A Prospective, Randomized Trial of Intravenous Pulse Versus Sequential Steroid Therapy for Patients With Graves' Orbitopathy
A Randomized Trial of Intravenous Pulse Versus Sequential Steroid Therapy for Patients With Graves' Orbitopathy
1 other identifier
interventional
70
1 country
1
Brief Summary
This study was designed to compare the efficacy and safety of 4.5g iv MP administered in 12 weeks and 4 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jan 2010
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 21, 2013
CompletedFirst Posted
Study publicly available on registry
October 24, 2013
CompletedOctober 24, 2013
October 1, 2013
3.8 years
October 21, 2013
October 21, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
response rate
3 months
Secondary Outcomes (1)
change of CAS, adverse effects and retreat
3 months
Study Arms (2)
methylprednisolone
ACTIVE COMPARATORintravenous MP: 0.5g weekly for six weeks followed by 0.25g weekly for six weeks
methylprednisolone plus prednisone
ACTIVE COMPARATORintravenous MP 0.5g daily for three days per week, twice, followed by 0.25g daily for three days per week, twice, and followed by tapering oral prednisone (starting with 60mg/d, then10 mg less/week than each previous week for the next 3 weeks, then20mg/week at the 5th week followed with 5mg less/week than each previous week for the next 3 weeks)
Interventions
Eligibility Criteria
You may qualify if:
- Patients should meet the criteria of either a or b and together with c, d and e to include into the study.
- a. Lid retraction with any one of the following: i) Thyroid dysfunction ii) Proptosis iii) Optic nerve involvement iv) Extraocular muscle involvement b. Thyroid dysfunction with any one of the following: i) Proptosis ii) Optic nerve involvement iii) Extraocular muscle involvement c. Exclude cases with such ophthalmological signs caused by other diseases. d. Moderate to severe patients defined by EUGOGO. e. Clinical activity score (CAS)≥3/7 f. Normal function of heart, liver and kidney.
You may not qualify if:
- Orbital decompression surgery needed immediately
- History of chronic recurrent or active infection
- History of peptic ulcer
- Patients with a history of chronic liver disease or liver disorders; ALT or AST above 2.5 times upper limit of normal
- History of HIV, hepatitis C or hepatitis B Positive
- Cardiovascular or cerebrovascular disease clinically significant
- Uncontrolled diabetes mellitus
- Pregnant patient or patient who is planning to become pregnant during the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ruijin Hospitallead
Study Sites (1)
Shanghai Institute of Endocrine and Metabolic Diseases Department of Endocrine and Metabolic Diseases, Ruijin Hospital
Shanghai, Shanghai Municipality, 200025, China
Related Publications (1)
Zhu W, Ye L, Shen L, Jiao Q, Huang F, Han R, Zhang X, Wang S, Wang W, Ning G. A prospective, randomized trial of intravenous glucocorticoids therapy with different protocols for patients with graves' ophthalmopathy. J Clin Endocrinol Metab. 2014 Jun;99(6):1999-2007. doi: 10.1210/jc.2013-3919. Epub 2014 Feb 28.
PMID: 24606088DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Attending
Study Record Dates
First Submitted
October 21, 2013
First Posted
October 24, 2013
Study Start
January 1, 2010
Primary Completion
October 1, 2013
Study Completion
October 1, 2013
Last Updated
October 24, 2013
Record last verified: 2013-10