UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003804
Receipt number R000004591
Scientific Title Randomized controlled trial which examines whether resuming steroid can prevent clinical relapse in the patients with asymptomatic high levels of serum IgG after ceasing steroid therapy for autoimmune pancreatitis
Date of disclosure of the study information 2010/06/25
Last modified on 2023/07/02 23:30:14

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Basic information

Public title

Randomized controlled trial which examines whether resuming steroid can prevent clinical relapse in the patients with asymptomatic high levels of serum IgG after ceasing steroid therapy for autoimmune pancreatitis

Acronym

Steroid resuming study after serological relapse in AIP

Scientific Title

Randomized controlled trial which examines whether resuming steroid can prevent clinical relapse in the patients with asymptomatic high levels of serum IgG after ceasing steroid therapy for autoimmune pancreatitis

Scientific Title:Acronym

Steroid resuming study after serological relapse in AIP

Region

Japan


Condition

Condition

autoimmune pancreatitis

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The main purpose is to clarify whether it is reasonable to resume steroid for serological relapse in the patients with AIP after ceasing steroid therapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Patients with AIP, who show serological relapse (defined as IgG>1600mg/dl) after their maintenance steroid dose is tapered or ceased, are enrolled in this study. They are divided into 2 groups, that is, 1) steroid resuming group, and 2) obsevation group. The main outcome is to clarify frequency and severity of pancreatic or extrapancreatic clinical relapse in each group within 3 years.

Key secondary outcomes

Morphological change of pancreas
Pancreatic endocrine function
Occurrence of malignancy
Survival time


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Prednisolone at a dose of 10mg/day is started. The dose is taperd by 2.5mg every 8-10 weeks until reaching 5mg/day.
Maintenance therapy at a dose of 5 mg/day is continued.

Interventions/Control_2

Resuming or increasing prednisolone is not planned. Patients during the course of tapering prednisolone continue to taper the dose until its complete cessation.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Among patients who joined our clinical trial "Follow-up research on prognois of autoimmune pancreatitis after tapering steroid (UMIN000003798)", those who show serological relapse (defined as IgG>1600 mg/dl) during tapering steroid or after its cessation are enrolled in this study.

Key exclusion criteria

Patients who do not give their informed consent are excluded.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Kenji
Middle name
Last name Hirano

Organization

University of Tokyo

Division name

Department of Gastroenterology

Zip code

1138654

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3815-5411

Email

khirano-tky@umin.ac.jp


Public contact

Name of contact person

1st name Kenji
Middle name
Last name Hirano

Organization

University of Tokyo

Division name

Clinical Research Support Center

Zip code

1138654

Address

7-3-1, Hongo, Bunkyo-ku, Tokyo, Japan

TEL

03-3815-5411

Homepage URL


Email

khirano-tky@umin.ac.jp


Sponsor or person

Institute

Department of Gastroenterology, University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo university clinical research promoting center

Address

7-3-1,Bunkyo-ku, Hongo, Tokyo, Japan

Tel

03-5800-8743

Email

Tikenjimu-tokyo@umin.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京大学医学部附属病院(東京都)


Other administrative information

Date of disclosure of the study information

2010 Year 06 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Four patients were enrolled.
Two patients each were assigned to steroid resuming group, and no resuming group, respectively. Two patients in steroid resuming group did not reveal clinical relapse, but the others revealed clinical relapse.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2010 Year 04 Month 15 Day

Date of IRB


Anticipated trial start date

2010 Year 05 Month 01 Day

Last follow-up date

2013 Year 12 Month 31 Day

Date of closure to data entry

2013 Year 12 Month 31 Day

Date trial data considered complete

2013 Year 12 Month 31 Day

Date analysis concluded



Other

Other related information

Since "follow-up research on prognois of autoimmune pancreatitis after tapering steroid (UMIN 3798)" was terminated, this study was also terminated in conjunction with it.


Management information

Registered date

2010 Year 06 Month 22 Day

Last modified on

2023 Year 07 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004591


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name