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Cyclophosphamide Versus Methotrexate for Remission Maintenance in Systemic Necrotizing Vasculitides

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified September 2008 by University of Parma.
Recruitment status was:  Active, not recruiting
Information provided by:
University of Parma Identifier:
First received: September 11, 2008
Last updated: NA
Last verified: September 2008
History: No changes posted
The Systemic Necrotizing Vasculitides (SNV) encompass a group of rare diseases which include Wegener's Granulomatosis (WG), Churg-Strauss Syndrome (CSS), Microscopic polyangiitis (MPA)and Polyarteritis nodosa (PAN). Common histological findings are inflammation with fibrinoid necrosis of the small vessels and sporadic or absent immune-deposits. The gold standard therapy for SNV is currently represented by the association of Cyclophosphamide and Prednisone. The limits of this approach are the high frequency of recurrent disease and an increased incidence of malignancy and infections. The aim of the present study is to compare the efficacy of Methotrexate vs Cyclophosphamide for Remission Maintenance in SNV.

Condition Intervention Phase
Wegener's Granulomatosis Churg-Strauss Syndrome Microscopic Polyangiitis Polyarteritis Nodosa Drug: Methotrexate Drug: Cyclophosphamide Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Cyclophosphamide Versus Methotrexate for Remission Maintenance in Systemic Necrotizing Vasculitides. A Randomized Controlled Trial.

Resource links provided by NLM:

Further study details as provided by University of Parma:

Primary Outcome Measures:
  • Time from remission to relapse

Secondary Outcome Measures:
  • Recurrence rate
  • Therapy-related toxicity
  • Hospitalization rate
  • Mortality

Arms Assigned Interventions
Active Comparator: A
Drug: Cyclophosphamide
Experimental: B
Drug: Methotrexate


Ages Eligible for Study:   18 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of clinically active SNV
  • Life-expectancy > 1 year
  • Written informed consent

Exclusion Criteria:

  • Creatinine clearance < 10 ml/min/1.73 mq
  • Aminotransferase levels more than twice the upper limit of the normal range
  • HBsAg positivity
  • anti-HCV Ig and HCV-RNA positivity
  • HIV positivity
  • Active malignancies
  • Coexistence of connective tissue disease
  • Prednisolone, cyclophosphamide or methotrexate hypersensitivity
  • Pregnancy
  Contacts and Locations
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Please refer to this study by its identifier: NCT00751517

Department of Clinical Medicine Nephrology and Health Science, Parma University Hospital
Parma, Italy/Parma, Italy, 43100
Sponsors and Collaborators
University of Parma
Principal Investigator: Carlo Buzio, MD University of Parma
  More Information

Responsible Party: Carlo Buzio, University of Parma Identifier: NCT00751517     History of Changes
Other Study ID Numbers: PCM 01
Study First Received: September 11, 2008
Last Updated: September 11, 2008

Keywords provided by University of Parma:
Systemic Necrotizing Vasculitides

Additional relevant MeSH terms:
Systemic Vasculitis
Granulomatosis with Polyangiitis
Microscopic Polyangiitis
Churg-Strauss Syndrome
Polyarteritis Nodosa
Vascular Diseases
Cardiovascular Diseases
Lung Diseases, Interstitial
Lung Diseases
Respiratory Tract Diseases
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
Autoimmune Diseases
Immune System Diseases
Cerebral Small Vessel Diseases
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Lymphoproliferative Disorders
Lymphatic Diseases
Skin Diseases, Vascular
Skin Diseases
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs processed this record on September 21, 2017