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临床试验/PACTR201912487382180
PACTR201912487382180已完成未知

Azathioprine use in remission of patients with severe Graves' Disease

Alexandria University0 个研究点目标入组 163 人开始时间: 2019年12月12日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
入组人数
163

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
13 Year(s) 至 18 Year(s)(—)
性别
All

入选标准

  • a.Aged 18-75 years.
  • b.Interested and willing to participate in the study.
  • c.newly diagnosed Graves' disease with severe hyperthyroidism and do not be treated with anti-thyroid medications.
  • Severe hyperthyroidism was defined in patients who have one or more of the following items:
  • Those who are extremely symptomatic especially with heart rate?>?120 b/min, got hyperthyroid heart disease, or loss of weight?>?10?kg,
  • patients who have free T4 or free T3 estimates 2–3 times the upper limit of normal. (FT4 = 3.6 ng/dL,or FT3 = 8.4 pg/mL, respectively)
  • d.If a female in the childbearing period must:
  • i.neither be pregnant nor breastfeeding nor attempting to conceive.
  • ii.use a highly effective method of contraception throughout the entire duration of the study and for at least 90 days after the last dose of azathioprine.
  • iii.A serum pregnancy test will be performed at the first screening visit.

排除标准

  • a-End stage diseases.
  • b-Live vaccines within the past 3 months
  • c-Haemoglobin concentration < 12 g/dl ; platelet count < 130 × 109/L. White cell count below the local laboratory's reference range; Lymphocyte count < 0.8 × 109/L
  • d-Known history of active or chronic infectious disease or any disease which compromises immune function (e.g. HIV+, HTLV-1, Latent or active TB, Hepatitis).
  • e-A known history of hypersensitivity reactions to Aza.
  • f-Signs of moderate or severe orbitopathy including optic nerve compression requiring steroids and/or a clinical activity score >3.
  • g-Treatment with steroids (administered via the oral and/or parenteral routes) or adrenocorticotropic hormone with the exception of inhaled steroids within the three months prior to Study Day 1.
  • h-Patients require urgent treatment of thyrotoxicosis.
  • i.Significant cardiac disease and/or atrial fibrillation
  • ii.Symptoms and signs of thyroid storm.
  • iii.Large and compressive goiters causing localized symptoms such as difficulty swallowing or breathing
  • i-The use of azathioprine, or participation in any Clinical Trial within three months prior to Study Day 1.
  • j-Treatment with any cytokine or anti-cytokine therapy within three months prior to Study Day 1.
  • k-Inadequate liver function, defined by total bilirubin, aspartate aminotransferase (AST), alanine aminotransferase
  • (ALT) or alkaline phosphatase > 3 times the upper limit of the normal values at the screening visit.
  • l-Subject with any significant medical illness or psychiatric condition would preclude participation in the study or impair the ability to give informed consent; any other clinically apparent autoimmune disease.
  • M- pregnant or lactating females. Also, females attempting to conceive will be excluded

研究者

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