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临床试验/EUCTR2018-001678-10-NL
EUCTR2018-001678-10-NL进行中(未招募)1 期

Tofacitinib: salvage therapy for patients with RCDII - a pilot study - TOF-RCDII

VU Medical Center0 个研究点目标入组 5 人开始时间: 2019年2月20日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
5

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Adult patients = 18 years old
  • 2. Given informed consent
  • 3. Diagnosis of RCDII
  • 4. Total adherence to a glutenfree diet for at least 6 consecutive months prior to screening. Subjects must also agree to make no changes to their current GFD for the duration of study participation.
  • 5. Anti-tissue transglutaminase (IgA and IgG) at screening < 2x the diagnostic level for celiac disease (weak positive or negative)
  • 6. In case of female fertile patients: negative serum pregnancy test prior to study enrollment; adequate contraception, up to 4 weeks after final dose.
  • 7. Laboratory values:
  • a) Total WBC > 0.75 x 10^9/L (i.e. > 750/mm3)
  • n) Hemoglobin > 5.5 mmol/L (i.e. 8.86 g/dL)
  • c) Absolute neutrophil count > 1 x 10^9 / L (i.e. > 1000 cells/mm3.)
  • d) Estimated eGFR > 30mL/min/1.73m2 using the Cockcroft-Gault equation.
  • e) Platelets > 50 x 109/L (i.e. 50000/mm3)
  • 8. PET/CT-scan without signs of abnormalities suggestive for EATL within 3 months.
  • 9. Willingness and ability to comply with study procedures.
  • 10. Willingness to return for all scheduled follow-up visits.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 2
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 3

排除标准

  • 1. Diagnosis of RCDI, EATL
  • 2. Presence of any of the following diagnosis:
  • a) Active acute infections, which require systemic treatments (specific attention for treatment with ketoconazol or fluconazole (as well CYP3A4 metabolizers).
  • b) Severe infection prior to screening
  • c) Active tuberculosis (TBC) (as confirmed in PET/CT-scan; chest radiography)
  • d) Untreated or inadequately treated latent TB (as confirmed with a positive IGRA test (QuantiFERON-TB Gold Plus test)).
  • - NB. Subjects are permitted to enroll in study after = 4 months treatment with rifampicine)
  • e) History within 3 years of opportunistic infections typical of those seen in immunocomprised patients, such as systemic candida infection.
  • f) Severe liver insufficiency (Child Pugh Score 10-15)
  • 3. Positive Hep B, Hep C or HIV test results at the time of screening.
  • 4. Vaccination with live, attenuated vaccines (such as varicella zoster vaccine, yellow fever, oral typhoid vaccine) within 2 weeks before start of tofacitinib.
  • 5. History of significant immune suppression:
  • a) BMT therapy less than 6 months prior to baseline
  • b) Potent systemic immune suppressants (e.g., azathioprine, within specified time periods per drug type) prior to baseline.
  • 6. Subjects receiving moderate/potent CYP3A inducers or inhibitors in the specified time periods prior to the first dose of study drug:
  • - Moderate/potent CYP3A inducers, within 28 days of 5 half-lives, whichever is longer, prior to first dose of study drug;
  • - Moderate/potent CYP3A inhibitors, within 7 days or 5 half-lives, whichever is longer, prior to first dose of study drug.
  • i. NB.Topical (including skin or mucous membranes) application of antimicriobial and antifungal medications is permitted.
  • 7. Screening 12-lead ECG that demonstrates clinically relevant abnormalities which may affect subject safety or interpretation of study results.
  • 8. History or presence of clinically significant disease that in the opinion of the investigator would confound the subject’s participation and follow-up in the clinical trial or put the subject at unnecessary risk (e.g. uncontrolled cardiac diseases, uncontrolled/chronic pulmonary, renal, endocrine, hematological, gastrointestinal, immunologic, dermatological, neurological or psychiatric dysfunction).
  • 9. History of drug or alcohol abuse that would interfere with the ability to comply with the study protocol.
  • 10. History of clinically significant hypersensitivity to the study drug or to any of the excipients
  • 11. Females who are pregnant, becoming pregnant or are currently breastfeeding.
  • 12. Participation in any other investigational drug study in the past 30 days/5 half-lives.
  • 13. Any additional reason which would endanger safety of the subject for participation in this study, in the opinion of the investigator.

研究者

发起方
VU Medical Center

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