Efficacy of Micro-Pulse Steroid Therapy as Induction Therapy in Patients With Polymyalgia Rheumatica
Recruitment status was Recruiting
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Purpose
The study will examine the efficacy of a single intramuscular injection of betamethasone dipropionate/betamethasone sodium phosphate at the dose of 20mg/8mg (injection volume 4 ml) as an induction therapy in patients with polymyalgia rheumatica. Twenty patients will be randomized to receive an injection of betamethasone or placebo (isotonic NaCl solution) immediately after diagnosis. Both groups will receive the standard-of-care steroid therapy, starting from 10 mg of prednisone every day (qd), tapered down by 2.5 mg monthly if the disease is not active (scheduled monthly follow-ups by a rheumatologist). Primary outcome measures: the total cumulative dose of glucocorticosteroids and disease duration.
| Condition | Intervention |
|---|---|
|
Polymyalgia Rheumatica |
Drug: Betamethasone Drug: isotonic sodium chloride solution (placebo) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Efficacy of Micro-pulse Steroid Therapy as Induction Therapy in Patients With Polymyalgia Rheumatica |
- a total dose of glucocorticoids used in the course of the disease [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 20 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: betamethasone
patients treated with a single intramuscular injection of betamethasone
|
Drug: Betamethasone
betamethasone dipropionate 20 mg + betamethasone sodium phosphate 8 md as a single intramuscular injection
Other Name: diprospan injection
Drug: isotonic sodium chloride solution (placebo)
4 ml intramuscular
|
| Placebo Comparator: isotonic sodium chloride solution |
Drug: isotonic sodium chloride solution (placebo)
4 ml intramuscular
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- clinical diagnosis of polymyalgia rheumatica
Exclusion Criteria:
- decompensated diabetes mellitus
- decompensated arterial hypertension
Contacts and Locations| Contact: Gleb Slobodin, MD | 972-506267284 | gleb.slobodin@b-zion.org.il |
| Israel | |
| Bnai Zion Medical Center | Recruiting |
| Haifa, Israel, 38041 | |
| Contact: Gleb Slobodin, MD 972-506267284 gleb.slobodin@b-zion.org.il | |
| Sub-Investigator: Doron Rimar, MD | |
| Principal Investigator: Gleb Slobodin, MD | |
| Sub-Investigator: Mona Elias, MD | |
| Sub-Investigator: Michael Rozenbaum, MD | |
| Sub-Investigator: Nina Boulman, MD | |
| Sub-Investigator: Itzhak Rosner, MD | |
More Information
No publications provided
| Responsible Party: | Gleb Slobodin MD, Bnai Zion MC |
| ClinicalTrials.gov Identifier: | NCT00982332 History of Changes |
| Other Study ID Numbers: | POLYMYALGIA1 |
| Study First Received: | September 15, 2009 |
| Last Updated: | July 18, 2010 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Bnai Zion Medical Center:
|
polymyalgia rheumatica |
Additional relevant MeSH terms:
|
Polymyalgia Rheumatica Giant Cell Arteritis Muscular Diseases Musculoskeletal Diseases Rheumatic Diseases Connective Tissue Diseases Vasculitis, Central Nervous System Autoimmune Diseases of the Nervous System Nervous System Diseases Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Arteritis Vascular Diseases Cardiovascular Diseases |
Vasculitis Skin Diseases, Vascular Skin Diseases Autoimmune Diseases Immune System Diseases Betamethasone-17,21-dipropionate Betamethasone Betamethasone sodium phosphate Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Glucocorticoids Hormones |
ClinicalTrials.gov processed this record on May 16, 2013