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A randomised clinical trial of mycophenolate mofetil versus cyclophosphamide for remission induction in ANCA associated vasculitis - MYCYC

Phase 1
Conditions
Anti neutrophil cytoplasmic antibody (ANCA) associated vasculitis
MedDRA version: 9.1Level: LLTClassification code 10047115Term: Vasculitis
Registration Number
EUCTR2006-001663-33-CZ
Lead Sponsor
Cambridge University Hospitals NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
140
Inclusion Criteria

Inclusion (requires all)
i)New diagnosis of AASV (WG or MPA) (within the previous six months)
ii)Active disease (defined by at least one major or three minor BVAS 2003 items, see appendix 1)
iii)ANCA positivity (c-ANCA and PR3-ANCA or p-ANCA and MPO-ANCA) or histology confirming active vasculitis from any organ (see appendix )
iv)Written informed consent

Are the trial subjects under 18? yes
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

Exclusion Criteria

Exclusion
i)Previous treatment with:
(1)MMF: more than two weeks ever.
(2)Cyclophosphamide: more than two weeks daily oral or more than 1 pulse of IV CYC (15mg/kg)
(3)Rituximab or high dose intravenous immunoglobulin within the last twelve months
ii)Active infection (including hepatitis B, C, HIV and tuberculosis).
iii)Known hypersensitivity to MMF, AZA or CYC.
iv)Cancer or an individual history of cancer (other than resected basal cell skin carcinoma).
v)Females who are pregnant, breast feeding, or at risk of pregnancy and not using a medically acceptable form of contraception.
vi)Any condition judged by the investigator that would cause the study to be detrimental to the patient.
vii)Any other multi-system autoimmune disease including Churg Strauss angiitis, SLE, anti GBM disease and cryoglobulinaemia.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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