Unique ID issued by UMIN | UMIN000035865 |
---|---|
Receipt number | R000040854 |
Scientific Title | Optimal regimens of glucocorticoids tapering for remission induction therapy in patients with severe systemic lupus erythematosus : multi-center randomized open label trial |
Date of disclosure of the study information | 2019/02/13 |
Last modified on | 2020/02/19 08:34:34 |
Optimal regimens of glucocorticoids tapering for remission induction therapy in patients with severe systemic lupus erythematosus : multi-center randomized open label trial
Optimal regimens of glucocorticoids tapering in patients with systemic lupus erythematosus
Optimal regimens of glucocorticoids tapering for remission induction therapy in patients with severe systemic lupus erythematosus : multi-center randomized open label trial
Optimal regimens of glucocorticoids tapering in patients with systemic lupus erythematosus
Japan |
systemic lupus erythematosus
Clinical immunology |
Others
NO
In patients with severe SLE, noninferiority is examined by comparing the relapse-free survival rate of the corticosteroid rapidly decreasing group and the conventional therapy group.
Safety,Efficacy
Relapse free survival rate at week 52.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Dose comparison
2
Treatment
Medicine |
Dose of glucocorticoids.
Rapid tapering group
After continuing the initial dose for 2 to 4 weeks, weigh down every 1 week according to the following dose
60 mg, 50 mg, 45 mg, 40 mg, 35 mg, 30 mg,
(Tapering every week, continuation of hospitalization, subsequent doses are exclusive to outpatient physician)
Conventional therapy group
Initial dose is continued for 2 to 4 weeks and then reduced every 2 weeks according to the following dose
60 mg, 50 mg, 45 mg, 40 mg, (Tapering every 2 weeks, be sure to continue hospitalization)
37.5 mg, 35 mg, 32.5 mg, 30 mg, (Tapering every 4 weeks, subsequent doses are exclusive to outpatient physician)
20 | years-old | <= |
Not applicable |
Male and Female
1) Patients over 20 years old
2) Patients who got consent in writing
3) Patients who met SLE classification criteria or SLICC classification criteria of the American College of Rheumatology 1997 and were diagnosed with SLE in 1997
4) In principle, a combination of immunosuppressive drugs receiving medicine of corticosteroid at a dose of 0.5 mg / kg / day or more and 40 mg / day in terms of prednisolone is used but patients with or without interruption due to side effects etc.
1) Persons who did not obtain consent
2) Patients with poorly controlled complications
3) Pregnant or lactating women
4) Male and female with pregnancy plan within 52 weeks
100
1st name | Naoto |
Middle name | |
Last name | Tamura |
Juntendo University
Department of Internal Medicine and Rheumatology
1130033
2-1-1, Hongo, Bunkyo-Ku, Tokyo, Japan
03-3813-3111
tnaoto@juntendo.ac.jp
1st name | Yoshiyuki |
Middle name | |
Last name | Abe |
Juntendo University
Department of Internal Medicine and Rheumatology
1130033
2-1-1, Hongo, Bunkyo-Ku, Tokyo, Japan
03-3813-3111
yo-abe@juntendo.ac.jp
Juntendo University
None
Self funding
Juntendo University
2-1-1, Hongo, Bunkyo-Ku, Tokyo
0338133111
kenkyu5858@juntendo.ac.jp
NO
2019 | Year | 02 | Month | 13 | Day |
Unpublished
44
Terminated
2019 | Year | 01 | Month | 07 | Day |
2019 | Year | 01 | Month | 09 | Day |
2019 | Year | 02 | Month | 13 | Day |
2024 | Year | 09 | Month | 30 | Day |
Transition to jRCT.(jRCT1031180196)
2019 | Year | 02 | Month | 13 | Day |
2020 | Year | 02 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040854