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临床试验/EUCTR2019-002470-32-IT
EUCTR2019-002470-32-IT进行中(未招募)1 期

Ew Clinical End-points in patients with primary Sjögren's Syndrome (pSS): an Interventional Trial based on stratifYing patients - NECESSITY

ASSITANCE PUBLIQUE DES HOPITAUX DE PARIS0 个研究点目标入组 300 人开始时间: 2022年1月27日最近更新:
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
300

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

  • - Having given written informed consent prior to undertaking any studyrelated procedures.
  • - Patients with pSS according to ACR/EULAR 2016 criteria or AECG 2002 criteria
  • - With a high level of symptoms (ESSPRI = 5) and low systemic disease activity (ESSDAI < 5).
  • - Negative pregnancy test (serum at screening)
  • - Use highly reliable contraception (as defined in section 6.3) during research treatment from the screening and for two years after stopping treatment.
  • - Having given written informed consent prior to undertaking any studyrelated procedures.
  • - Patients with pSS according to ACR/EULAR 2016 criteria or AECG 2002 criteria.
  • - With moderate/high systemic disease activity, as defined by ESSDAI = 5.
  • - Negative pregnancy test (serum at screening)
  • - Use highly reliable contraception (as defined in section 6.3) during research treatment from the screening and for two years after stopping treatment.
  • 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 250
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 50

排除标准

  • For both cohorts:
  • - Age < 18 years
  • - Pregnant or breastfeeding women or women wanted to conceive either during or within two years after the end of the treatment period
  • - Women of childbearing potential not using highly effective methods of contraception (as defined in section 6.3)
  • - Participation in another interventional trial
  • - Contra-indication to HCQ: pre-existing retinopathy, hypersensitivity to HCQ or to any of the excipients of the specialty used
  • - Contra-indication to MMF: hypersensitivity to mycophenolate mofetil, acid mycophenolic, mycophenolate sodium or to any of the excipients of the specialty used
  • - Contra-indication tor LEF: hypersensitivity to the active substance, the main active metabolite teriflunomide or to any excipients of the specialty used.
  • - Concomitant treatment with corticosteroids more than 10 mg/day of prednisone equivalent at screening or inclusion (randomisation)
  • - Concomitant treatment with other immunomodulators including methotrexate, azathioprine, cyclophosphamide, cyclosporine and tacrolimus
  • - Previous treatment with HCQ, LEF, MMF in the last 3 months
  • - Previous treatment with rituximab, other B-cell targeted biologic therapy or cyclophosphamide in the last 6 months
  • - Previous treatment with anti-TNF, abatacept, tocilizumab or belimumab or any other biologic in the setting of a past clinical trial in the last 3 months
  • - Severe life-threatening systemic involvement requiring cyclophosphamide or high dose corticosteroids, or any drug considered as an exclusion criteria
  • - Impairment of other severe immunodeficiency states
  • - Patients with active malignancy or history of malignancy within the last 5 years except non-melanoma skin cancer
  • - Patients with history of gastrointestinal tract ulceration, hemorrhage and perforation
  • - Patients with history of cardiomyopathy
  • - Patients with known hereditary deficiency of hypoxanthine-guanine phosphoribosyl-transferase (HGPRT) such as Lesch-Nyhan and Kelley-Seegmiller syndrome
  • - Serious infection in the past month
  • - Evidence of active tuberculosis infection
  • - Active HCV (positive PCR)
  • - Active HBV infection (positivity for HBS antigen, or positivity for anti-HBC antibody without any HBS antigen)
  • - HIV infection (positive serology)
  • - Positive SARS-Cov2 PCR (if vaccinated for COVID-19, no PCR is required; if history of COVID-19 infection, positive serology is sufficient)
  • - Cytopenia defined as neutrophils < 1.0 G/L, lymphocytes < 0.5 G/L, Hb < 10 g/dl or platelets < 100 G/L
  • - Moderate to severe renal insufficiency (GFR < 30 ml/min)
  • - Severe hypogammaglobulinemia defined as gamma globulins or IgG < 5 g/l
  • - Reduced hepatic function: AST or ALT > 2x ULN (re-testing is allowed, see section 5.10)
  • - Prolonged ECG's corrected QT interval (>500 ms)
  • - Known history of maculopathy
  • - Patients will be informed of the risk of alcohol consumption and will be recommended to avoid alcohol during the entire study
  • - Not affiliated to a social security regime (specific for France)

研究者

发起方
ASSITANCE PUBLIQUE DES HOPITAUX DE PARIS

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