Effectiveness of Tofacitinib in Systemic Sclerosis

NCT ID: NCT06044844

Last Updated: 2023-09-21

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

PHASE2

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-30

Study Completion Date

2024-05-31

Brief Summary

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The goal of this clinical trial is to compare efficacy of tofacitinib with cyclophosphamide in skin thickening in early diffuse cutaneous systemic sclerosis .

Detailed Description

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compare tofacitinib 5mg twice daily with cyclophosphamide 500mg/m2/month in early diffuse cutaneous systemic sclerosis

Conditions

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Efficacy of Tofacitinib in the Systemic Sclerosis

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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efficacy of tofacitinib in early diffuse cutaneous systemic sclerosis

tab tofacitinib 5mg twice daily will be given by oral route for 6month

Group Type EXPERIMENTAL

Tofacitinib

Intervention Type DRUG

tofacitinib efficacy

efficacy of Cyclophosphamide in early diffuse cutaneous systemic sclerosis

injection cyclophosphamide 500mg/m2 body surface area/monthly by intravenous infusion.total 6cycle will be given

Group Type EXPERIMENTAL

Tofacitinib

Intervention Type DRUG

tofacitinib efficacy

Interventions

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Tofacitinib

tofacitinib efficacy

Intervention Type DRUG

Other Intervention Names

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Tab Arthanib

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of SSc, as classified using the 2013 American College of Rheumatology
2. dcSSc as defined by 2001 LeRoy and Medsge
3. Disease duration ≤ 60 months (defined as time from the first non-Raynaud phenomenon manifestation)
4. mRSS units ≥ 10 and ≤ 45 at screening.
5. Oral corticosteroids (≤ 10 mg/day of prednisone or equivalent) are permitted if the patient is on a stable dose regimen for ≥ 2 weeks prior to and including the baseline visit.
6. Calcium channel blocker and PDFE-5 inhibitors for Raynaud's and digital ulcers are permitted to use as oral monotherapy
7. Age ≥ 18 years and ≤ 70 years
8. Ability to provide informed consent.

Exclusion Criteria

Subjects with any of the following characteristics/conditions will not be included in the study:

1. Any infection at screening .
2. Oral corticosteroids \>10 mg/day of prednisone or equivalent.
3. Pulmonary disease with FVC ≤ 35% of predicted.
4. Subjects at risk for tuberculosis (TB).Specifically excluded from this study with a history of active TB within the last 3 years and current clinical, radiographic, or laboratory evidence of active TB.j
5. Latent TB at or within 30 days of screening.
6. Positive for hepatitis B surface antigen at or within 30 days of screening.
7. Positive for hepatitis C antigen at or within 30 days of screening.
8. Current or recent history of uncontrolled clinically significant renal, hepatic, hematologic, gastrointestinal, metabolic, endocrine, pulmonary, cardiac or neurologic disease.
9. History of diverticulitis or chronic, ulcerative lower GI disease such as Crohns disease, ulcerative colitis, or other symptomatic, lower GI conditions that might predispose a patient to perforations.
10. Pregnant or breastfeeding female subjects and female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in the protocol for the duration of the study and for at least 28 days after discontinuation of study drug.
11. History of any malignancy in the last 5 years with the exception of adequately treated or excised basal cell or squamous cell or cervical cancer in situ.
12. History of SSc Renal Crisis within the 6 months prior to baseline.
13. History of live/attenuated vaccine ≤ 6 weeks prior to baseline
14. Any of the following lab results at screening:

* Hemoglobin \<9 g/dL or Hematocrit \<30%
* White Blood Cell count \<3.0 x 109/L;
* Absolute Neutrophil count \<1.2 x 109/L;
* Platelet count \<100 x 109/L;
* Absolute Lymphocyte count \<0.75 x 109/L.
* ALT or AST \> 3 × the upper limit of normal (ULN) of normal at screening or any
* Total bilirubin \> ULN at Screening.
* Estimated glomerular filtration rate \[GFR\] \<40mL/min/1.73 m2
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

OTHER

Sponsor Role lead

Aristopharma Ltd

INDUSTRY

Sponsor Role collaborator

Responsible Party

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Nabil Amin Khan

Resident,rheumatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nabil Khan, MBBS

Role: PRINCIPAL_INVESTIGATOR

resident

Locations

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Nabil Amin Khan

Dhaka, Shahbag, Bangladesh

Site Status RECRUITING

Countries

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Bangladesh

Central Contacts

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Nabil khan, MBBS

Role: CONTACT

+8801723441428

Nabil Khan, MBBS

Role: CONTACT

01516173213

Facility Contacts

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Nabil Khan, MBBS

Role: primary

+8801516173213

Other Identifiers

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4137

Identifier Type: -

Identifier Source: org_study_id

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