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临床试验/EUCTR2017-002511-34-GB
EUCTR2017-002511-34-GB进行中(未招募)1 期

Intravenous immunoglobulin and intravenous methylprednisolone as optimal induction treatment in CIDP - OPTIC Trial

Academic Medical Centre, Amsterdam,0 个研究点目标入组 96 人开始时间: 2019年11月8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
96

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) Probable or definite CIDP according to the EFNS/PNS criteria 2010 (all CIDP phenotypes).
  • 2) Age = 18 years.
  • 3a) Treatment naïve patients (no previous immune treatment for CIDP); or
  • 3b) Previously immune-treated patients who have a relapse after a remission of at least 1 year; or
  • 3c) Patients treated with subjective or objective improvement after a single loading course of IVIg in the last 3 months, and subsequent deterioration as judged by their treating physician.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 45
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 10

排除标准

  • 1) Presence of IgM paraproteinemia, anti-MAG antibodies or CIDP-specific antibodies associated with poor treatment response to IVIg.
  • 2) Use of drugs associated with a demyelinating neuropathy.
  • 3) Use of any immunosuppressive or immunomodulatory drugs in previous 6 months (except for a single loading dose of IVIg within 3 months or low dose prednisolone (20 mg or less) during a short period (maximum duration of two weeks).
  • 4) Known serious adverse events with previous IVIg or corticosteroid treatment.
  • 5) One of more of the risk factors associated with increased risk of adverse events of IVIg or IVMP or conditions that could lead to unblinding of treatment (i.e. diabetes; IgA deficiency; gastric ulcers; psychosis; severe hypertension (180/110 mmHg or more on repeated measurements); hypocalcaemia (lower than 2.20 mmol/L, corrected for albumin); moderate or severe heart failure; severe cardiovascular disease (i.e. more than one myocardial infarction and or ischemic stroke); renal failure (glomerular filtration rate < 30 ml/min).
  • 6) History of osteoporosis or osteoporotic fractures.
  • 7) Known active malignancy, currently treated with chemotherapy or immunomodulatory drugs, or with a life expectancy of less than 1 year. .
  • 8) Bodyweight more than 120 kg.
  • 9) Pregnancy or nursing mother; intention to become pregnant during the course of the study; female patients of childbearing potential (from menarche until 1 year after the last period, surgical menopause or sterilization procedure) either not using or not willing to use a medically reliable method of contraception for the entire duration of the study.
  • 10) Known cataract or cataract obvious on fundoscopy.
  • 11) Current psychosis or past history of psychosis.
  • 12) Poor dental status.
  • 13) Known pulmonary embolism or other deep venous thrombosis in patient’s medical history, without current anticoagulant therapy.
  • 14) Patient lacking capacity to consent to enter the trial.
  • 15) Lack of written informed consent

研究者

发起方
Academic Medical Centre, Amsterdam,

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