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临床试验/NCT04376528
NCT04376528Unknown4 期

Mycophenolate Mofetil Versus Cyclosporin A in the Treatment of Primary Biliary Cholangitis-autoimmune Hepatitis Overlap Syndrome Duo to Nonresponse to Standard Therapy

West China Hospital1 个研究点 分布在 1 个国家目标入组 89 人开始时间: 2021年6月16日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
入组人数
89
试验地点
1
主要终点
Biochemical remission

研究概览

简要总结

Biochemical response of primary biliary cholangitis-autoimmune hepatitis overlap syndrome induced by mycophenolate mofetil versus cyclosporin A

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients aged 18-70 years;
  • Diagnosed with PBC-AIH overlap syndrome according to Paris criteria;
  • Patients have a nonresponse to azathioprine;
  • The WBC count ≥2.5x10^9/L and platelet count ≥50x10^9/L.
  • Agreed to participate in the trial, and assigned informed consent;

排除标准

  • The presence of hepatitis A, B, C, D, or E virus infection;
  • Patients with presence of serious decompensated cirrhosis;
  • Patients have a history of glucocorticoid or immunosuppressant medication before enrollment;
  • Liver damage caused by other reasons: such as primary sclerosing cholangitis, non-alcoholic steatohepatitis, drug induced liver disease or Wilson's disease.
  • Pregnant and breeding women and women of childbearing age in need of reproduction
  • Severe disorders of other vital organs, such as severe heart failure, cancer;
  • Patients with presence of renal insufficiency;
  • Parenteral administration of blood or blood products within 6 months before screening;
  • Recent treatment with drugs having known liver toxicity;
  • Taken part in other clinic trials within 6 months before enrollment.
  • Patients who are allergic to these drugs;
  • Uncontrolled infection and hypertension ;

研究组 & 干预措施

Cyclosporin A

Experimental

干预措施: Cyclosporin A (Drug)

Mycophenolate Mofetil

Active Comparator

干预措施: Mycophenolate Mofetil (Drug)

结局指标

主要结局

Biochemical remission

时间窗: up to 6 months

The percentage of patients in biochemical remission, defined as normalization of serum ALT and IgG levels after 24 weeks of treatment, per treatment group.

次要结局

  • Partial remission(up to 6 months)
  • Minimal response(up to 6 months)
  • Treatment failure(up to 6 months)
  • Changes in liver stiffness(up to 6 months)
  • Side-effects(up to 6 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Li Yang

Professor

West China Hospital

研究点 (1)

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