Low-dose Dexamethasone in Newly Diagnosed Pulmonary Sarcoidosis

NCT ID: NCT01920919

Last Updated: 2014-11-19

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

PHASE3

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Brief Summary

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This trial examines whether low grade suppression of the initial inflammatory process of sarcoidosis by intervention with low-dose dexamethasone therapy achieves significant alleviation of (sub-)acute symptoms, improvement in quality of life, increase in work productivity, and whether this intervention prevents disease progression and reduces total health-care costs.

Detailed Description

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The orphan disease sarcoidosis causes a major reduction in quality of life and loss of work productivity, especially in young adults. Most patients are diagnosed between the age of 20-40 years. In sarcoidosis, multiple organs are affected by inflammation; the cause of the disease is unknown and no curative medication exists. Sarcoidosis invalidates the lives of most patient for many years.

Although curative (pharmaco) therapy is not on hand, immunosuppressive drugs may control the symptoms of the disease. These symptoms are caused by the inflammation in multiple organs, foremost the lungs and the lymphoid system. However, 90% of the sarcoidosis patients receives no immunosuppressive medication at all during the first months after diagnosis, even though the immune system is then highly activated and patients suffer from severe complaints like malaise, fatigue and pain. This wait-and-see policy is common international practice, but scientific grounds and official guidelines are lacking.

This project examines whether low grade suppression of the initial inflammatory process of sarcoidosis by intervention with low-dose dexamethasone therapy achieves significant alleviation of (sub-)acute symptoms, improvement in quality of life, increase in work productivity, and whether this intervention prevents disease progression and reduces total health-care costs.

Conditions

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Sarcoidosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Dexamethasone 1 mg

Dexamethasone 1 mg per day, for 180 days

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

Placebo

Placebo tablet, for 180 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Dexamethasone

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of sarcoidosis, confirmed by histology or cytology
* Age 18-60 years
* No affected organ requiring high dose immunosuppressive therapy
* Short Form - 36 subscale physical functioning score \< 70 points

Exclusion Criteria

* Allergy to corticosteroids
* Diagnosis of glaucoma, osteoporosis, history of fractures
* History of gastric ulcera in the past 12 months
* Current use of Non Steroidal Anti Inflammatory Drug without co-prescription of Proton Pump Inhibitor
* Current use of carbamazepin, fenytoin, rifampicin
* Obesity (BMI \> 30)
* Pregnancy of lactation
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Antonius Hospital

OTHER

Sponsor Role lead

Responsible Party

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R Vis

Hospital Pharmacist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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St Antonius Hospital

Nieuwegein, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Roeland Vis

Role: CONTACT

0031 30 609 2612

Other Identifiers

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2013-000242-18

Identifier Type: -

Identifier Source: org_study_id