Study of Nicotine Patches in Patients With Sarcoidosis
Modulation of Pulmonary Sarcoidosis by Nicotinic Acetylcholine Receptors
2 other identifiers
interventional
64
1 country
1
Brief Summary
The purpose of this study is to compare peoples with disease (sarcoidosis) to those without disease. We want to see if people with sarcoidosis have a different immune response to those people without disease. The goal of this study is to see if the nicotine patch is an anti-inflammatory treatment for sarcoidosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for early_phase_1
Started Jul 2008
Typical duration for early_phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 17, 2008
CompletedFirst Posted
Study publicly available on registry
June 19, 2008
CompletedStudy Start
First participant enrolled
July 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2010
CompletedNovember 8, 2021
November 1, 2021
2.5 years
June 17, 2008
November 1, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To determine if nicotine treatment reduces lung inflammation.
Normalization of immune response
3 months
Secondary Outcomes (1)
To determine if expression of α7 nAChR on monocytes/macrophages derived from the blood/lungs correlates with the severity of pulmonary sarcoidosis.
3 months
Study Arms (3)
2.
NO INTERVENTIONcontrol group-no intervention
3
NO INTERVENTIONHealthy control group-blood and sputum samples
1.
EXPERIMENTALnicotine patch; transdermal patch 7mg, 14 mg., 21 mg. 3 months
Interventions
Eligibility Criteria
You may qualify if:
- Symptomatic (active) granulomatous lung disease (radiographic stage II or III disease) at least 6 months after the diagnosis. This selects patients that have the chronically active variant of sarcoidosis and will likely require long-term treatment (33).
You may not qualify if:
- Active smokers,
- Previous splenectomy,
- Those requiring high-dose immunosuppression \[i.e., ≥ 0.2 mg/kg/day prednisone (or equivalent) or \> 10 mg/week methotrexate or requires second line cytolytic agents (e.g., cyclophosphamide, azathioprine) or anti-TNF treatments (e.g., thalidomide, anti-TNF antibodies, etc.)\] to control disease activity.
- We will also exclude patients at high risk of complications relating to the use of nicotine. This will include patients with a known intolerance of nicotine or those with active cardiac or central nervous system disease who are at higher risk of cardiac arrhythmias or seizures.
- We will also exclude patients with extensive pulmonary fibrosis based upon lung biopsy or high resolution CT scan criterion
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Elliott Crouser MDlead
- American Thoracic Societycollaborator
Study Sites (1)
The Ohio State University
Columbus, Ohio, 43210, United States
Related Publications (1)
Julian MW, Shao G, Schlesinger LS, Huang Q, Cosmar DG, Bhatt NY, Culver DA, Baughman RP, Wood KL, Crouser ED. Nicotine treatment improves Toll-like receptor 2 and Toll-like receptor 9 responsiveness in active pulmonary sarcoidosis. Chest. 2013 Feb 1;143(2):461-470. doi: 10.1378/chest.12-0383.
PMID: 22878868BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elliott D. Crouser, M.D.
Ohio State University
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Medical Director, Intensive Care Unit, UHE
Study Record Dates
First Submitted
June 17, 2008
First Posted
June 19, 2008
Study Start
July 1, 2008
Primary Completion
December 31, 2010
Study Completion
December 31, 2010
Last Updated
November 8, 2021
Record last verified: 2021-11