Etanercept: Single Blind Control Study in Ocular Manifestations of Behcet's Disease

NCT ID: NCT00931957

Last Updated: 2010-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2013-10-31

Brief Summary

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The purpose of this study is to find if Etanercept can improve the outcome of ocular lesions of Behcet's Disease treated with Methotrexate and Prednisolone

Detailed Description

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To test in a randomized single blind control trial the efficacy of Etanercept in patients with posterior uveitis and/or retinal vasculitis of Behcet's disease treated with Methotrexate and prednisolone

Conditions

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Behcet Syndrome Uveal Disease

Keywords

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Etanercept Behcet's syndrome Behcet's Disease Ocular Lesions Uveitis Retinal Vasculitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Etanercept-MTX-Prednisolone

Methotrexate + Prednisolone + Etanercept

Group Type ACTIVE_COMPARATOR

Etanercept, Methotrexate, Prednisolone

Intervention Type DRUG

In: Arm A, Etanercept-MTX-Prednisolone:

Etanercept 50 mg weekly (subcutaneous injection) for 12 months. Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.

In Arm B:

Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.

B, MTX-Prednisolone

Methotrexate + Prednisolone

Group Type OTHER

Etanercept, Methotrexate, Prednisolone

Intervention Type DRUG

In: Arm A, Etanercept-MTX-Prednisolone:

Etanercept 50 mg weekly (subcutaneous injection) for 12 months. Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.

In Arm B:

Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.

Interventions

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Etanercept, Methotrexate, Prednisolone

In: Arm A, Etanercept-MTX-Prednisolone:

Etanercept 50 mg weekly (subcutaneous injection) for 12 months. Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.

In Arm B:

Methotrexate 15 mg weekly for 12 months. Prednisolone: 30 mg daily, in divided doses, as initial dose. The dose will be reduced and adjusted to the eye's inflammation. Discontinuation if no inflammation with very low doses.

Intervention Type DRUG

Other Intervention Names

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Enbrel

Eligibility Criteria

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Inclusion Criteria

* Behcet's Disease according to the International Criteria for Behcet's disease (ICBD)
* Active posterior uveitis and/or retinal vasculitis

Exclusion Criteria

* Visual acuity inferior to 1/10 on Snellen chart
* Being under cytotoxic drugs or having received them in the past 2 months
* Not being able to follow the one year treatment and the regular follow ups
Minimum Eligible Age

16 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wyeth is now a wholly owned subsidiary of Pfizer

INDUSTRY

Sponsor Role collaborator

Tehran University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Rheumatology Research Center, Tehran University for Medical Sciences

Principal Investigators

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Fereydoun Davatchi, MD

Role: STUDY_CHAIR

Rheumatology Research Center, Medical Sciences/University of Teheran

Locations

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Rheumatology Research Center, Behcet's Disease Unit (Shariati Hospital)

Tehran, , Iran

Site Status RECRUITING

Countries

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Iran

Central Contacts

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Fereydoun Davatchi, MD

Role: CONTACT

Phone: (98-21) 8802-6956

Email: [email protected]

Bahar Sadeghi, MD

Role: CONTACT

Phone: (98-21) 8820-6956

Email: [email protected]

Facility Contacts

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Fereydoun Davatchi, MD

Role: primary

Bahar Sadeghi, MD

Role: backup

References

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Melikoglu M, Ozvazgan y Fresko I et al. The response of treatment resistant uveitis in Behcet's syndrome (BS) to a TNF-α blocker, Etanercept: an open study. Arthritis Rheum 2002; 46: S181, (Abstract) 400

Reference Type BACKGROUND

Davatchi F, Shahram F, Chams H, Jamshidi AR, Nadji A, Chams C, Akbarian M, Gharibdoost F. High dose methotrexate for ocular lesions of Behcet's disease. Preliminary short-term results. Adv Exp Med Biol. 2003;528:579-84. doi: 10.1007/0-306-48382-3_118. No abstract available.

Reference Type BACKGROUND
PMID: 12918769 (View on PubMed)

Davatchi F. New and innovative therapies for Behcet's Disease. APLAR Journal of Rheumatology 2004; 7: 141-145

Reference Type BACKGROUND

Davatchi F, Shams H, Nadji A, Jamshidi AR, Akhlaghi M, Sadeghi Abdollahi B, Ziaie N, Akbarian M, Gharibdoost F. Management of ocular manifestations of Behcet's Disease: outcome with cytotoxic drugs. APLAR Journal of Rheumatology 2005; 8: 119-123

Reference Type BACKGROUND

Related Links

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http://rrc.tums.ac.ir/

Rheumatology Research Center, Medical Sciences/University of Tehran

Other Identifiers

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860241-5807

Identifier Type: -

Identifier Source: org_study_id