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临床试验/EUCTR2010-024152-29-DE
EUCTR2010-024152-29-DE进行中(未招募)1 期

Canakinumab for Behçet`s Disease Resistant to Standard Treatment(CanBeDisT) - CanBeDisT

niversity Hospital of Tübingen0 个研究点目标入组 10 人开始时间: 2011年6月21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
10

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

  • Patients with BD fulfilling the international study group criteria (ISBD) from 1990 with active disease defined as BDCAF >3 and/or posterior uveitis score >2
  • Treatment resistant to standard treatment according to EULAR guidelines (colchicine, azathioprine, methotrexate (plus glucocorticosteroids), in case of ocular disease also TNF-antagonists or interferon-alpha.
  • Age = 18 years = 65 years
  • Capable of understanding the purposes and risks of the study, able to give informed consent and to comply with the study requirements
  • Women of childbearing age must have a negative urine pregnancy test (UPT) within 48 hours prior to starting study drug and at the end of the trial and must not be lactating.
  • Female subjects of non-childbearing potential must meet at least one of the
  • following criteria:
  • Postmenopausal females, defined as:
  • Females over the age of 60 years.
  • Females who are 45 to 60 years of age must be amenorrhoic for at least 2 years.
  • Females who had a hysterectomy and/or bilateral oophorectomy.
  • Protocol: CanBeDisT Version 1.0 29.04.2011
  • Subjects of both genders with reproductive potential who are sexually active
  • agree to use contraception throughout the course of the study and for at least
  • 3 months after completion of their study participation.
  • Women of childbearing potential have to use a highly effective method of birth control defined as one which results in a low failure rate (i.e. less than 1% per year) when used consistently and correctly, such as implants, injectables, combined oral contraceptives, hormonal IUDs combined with barrier methods (e.g. condom, diaphragm or spermicide), sexual abstinence or vasectomised partner.
  • Negative PPD or Quantiferon test and uneventful chest X ray from last 12
  • months (negative for tuberculosis)
  • Negative serology for HIV, hepatitis ABC
  • Prior Medication:
  • Patients with non-ocular, non-severe disease (mucocutaneuous, arthritis,
  • thrombophlebitis) must have had colchicine and/or azathioprine without
  • sufficient efficacy before entering the study.
  • Patients with ocular BD must have been treated at least with azathioprine,
  • and/or cyclosporin A plus glucocorticosteroids without effect before entering
  • the study. Interferon-alpha and TNF antagonists may have also been
  • ineffective before entering the study.
  • 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
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Patients under 18 years
  • Severe, life threatening BD manifestations (pulmonary arterial aneurysms,
  • Female patients not willing to use contraceptives
  • Signs of tuberculosis in chest x-ray during the past 12 months before study
  • Hemoglobin < 8 g/dl, WBC < 3000/ul, platelet count < 100.000/ul, GFR/MDRD
  • < 50 ml/min/1,73m2, AST/ALT > 2x upper normal limit, alkaline phosphatase >
  • 2x upper normal limit
  • Known HIV antibody, hepatitis B surface antigen, and/or hepatitis C antibody
  • History of malignancy within 5 years prior to study entry other than carcinoma
  • in situ of the cervix, or adequately treated, non-metastatic squamous or basal
  • cell carcinoma of the skin
  • History of severe allergic reaction to humanized or murine monoclonal
  • Fever or infection requiring antibiotic treatment within 3 weeks prior to
  • screening, history of recurrent infection or predisposition to infections
  • Immunodeficiency
  • Demyelinating disease
  • Known presence or suspicion of active or recurrent bacterial, fungal or viral
  • infection at the time of enrollment, where an IL-1 blocker might have an impact
  • on underlying severe immunocompromising diseases as e.g. evidence of
  • Human Immunodeficiency Virus (HIV) infection, Hepatitis B and Hepatitis C
  • infections (based on history and/or clinical findings).
  • One of the risk factors for TB such as but not limited or exclusive to:
  • a. History of any of the following: residence in a congregate setting (e.g.
  • jail or prison, homeless shelter, or chronic care facility), substance
  • abuse (e.g. injection or noninjection); health-care workers with
  • unprotected exposure to patients who are at high risk of TB or patients
  • with TB disease before the identification and correct airborne
  • precautions of the patient, or
  • b. Close contact (i.e. share the same air space in a household or other
  • enclosed environment for a prolonged period (days or weeks, not
  • minutes or hours)) with a person with active pulmonary TB disease
  • within the last 12 months.
  • History of ongoing, chronic or recurrent infectious disease or evidence of
  • tuberculosis infection determined as defined by local guidelines/ local medical
  • practice. If presence of tuberculosis is established then treatment (according
  • to local guidelines) must have been completed prior to randomization.
  • Significant medical problems, including but not limited to the following:
  • uncontrolled hypertension (= 200/105 mmHg), congestive heart failure [New
  • York Heart Association Stage D], uncontrolled diabetes type I and II (recent
  • blood glucose > 300 mg/dl), thyroid disease (unless the patient is taking a
  • stable dose of thyroid hormone or anti-thyroid medications (hyperthyroidism)
  • for at least 12 weeks), which in the opinion of the Investigator will exclude the
  • patient from the study (can be discussed on a case by case basis with
  • Life vaccine within 3 months prior to screening. Live seasonal flu /H1N1
  • vaccines are permitted > 2 weeks prior to screening
  • Major surgery within 4 weeks prior to week 1 (injection of canakinumab)
  • Participation in an investigational drug trial within 4 weeks prior to screening
  • Presence of absolute contraindications for canakinumab as mentioned in the
  • product information (Appendix 1)
  • Presence of relative contraindications for canakinumab as mentioned in the
  • 另有 2 项未显示

研究者

发起方
niversity Hospital of Tübingen

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