Acthar Gel for Chronic Pulmonary Sarcoidosis (ACPS)

NCT ID: NCT02188017

Last Updated: 2015-12-08

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

PHASE4

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2017-09-30

Brief Summary

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An randomized trial of two maintenance doses of Acthar Gel for patients with chronic pulmonary sarcoidosis. Patients will be observed for 24 weeks of treatment.

Detailed Description

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This is a multi-center double-blind trial to determine dose and effect size. A total of 20 chronic pulmonary sarcoidosis patients will be recruited at eight clinical sites across the United States.

After initial evaluation, including pulmonary function, CT and PET scanning, patients will be randomized to receive 80 Units if Acthar gel daily for 10days, followed by either 40 or 80 units of Acthar gel twice a week for an additional 22 weeks.

At the end of total 24 weeks of treatment, they will undergo repeat evaluation including pulmonary function, CT, and PET scanning.

Conditions

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Sarcoidosis Pulmonary Sarcoidosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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80 units

80 units ACTHAR gel will be given twice a week for 22 weeks after initial loading

Group Type ACTIVE_COMPARATOR

Acthar gel

Intervention Type DRUG

Given 80 units daily for 10 days, then randomized to receive either 40 or 80 units twice a week

40 units

40 units of ACTHAR gel will be given twice a week for 22 weeks after loading

Group Type ACTIVE_COMPARATOR

Acthar gel

Intervention Type DRUG

Given 80 units daily for 10 days, then randomized to receive either 40 or 80 units twice a week

Interventions

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Acthar gel

Given 80 units daily for 10 days, then randomized to receive either 40 or 80 units twice a week

Intervention Type DRUG

Other Intervention Names

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ACTH Cortysin

Eligibility Criteria

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Inclusion Criteria

* Patient with biopsy confirmed sarcoidosis meeting American Thoracic Society criteria 23
* Patient on \>5 mg prednisone for pulmonary indications
* FVC \<85% predicted
* Prednisone dose not reduced in prior 3 months
* Deterioration of pulmonary disease over the past year
* Decrease in FVC \>5%
* Age: 18 through 90 (i.e., candidates must have had their 18th birthday, but not had their 91st birthday).

Exclusion Criteria

adrenal insufficiency (Addison's disease)

* Scleroderma
* a fungal infection
* herpes infection of the eyes
* osteoporosis
* a stomach ulcer
* congestive heart failure
* high blood pressure
* recent surgery
* if you are allergic to pork proteins
* Do not receive a smallpox vaccine or any "live" vaccine while you are using corticotropin.
* Patients receiving anti-Tumor Necrosis Factor antibody (e.g. infliximab, adalimumab) in prior six months
* Uncontrolled diabetes, hypertension, or other contra-indication to increased dosage of glucocorticoids
* Patients requiring therapy for pulmonary hypertension
* Females of childbearing potential who are known to be pregnant and/or lactating or who have a positive urine pregnancy test on screening.
* Current participation in another research drug treatment protocol (patient cannot start another experimental agent until after 90 days)
* Any other condition that the investigator feels would pose a significant hazard to the patient if Acthar Gel therapy is initiated.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mallinckrodt

INDUSTRY

Sponsor Role collaborator

University of Cincinnati

OTHER

Sponsor Role lead

Responsible Party

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Robert P Baughman

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Robert P Baughman, MD

Role: PRINCIPAL_INVESTIGATOR

University of Cincinnati

Locations

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University of Cincinnati

Cincinnati, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Robert P Baughman, MD

Role: CONTACT

513-58405225

Facility Contacts

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Felicia Thompson

Role: primary

513-584-6252

References

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Baughman RP, Sweiss N, Keijsers R, Birring SS, Shipley R, Saketkoo LA, Lower EE. Repository corticotropin for Chronic Pulmonary Sarcoidosis. Lung. 2017 Jun;195(3):313-322. doi: 10.1007/s00408-017-9994-4. Epub 2017 Mar 28.

Reference Type DERIVED
PMID: 28353116 (View on PubMed)

Other Identifiers

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ACPS

Identifier Type: -

Identifier Source: org_study_id