UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008230
Receipt number R000009636
Scientific Title Clinical trial for the control of osteonecrosis of the femoral head secondary to the initial corticosteroid treatment in patients with systemic lupus erythematosus
Date of disclosure of the study information 2012/06/22
Last modified on 2014/09/24 14:03:21

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Basic information

Public title

Clinical trial for the control of osteonecrosis of the femoral head secondary to the initial corticosteroid treatment in patients with systemic lupus erythematosus

Acronym

Control of steroid-induced osteonecrosis of the femoral head in SLE patients

Scientific Title

Clinical trial for the control of osteonecrosis of the femoral head secondary to the initial corticosteroid treatment in patients with systemic lupus erythematosus

Scientific Title:Acronym

Control of steroid-induced osteonecrosis of the femoral head in SLE patients

Region

Japan


Condition

Condition

Systemic lupus erythematosus

Classification by specialty

Clinical immunology Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine effects of a concomitant administration of three drugs on the prevention of corticosteroid-induced osteonecrosis of the femoral head in patients with the initial corticosteroid treatment for systemic lupus erythematosus.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Incidence of osteonecrosis of the femoral head on MR imaging of hip joints within six months after the initial corticosteroid treatment.

Key secondary outcomes

Safety of test drugs administration
Risk factors of osteonecrosisis of the femoral head
Symptomatic osteonecrosis at other than the femoral head


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Objectives take three below candidate drugs for the prevention for at least 3 months after the initial corticosteroid treatment.
1. Clopidgrel Bisulfate (Plavix)
Taking a dose of 300mg once daily on the first day, and a dose of 75mg once daily on subsequent days.
2. Pitavastatin Calcium (LIVALO)
Taking a dose of 2mg once daily.
3. Tocopherol Acetate (Juvela)
Taking a dose of 100mg three times daily (total of 300mg daily).

Interventions/Control_2


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

(1) Objectives must have been classified as systemic lupus erythematosus (SLE) based on the classification criteria of the American College of Rheumatology.
(2) Objectives need a systemic corticosteroid treatment of a dose of equal to or more than 0.5mg/kg/day (converted to prednisolone dose) for SLE.
(3) Objectives are hospitalized.
(4) Objectives are age of 20 or more.
(5) Objectives have consented to participate in the study after fully informed.
(6) Objectives that the laboratory data meets all the following.
i) Patients with more than 70,000/microL of platelets.
ii) Patients with less than 100IU/L of AST or ALT.
iii) Patients with more than 50ml/min of creatinine clearance.

Key exclusion criteria

A. Objectives have never had corticosteroid treatment before the entry to the trial.
B. Objectives have never been affected with osteonecrosis of the femoral head.
C. Patients with any active bleeding lesion.
D. Patients with any active infection.
E. Patients have any contraindication to candidate drugs for the prevention.
F. Patients have any past histories of anaphylaxis to candidate drugs for the prevention.
G. Female in pregnancy, lactation period, having a possibility of pregnancy.
H. Patients taking below contraindicative drugs.
1. antiplatelet drugs expect clopidogrel
2. anticoagulant
3. cyclosporine
4. fibrates
I. Patients that have contraindication for MRI.
J. Patients that are considered unsuitable for the entry to the trial.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yukihide Iwamoto

Organization

Graduate School of Medical Sciences, Kyushu University

Division name

Department of Orthopaedic Surgery

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka

TEL

092-642-5488

Email



Public contact

Name of contact person

1st name
Middle name
Last name Takuaki Yamamoto

Organization

Graduate School of Medical Sciences, Kyushu University

Division name

Department of Orthopaedic Surgery

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka

TEL

092-642-5488

Homepage URL


Email

yamataku@ortho.med.kyushu-u.ac.jp


Sponsor or person

Institute

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University

Institute

Department

Personal name



Funding Source

Organization

Research Grant for Intractable Diseases from the Ministry of Health, Labour and Welfare of Japan

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

新潟大学医歯学総合病院(新潟県)
埼玉医科大学総合医療センター(埼玉県)
慶應義塾大学病院(東京都)
順天堂大学医学部付属順天堂医院(東京都)
産業医科大学病院(福岡県)
九州大学病院(福岡県)
佐賀大学医学部付属病院(佐賀県)


Other administrative information

Date of disclosure of the study information

2012 Year 06 Month 22 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


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

Open public recruiting

Date of protocol fixation

2014 Year 07 Month 31 Day

Date of IRB


Anticipated trial start date

2014 Year 08 Month 01 Day

Last follow-up date

2016 Year 08 Month 01 Day

Date of closure to data entry

2016 Year 08 Month 01 Day

Date trial data considered complete

2016 Year 08 Month 01 Day

Date analysis concluded

2016 Year 08 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 06 Month 22 Day

Last modified on

2014 Year 09 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009636


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name