Use of Azithromycin as Immunomodulatory Therapy in Grave&Apos;s Orbitopathy

NCT ID: NCT01379196

Last Updated: 2017-04-27

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

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to examine the effects of Azithromycin (a macrolide class antibiotic), given three times weekly, for patients with active moderate-severe, non sight-threatening, Graves Orbitopathy.

Indices for follow-up will include:

* Clinical activity score
* Anti-TSH receptor antibody levels
* Thickening of extraocular muscles per ultrasound
* Quality of life score for Graves Orbitopathy patients

Detailed Description

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Graves Orbitopathy (GO) is an autoimmune inflammatory disorder causing visual morbidity, cosmetic morbidity and interference with quality of life. The disease has an inflammatory stage and a non-inflammatory, fibrotic stage.

Treatment of inflammatory stage moderate-severe GO includes steroids, as recommended by the EUGOGO consortium. However, the length of treatment needed and the risk of steroid side-effects may lead to multiple undesired treatment induced morbidity.

Antibiotics of the macrolide group posses known immune-modulatory effects that are separate from their antibacterial mode of action. This mode of action has lead to the routine use of macrolide antibiotics for delaying graft rejection following lung transplants.

We propose to test the effect of this class of antibiotics for non-sight threatening, moderate-severe, inflammatory GO.

Conditions

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Graves Ophthalmopathy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Azithromycin PO three times weekly

Tablets Azithromycin 500 mg PO three times weekly for three months

Group Type EXPERIMENTAL

Azithromycin

Intervention Type DRUG

Tab. Azithromycin 500 mg PO three times weekly for 3 months

Interventions

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Azithromycin

Tab. Azithromycin 500 mg PO three times weekly for 3 months

Intervention Type DRUG

Other Intervention Names

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AZITRO

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of Graves Orbitopathy
* Clinical activity score higher than 2
* Must be able to swallow tablets

Exclusion Criteria

* sight-threatening Graves Orbitopathy
* Diplopia in primary gaze
* Macrolide allergy or intolerance
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rabin Medical Center

OTHER

Sponsor Role lead

Responsible Party

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kalish hadas

Chief, Neuro-Ophthalmology Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hadas Kalish, MD

Role: PRINCIPAL_INVESTIGATOR

Neuro-Ophthalmology Unit, Rabin Medical Center, Petah Tikva 49100 Israel

Other Identifiers

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0427-10-RMC

Identifier Type: -

Identifier Source: org_study_id

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