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临床试验/JPRN-jRCT1091220013
JPRN-jRCT1091220013已完成2 期

A Phase II Study of Inhaled GM-CSF in Patients With Idiopathic Pulmonary Alveolar Proteinosis (iPAP)

Koh Nakata, M.D., Ph.D.Bioscience Medical Research Center (BMRC), Niigata University Medical & Dental Hospital0 个研究点目标入组 40 人开始时间: 2007年8月16日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
40

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
>= 16age old 至 <= 80age old(—)
性别
All

入选标准

  • 1. Male or female patients aged 16 - 80 (on the day of enrollment). Patients aged 16 - 19 must provide a signed consent from parents/guardians.
  • 2. A written consent from the patient or his/her parents/guardians.
  • 3. Able to be hospitalized for a short time.
  • 4. Idiopathic pulmonary alveolar proteinosis with serum anti-GM-CSF autoantibody titer grater than 3 mcg/ml and meets A or B below:
  • A. typical pathological findings (accumulation of PAS-positive proteinaceous materials within the alveoli) on transbronchial lung biopsy or surgical lung biopsy (incl. thoracoscopy lung biopsy)
  • B. bronchoalveolar lavage (BAL) fluid showing features characteristic of iPAP (i.e., opaque appearance, proteinaceous materials, low alveolar macrophage count).
  • 5. Resting Pao2 < 75 mmHg on room air.
  • 6. Diagnosis of PAP
  • 7. Life expectancy longer than 3 months.
  • 8. Confirmed presence of anti-GM-CSF autoantibodies.

排除标准

  • 1. WBC count >/= 12000/mm3
  • 2. Concomitant bronchial asthma.
  • 3. Fever of >/= 38 degrees Celsius.
  • 4. Edema of Grade 2 or more (CTCAE)
  • 5. Myeloid malignancy.
  • 6. Concomitant congestive heart failure (NYHA III - IV), angina, bleeding tendency, primary lung cancer, or metastatic lung cancer that will make assessment of treatment difficult.
  • 7. Concurrent treatment with other cytokines.
  • 8. Pregnant or possibly pregnant women or nursing mothers, and women planning to become pregnant during the study.
  • 9. Whole lung lavage or sequential segmental lung lavage within 6 months prior to the start of treatment.
  • 10. Upper lung lobe fibrosis with a honeycomb pattern or emphysema on x-ray or high-resolution computed tomography (HRCT) scan of the chest performed within 6 months prior to study enrollment.
  • 11. For any reason, is judged by the investigator/co-investigators to be inappropriate for study, including inability to complete the protocol or cooperate with the investigator/co-investigators.
  • 12. History of serious drug allergy.

研究者

发起方
Koh Nakata, M.D., Ph.D.Bioscience Medical Research Center (BMRC), Niigata University Medical & Dental Hospital

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