UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000014387
Receipt number R000016746
Scientific Title A prospective multicenter comparative clinical trial between corticosteroid pulse therapy vs. combination therapy of oral corticosteroid and cyclosporine on Vogt-Koyanagi-Harada disease
Date of disclosure of the study information 2014/06/27
Last modified on 2019/04/15 10:55:40

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Basic information

Public title

A prospective multicenter comparative clinical trial between corticosteroid pulse therapy vs. combination therapy of oral corticosteroid and cyclosporine on Vogt-Koyanagi-Harada disease

Acronym

A comparative study between steroid-pulse therapy vs. orla steroid+cyclosporine combination theray on VKH disease

Scientific Title

A prospective multicenter comparative clinical trial between corticosteroid pulse therapy vs. combination therapy of oral corticosteroid and cyclosporine on Vogt-Koyanagi-Harada disease

Scientific Title:Acronym

A comparative study between steroid-pulse therapy vs. orla steroid+cyclosporine combination theray on VKH disease

Region

Japan


Condition

Condition

Vogt-Koyanagi- Harada disease

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the effect to prevent recurrance of VKH disease between cortocosteroid pulse therapy and oral prednisolone + cyclosporine combination therapy

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The efficacy to prevent recurrances of uveitis and systemic inflammation of VKH disease, safety at one year after the initiation of therapies

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1.Steroid monotherapy group
methyl predonisolone (mPSL) 1000mg per day, intravenous infusion for 3 days
The oral PSL (either a daily dose of 1mg/kg or 60mg for 2 weeks
PSL will be tapered with decreasing dosage 10mg every 1weeks until 40mg
PSL will be tapered with decreasing dosage 5mg every 2weeks until 20mg
PSL will be tapered with decreasing dosage 2.5mg every 2weeks until PSL 5mg
PSL 3mg/day for 2 weeks, and therapy is terminated

Interventions/Control_2

2.Oral prednisolone and cyclosporine combination therapy group
Oral predonisolone (1mg/Kg or 60mg per day) for 2 weeks
PSL will be tapered with decreasing dosage 10mg every 1weeks until 40mg
At the time when the dose of prednisolone decreases to 35 mg / day, start the combined use of cyclosporine 3 mg / kg.
Oral predonisolone is decreased and terminated as the same manner of storoid monotherapy group, but cyclosporine is maintained 3-2mg/Kg per day until the PSL is terminated.

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

Patients with VKH disease with active uveitis within 2 months after disease onset. Patients should meet the International Revised Criteria for VKH disease. In addition, patients must have at least one systemic symptome tipically seen in VKH disease.

Key exclusion criteria

1. Systemic steroids within 90 days
2. Abnormal values of complete blood counts
3. Abnormal liver enzymes and renal function
4. Infectious diseases(ex.tuberculosis, hepatitis B, hepatitis C, syphilis etc.)
5. Those who have diseases in which corticosteroids and cyclosporine are contraindication.
6. Those who are being treated with immune suppression agents other than prednisolone
7. Investigators declare a subject ineligible for any sound reasons

Target sample size

90


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name Mochizuki

Organization

Miyata Eye Hospital

Division name

Medical office

Zip code

885-0051

Address

6-3, Kurahara, Miyakonojyo, Miyazaki, Japan

TEL

0986-22-1441

Email

m.manabu.oph@tmd.ac.jp


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Komizo

Organization

Miyata Eye Hospital

Division name

Medical office

Zip code

885-0051

Address

6-3, Kurahara, Miyakonojyo, Miyazaki, Japan

TEL

0986-22-1441

Homepage URL


Email

komizo@miyata-med.ne.jp


Sponsor or person

Institute

Miyata Eye Hospital

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

Miyata Eye Hospital

Address

6-3, Kurahara, Miyakonojyo, Miyazaki, Japan

Tel

0986-22-1441

Email

ushihama@miyata-med.ne.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



Other administrative information

Date of disclosure of the study information

2014 Year 06 Month 27 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

Completed

Date of protocol fixation

2014 Year 06 Month 10 Day

Date of IRB

2014 Year 03 Month 27 Day

Anticipated trial start date

2014 Year 07 Month 01 Day

Last follow-up date

2019 Year 03 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2014 Year 06 Month 26 Day

Last modified on

2019 Year 04 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016746


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name