Unique ID issued by UMIN | UMIN000003804 |
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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 |
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
Steroid resuming study after serological relapse in AIP
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
Steroid resuming study after serological relapse in AIP
Japan |
autoimmune pancreatitis
Hepato-biliary-pancreatic medicine |
Others
NO
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.
Efficacy
Confirmatory
Pragmatic
Not applicable
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.
Morphological change of pancreas
Pancreatic endocrine function
Occurrence of malignancy
Survival time
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
NO
NO
Institution is not considered as adjustment factor.
NO
Central registration
2
Prevention
Medicine |
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.
Resuming or increasing prednisolone is not planned. Patients during the course of tapering prednisolone continue to taper the dose until its complete cessation.
20 | years-old | <= |
Not applicable |
Male and Female
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.
Patients who do not give their informed consent are excluded.
20
1st name | Kenji |
Middle name | |
Last name | Hirano |
University of Tokyo
Department of Gastroenterology
1138654
7-3-1, Hongo, Bunkyo-ku, Tokyo, Japan
03-3815-5411
khirano-tky@umin.ac.jp
1st name | Kenji |
Middle name | |
Last name | Hirano |
University of Tokyo
Clinical Research Support Center
1138654
7-3-1, Hongo, Bunkyo-ku, Tokyo, Japan
03-3815-5411
khirano-tky@umin.ac.jp
Department of Gastroenterology, University of Tokyo
none
Self funding
Tokyo university clinical research promoting center
7-3-1,Bunkyo-ku, Hongo, Tokyo, Japan
03-5800-8743
Tikenjimu-tokyo@umin.ac.jp
NO
東京大学医学部附属病院(東京都)
2010 | Year | 06 | Month | 25 | Day |
Unpublished
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.
Enrolling by invitation
2010 | Year | 04 | Month | 15 | Day |
2010 | Year | 05 | Month | 01 | Day |
2013 | Year | 12 | Month | 31 | Day |
2013 | Year | 12 | Month | 31 | Day |
2013 | Year | 12 | Month | 31 | Day |
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.
2010 | Year | 06 | Month | 22 | Day |
2023 | Year | 07 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004591
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