Local Steroid Treatment for Idiopathic Granulomatous Mastitis (LSTIGM)

NCT ID: NCT03766997

Last Updated: 2020-12-03

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-19

Study Completion Date

2022-01-31

Brief Summary

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This study evaluates the clinical response rate of local steroids in the treatment of idiopathic granulomatous mastitis in female adults. Half of the participants will receive local injection combined with topical steroids and the other half will receive topical steroids mono-therapy.

Detailed Description

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Idiopathic granulomatous mastitis (IGM) is a rare benign inflammatory breast disease of unknown etiology.Clinical presentation of IGM can be variable. Some findings may be confused with breast malignancy.

Although IGM as a disease has been known for nearly four decades, no treatment consensus has been reached because of its rarity. Surgical treatment, antibiotics, oral steroids, topical steroids, immunosuppression (methotrexate, mycophenolate mofetil) and close follow up have all been reported to be effective.

Currently,surgical treatment and systemic steroids treatment are most frequently employed. With the consideration of side effects of long term systemic (oral) steroid usage, topical steroids without systemic use were assessed and showed satisfactory curative effect. But there is no data concerning the use of local injection of steroids therapy on IGM.The purpose of this study is to evaluate the effectiveness of steroids local injection on the basis of topical steroids for IGM treatment.

Conditions

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Granulomatous Mastitis

Keywords

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Granulomatous Mastitis local injection topical steroids

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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local injection

Compound betamethasone injection (Each injection contains betamethasone dipropionate at 5 mg for betamethasone and betamethasone sodium phosphate at 2 mg for betamethasone) was local injected to the breast by the patient once a week for one to four times followed by Hydrocortisone butyrate cream(0.1%) topical use twice a day until the termination of treatment.

Group Type EXPERIMENTAL

Compound Betamethasone Injection

Intervention Type DRUG

local injection

Hydrocortisone Butyrate 0.1% Cream

Intervention Type DRUG

topical use

topical

Hydrocortisone butyrate 0.1% cream was applied to the breast by the patient twice a day until the termination of treatment.

Group Type ACTIVE_COMPARATOR

Hydrocortisone Butyrate 0.1% Cream

Intervention Type DRUG

topical use

Interventions

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Compound Betamethasone Injection

local injection

Intervention Type DRUG

Hydrocortisone Butyrate 0.1% Cream

topical use

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Idiopathic Granulomatous Mastitis
* Require non-surgical treatment

Exclusion Criteria

* Breast Carcinoma
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Qiang Sun, Master

Role: STUDY_DIRECTOR

Peking Union Medical College Hospital

Locations

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Department of Breast Surgery,Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yanna Zhang, M.D.

Role: CONTACT

Phone: 86-10-69158703

Email: [email protected]

Facility Contacts

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Qiang Sun, Master

Role: primary

Yanna Zhang, Doctor

Role: backup

References

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Tahmasebi S, Karami MY, Maalhagh M. Granulomatous Mastitis: Time to Introduce New Weapons. World J Surg. 2016 Nov;40(11):2827-2828. doi: 10.1007/s00268-016-3438-9. No abstract available.

Reference Type BACKGROUND
PMID: 26920409 (View on PubMed)

Altintoprak F, Kivilcim T, Yalkin O, Uzunoglu Y, Kahyaoglu Z, Dilek ON. Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis. World J Surg. 2015 Nov;39(11):2718-23. doi: 10.1007/s00268-015-3147-9.

Reference Type BACKGROUND
PMID: 26148520 (View on PubMed)

Sheybani F, Naderi HR, Gharib M, Sarvghad M, Mirfeizi Z. Idiopathic granulomatous mastitis: Long-discussed but yet-to-be-known. Autoimmunity. 2016 Jun;49(4):236-9. doi: 10.3109/08916934.2016.1138221. Epub 2016 Feb 1.

Reference Type BACKGROUND
PMID: 26829298 (View on PubMed)

Benson JR, Dumitru D. Idiopathic granulomatous mastitis: presentation, investigation and management. Future Oncol. 2016 Jun;12(11):1381-94. doi: 10.2217/fon-2015-0038. Epub 2016 Apr 12.

Reference Type BACKGROUND
PMID: 27067146 (View on PubMed)

Other Identifiers

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PUMCH-breast-IGM

Identifier Type: -

Identifier Source: org_study_id