CONTACTS FOR FURTHER INFORMATION State Coordinators QLD & WA AUSTRALIAN RHEUMATOLOGY ASSOCIATION Lyn March 02 9926 7351 lynmar@med.usyd.edu.au Lyndall Henderson 02 9926 8579 lyndallh@med.usyd.edu.au NSW & ACT Marissa Lassere 02 9350 2139 Marissa.Lassere@sesiahs.health.nsw.gov.au Rosemarie van den Haak 02 9350 2982 Rosemarie.Vandenhaak@sesiahs.health.nsw .gov.au ARAD REGISTRY VIC, SA, TAS & NT Rachelle Buchbinder 03 9508 1652 Rachelle.buchbinder@med.monash.edu.au Lainie Wengier 03 9508 1652 lwengier@cabrini.com.au COMMONLY ASKED QUESTIONS ABOUT THE REGISTRY Currently funded by: NHMRC Enabling Grant With additional funding through Educational Grant to the ARA from: Abbott Australasia Amgen Schering-Plough Pty Ltd Wyeth Q. What is the purpose of ARAD? A. To develop a national database of patients commencing on the biological therapies as well as a group of arthritis patients not taking biologicals Q What will ARAD provide? A. Longitudinal clinical data about the management of arthritis patients. This will be important to ensure that best practice is maintained. Q. What types of patients should be considered for ARAD? A. All patients with rheumatoid arthritis, juvenile arthritis, ankylosing spondylitis and psoriatic arthritis, which are commencing on therapy with a biological. The non-biological group will be collected later. Q What biological therapies are currently available? A. There are 4 at this time Etanercept – Enbrel – Wyeth Infliximab - Remicade – Schering Plough Adalimumab – Humira – Abbott Anakinra - Kineret – Amgen Q. What will the database provide to the rheumatologist? A. The rheumatologist can receive a range of reports including information about the patients that he/she has entered into the registry, through to a summary of de-identified data collected from all patients in the database. Q. How will this data be presented? A. It will be available in report format and as raw data in Excel. Q. What is being asked of the rheumatologist? A. While preparing your documentation for submission to the HIC for reimbursed supply of a biologic, the following actions are requested: Provide information about ARAD to the patient If they are interested in participating ask them to fill out their section of the ‘Permission to contact’ form Fill out the top section on the ‘Permission to contact’ form Fax the ‘Permission to contact’ form to the ARAD Data Management Centre on 1800 022 730 Q. What is the patient being asked to do? A. The patient is asked by the rheumatologist to complete the ‘Permission to contact’ form. After the ‘Permission to contact’ form has been received by ARAD, the state coordinator will contact them and explain further the purpose of the registry. The patient will then be sent a Patient Information and Consent Form and the Baseline questionnaire. Subsequently every 6 months they will be send a follow up questionnaire. Q. What data is being collected from these questionnaires? A. There are a number of sections including: General administrative information. Demographic information Arthritis history Cancer history Other illnesses experienced Treatments history including adverse reactions Health status measures such as HAQ, SF-36, EUROQOL and AQOL Q. Why is it important to collect data before the patient starts on biologic management? A. This data provides a comparison of the changes of the health outcomes of the patient when treated with biologics compared to before they were introduced. This applies to the efficacy, safety and quality of life outcomes. Q. What about patients that have already started on biologics? A. It is important to collect data from whatever point in the therapy so that long term outcome data can be collected. Q What happens when a patient changes from one biologic to another? A. This data needs to be captured and the reasons for the change provided. Continued collection of the patient data is then requested. Q. What happens if they stop taking biologic medications? A. It is still important that the ARAD registry continue to collect that patient’s longer-term health outcome data. The continued follow up data will provide important information. ARAD will continue to follow up patients for as long as they agree. Q. What if the patient does not qualify for biologic therapy when submitted to the HIC? A. These patients are still eligible to be included in the ARAD registry. They will form part of the control group. Q. Who will have access to the patient contact details? A. The paperwork that you provide will be sent to the ARAD state co-ordinators. Only the state co-ordinators have contact with the patient. Q. What security is in place to protect the data collected from patient questionnaires? A. All patients are allocated with a unique project number. All data containing patient names, contact details and clinical information are kept in a password protected database and accessible only by the ARAD co-ordinator and chief investigator. Q. What if I need to ask more questions? A. Please feel free to contact your state ARAD co-ordinator as listed on the back of this document. Q. Do you have any information that I can give to my patient’s when discussing this project? A. Yes, there is a patient information brochure. This is available on the ARA website or from your ARAD state coordinator. Q. What role do the pharmaceutical companies have with respect to this registry? A. Four companies have provided untied educational grants for this project. While advice is being sought from the companies that have provided this support, there is no obligation on behalf of the ARA to follow any suggestion made. Similarly no data will be provided to the companies that will in any way compromise the confidentiality of the providers of the data to the registry. No identifiable individual patient or doctor data will be released.