The Efficacy of Methylprednisolone in the Treatment of Patients With Ocular Involvement in Behcet's Disease
Recruitment status was Recruiting
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Purpose
The goal of this study is to examine the efficacy of 1gram/day intravenous pulses of methylprednisolone on 3 consecutive days in Behcet's patients with ocular involvement. A total of 34 Behcet's patients referring to Behcet's clinic in Shariati hospital whose problem was confirmed with new international criteria of Behcet's disease (ICBD) will be randomly assigned into one of the two equal groups of intervention or control. Behcet's patients are those with ocular involvement who were under the same cytotoxic treatment with cyclophosphamide and azathioprine. For the patients in the intervention group, intravenous infusion of 1000 mg methylprednisolone in 100cc D/w 5% or 100cc D/w5% on 3 consecutive days will be added to treatment diet. Then treatment will begin with oral prednisolone, 0.5 mg/kg. After that, all the patients were followed up with no other therapeutic intervention by study group. The patients will be visited every 2 months by an ophthalmologist and study group for 6 months in 3 settings. To estimate the ocular inflammation of patients, we use visual acuity, retinal and ocular posterior chamber inflammation index.
| Condition | Intervention | Phase |
|---|---|---|
|
Behcet's Disease |
Drug: methylorednisolone Other: dextrose water 5% |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | The Efficacy of Intravenous Pulses of Methylprednisolone in the Treatment of Patients With Ocular Involvement in Behcet's Disease, a Double Blind Pilot Study |
- OCULAR IBDDAM INDEX [ Time Frame: 14 months ] [ Designated as safety issue: No ]Iranian Behcet's disease Dynamic Activity measurement
- VISUAL ACUITY [ Time Frame: 14 ] [ Designated as safety issue: No ]Check visual acuity with snellen chart by ophthalmologist
- Inflammation in retin [ Time Frame: 14 ] [ Designated as safety issue: No ]Check inflammation in retin by ophthalmologist
- Inflammation in posterior chamber [ Time Frame: 14 ] [ Designated as safety issue: No ]Check inflammation in posterior uvea by ophthalmologist
- inflammation in anterior chamber [ Time Frame: 14 ] [ Designated as safety issue: No ]check inflammation in anterior chamber by ophthalmologist
| Estimated Enrollment: | 34 |
| Study Start Date: | February 2010 |
| Estimated Study Completion Date: | August 2011 |
| Estimated Primary Completion Date: | July 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: methylprednisolone
patients who received methylprednisolone
|
Drug: methylorednisolone
intravenous infusion of 1000 mg methylprednisolone in 100cc D/w 5% on 3 consecutive days at beginning of treatment
|
|
Placebo Comparator: dextrose water 5%
patients who received dextrose water 5% as placebo
|
Other: dextrose water 5%
intravenous infusion of 100cc D/w 5% on 3 consecutive days at beginning of treatment
|
Eligibility| Ages Eligible for Study: | 10 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Diagnosed Behcet's disease according to international criteria
- New or relapse of retinal vasculitis who received any cytotoxic or glucocorticoid since 2 months ago
- New or relapse of severe posterior uveitis who are candidate for cyclophosphamide and azathioprine according to their physician
Exclusion Criteria:
- Not Signing the informed consent
- Visual acuity lower than 1/10 by Snellen chart
- Presence of infectious diseases such as TB
- Presence of diabetes mellitus, hypertension, heart disease, liver disease, renal disease, or edema
- Presence of other glucocorticoid consumption contraindications
Contacts and Locations| Contact: Farhad Shahram, Professor | 0098-21-8802-6956 | Shahramf@tums.ac.ir |
| Contact: Mohammadi mastaneh, MD | 0098-21-8802-6956 | Mastanehmohammadi88@gmale.com |
| Iran, Islamic Republic of | |
| Rheumatology Research Center, Tehran University of Medical Science | Recruiting |
| Tehran, Iran, Islamic Republic of, 1411713135 | |
| Contact: Shahram Farhad, Professor 0098-21-8802-6956 Shahramf@tums.ac.ir | |
| Contact: Mastaneh Mohammadi, MD 0098-21-8802-6956 Mastanehmohammadi88@gmail.com | |
| Principal Investigator: | Farhad Shahram, Professor | Rheumatology Research Center, Tehran University of Medical Science |
More Information
No publications provided
| Responsible Party: | Farhad Shahram, MD, Professor, Rheumatology Research Center |
| ClinicalTrials.gov Identifier: | NCT01306955 History of Changes |
| Other Study ID Numbers: | 11192 |
| Study First Received: | March 1, 2011 |
| Last Updated: | March 1, 2011 |
| Health Authority: | Iran: Ethics Committee |
Keywords provided by Tehran University of Medical Sciences:
|
retinal vasculitis posterior uveitis methylprednisolone |
Additional relevant MeSH terms:
|
Behcet Syndrome Mouth Diseases Stomatognathic Diseases Uveitis, Anterior Panuveitis Uveitis Uveal Diseases Eye Diseases Vasculitis Vascular Diseases Cardiovascular Diseases Skin Diseases, Vascular Skin Diseases Methylprednisolone acetate Prednisolone acetate |
Methylprednisolone Methylprednisolone Hemisuccinate Prednisolone Prednisolone hemisuccinate Prednisolone phosphate Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions Antiemetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Central Nervous System Agents Gastrointestinal Agents Neuroprotective Agents |
ClinicalTrials.gov processed this record on May 16, 2013