Patients 18 years of age and older, inclusive
  2. Patients who meet the 2013 ACR/EULAR classification criteria for systemic sclerosis;
  3. Patients who are less than 5 years from onset of first non- Raynaud’s Phenomenon symptom attributed to systemic sclerosis

Clinical data collected for CONQUER will be entered into a National Institute of Health (NIH) sponsored RedCap database, which is a secure web-based application designed exclusively to support data capture for research studies.

The Data Coordinating Center (DCC) at the University of Utah School of Medicine will provides data coordination and management services for the CONQUER Registry as it does for a variety of national research networks.

The Biorepository Center at the University of Texas Health Science Center at Houston will provide processing, storage and management services for the biosamples of the CONQUER Registry as it does for a variety of national research networks.

HOW THE CONQUER REGISTRY WORKS

CAN PATIENTS CHOOSE TO WITHDRAW FROM THE CONQUER STUDY IN THE FUTURE AFTER BEING SELECTED TO PARTICIPATE?

Study participants will be allowed to withdraw from the registry at any time. This will not influence their routine care. Data already collected will remain in the database and biosamples already collected will remain in the biorepository.

HOW CAN I LEARN MORE ABOUT THE CONQUER REGISTRY PROJECT?

You may either contact the Scleroderma Research Foundation directly at info@srfcure.org or you may contact one of the participating institutions below.

WHICH INSTITUTIONS ARE PARTICIPATING IN THE CONQUER REGISTRY PROJECT?

The 13 institutions listed below are the sites participating in the CONQUER REGISTRY Project.

We do anticipate that other expert sites will be added over time and are in the process of evaluating such additions now.

WHICH INSTITUTIONS ARE PARTICIPATING IN THE CONQUER REGISTRY PROJECT?

Columbia University, New York
Principal Investigator: Elana Bernstein, MD, MSc
Primary Contact Person: Niki Pradhan, Research Coordinator
np2749@cumc.columbia.edu
212.342.6815

Duke University Medical Center, North Carolina
Principal Investigator and Primary Contact Person: Edna Scarlett, MD
edna.scarlett@duke.edu
919.684.6150

Georgetown University, Washington, D. C.
Principal Investigator: Virginia Steen, MD
Primary Contact Person: Peyton Murray, Research Coordinator
pm1141@georgetown.edu

Hospital for Special Surgery, New York
Principal Investigator: Jessica Gordon, MD
Primary Contact Person: Kaitlin Schultz, Research Assistant
schultzk@hss.edu
212.774.7620

Johns Hopkins University, Maryland
Principal Investigators: Ami Shah, MD and Laura Hummers, MD
Primary Contact Person: Adrianne Woods, Research Coordinator
awoods9@jhmi.edu
410.550.6820

Mass General Hospital, Massachusetts
Principal Investigator: Flavia Castelino, MD
Primary Contact Person: Alexandra Poeschla, Research Coordinator
apoeschla@mgh.harvard.edu
507.923.0814

Mayo Clinic, Minnesota
Principal Investigator: Ashima Makol, MD
Primary Contact Person: Kathleen McCarthy, Research Coordinator
mccarthy-fruin.kathleen@mayo.edu
507.284.4797

Medical University of South Carolina
Principal Investigator: Faye Hant, DO, MSCR
Primary Contact Person: Megan Santilli, Research Coordinator
santilli@musc.edu

Northwestern University, Illinois
Principal Investigator: Chase Correia, MD
Primary Contact Person: Michael Oxendine-Burns, Research Coordinator
michael.oxendine@northwestern.edu
312-503-1120

Stanford University, California
Principal Investigator: Lori Chung, MD, MS
Primary Contact Person: Puneet Kapoor, Research Coordinator
kpuneet@stanford.edu

The University of Texas Health Science Center at Houston
Principal Investigator: Shervin Assassi, MD
Primary Contact Person: Samuel Theodore, Research Coordinator
samuel.theodore@uth.tmc.edu

University of Michigan
Principal Investigator: Dinesh Khanna, MD
Primary Contact Person: Danielle Ochocki, Research Coordinator
dochocki@med.umich.edu

University of California Los Angeles
Principal Investigator: Elizabeth Volkmann, MD, MS
Primary Contact Person: Mia Gutierrez
mvgutierrez@mednet.ucla.edu

University of Minnesota
Principal Investigator: Jerry Molitor, MD
Primary Contact Person: Jennifer Mattson, Research Coordinator
jmattson@umn.edu
612.624.5617

University of Pennsylvania
Principal Investigator: Nora Sandorfi, MD
Primary Contact Person: Sherry Chou, Research Coordinator
sherryxu@pennmedicine.upenn.edu
215.614.4430

University of Utah
Principal Investigator: Tracy Frech, MD
Primary Contact Person: Inge Stijleman, Research Coordinator
inge.stijleman@hsc.utah.edu
801.213.1368

Vanderbilt University Medical Center, Tennessee
Principal Investigator: Tracy Frech, MD
Primary Contact Person: Sara Wood, Research Coordinator
sarah.wood@vumc.org
615.322.3635

WHAT IS THE SCLERODERMA RESEARCH FOUNDATION?

The Scleroderma Research Foundation (“SRF”) is a non-profit, 501(c) (3) organization based in San Francisco. The Scleroderma Research Foundation (SRF) is the nation’s leading nonprofit investor in medical research and its mission is to fund and facilitate the most promising, highest quality research aimed at improved therapies, and ultimately, a cure for scleroderma. In addition to its basic and translational research program, the SRF funds and supports various Scleroderma Centers of Excellence. The SRF has achieved the highest possible rating from Charity Navigator, America’s premier charity evaluator, for sound fiscal management and commitment to accountability and transparency.

WHO ARE THE SPONSORS/FUNDERS OF THE CONQUER REGISTRY PROJECT?

The Scleroderma Research Foundation (“SRF”) is a non-profit, 501(c) (3) is the primary sponsor of the CONQUER Registry and is responsible for the coordination and distribution of support for the participating institutions.

PRIMARY AND COORDINATING SPONSOR

SRF Logo

The SRF has entered into strategic partnerships with several other sponsors that are providing economic and other elements of support to ensure the success of the CONQUER Registry. We gratefully acknowledge the following external sponsors and partners of the CONQUER Registry:

FOUNDING SPONSOR

Boehringer Ingelheim

SILVER SPONSOR

Actelion