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A Prospective, Randomized Trial of Intravenous Pulse Versus Sequential Steroid Therapy for Patients With Graves' Orbitopathy

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 October 2013 by Wei Zhu, Ruijin Hospital.
Recruitment status was:  Recruiting
Information provided by (Responsible Party):
Wei Zhu, Ruijin Hospital Identifier:
First received: October 21, 2013
Last updated: NA
Last verified: October 2013
History: No changes posted
This study was designed to compare the efficacy and safety of 4.5g iv MP administered in 12 weeks and 4 weeks.

Condition Intervention Phase
Graves' Ophthalmopathy Drug: methylprednisolone, prednisone Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Randomized Trial of Intravenous Pulse Versus Sequential Steroid Therapy for Patients With Graves' Orbitopathy

Resource links provided by NLM:

Further study details as provided by Wei Zhu, Ruijin Hospital:

Primary Outcome Measures:
  • response rate [ Time Frame: 3 months ]

Secondary Outcome Measures:
  • change of CAS, adverse effects and retreat [ Time Frame: 3 months ]

Estimated Enrollment: 70
Study Start Date: January 2010
Estimated Study Completion Date: October 2013
Estimated Primary Completion Date: October 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: methylprednisolone
intravenous MP: 0.5g weekly for six weeks followed by 0.25g weekly for six weeks
Drug: methylprednisolone, prednisone
Active Comparator: methylprednisolone plus prednisone
intravenous MP 0.5g daily for three days per week, twice, followed by 0.25g daily for three days per week, twice, and followed by tapering oral prednisone (starting with 60mg/d, then10 mg less/week than each previous week for the next 3 weeks, then20mg/week at the 5th week followed with 5mg less/week than each previous week for the next 3 weeks)
Drug: methylprednisolone, prednisone


Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients should meet the criteria of either a or b and together with c, d and e to include into the study.

    a. Lid retraction with any one of the following: i) Thyroid dysfunction ii) Proptosis iii) Optic nerve involvement iv) Extraocular muscle involvement b. Thyroid dysfunction with any one of the following: i) Proptosis ii) Optic nerve involvement iii) Extraocular muscle involvement c. Exclude cases with such ophthalmological signs caused by other diseases. d. Moderate to severe patients defined by EUGOGO. e. Clinical activity score (CAS)≥3/7 f. Normal function of heart, liver and kidney.

Exclusion Criteria:

  • Orbital decompression surgery needed immediately
  • History of chronic recurrent or active infection
  • History of peptic ulcer
  • Patients with a history of chronic liver disease or liver disorders; ALT or AST above 2.5 times upper limit of normal
  • History of HIV, hepatitis C or hepatitis B Positive
  • Cardiovascular or cerebrovascular disease clinically significant
  • Uncontrolled diabetes mellitus
  • Use of corticosteroids during 12 weeks before to inclusion period
  • Pregnant patient or patient who is planning to become pregnant during the study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01969019

Contact: Ning Guang, Professor (8621)64370045 ext 665344

China, Shanghai
Shanghai Institute of Endocrine and Metabolic Diseases Department of Endocrine and Metabolic Diseases, Ruijin Hospital Recruiting
Shanghai, Shanghai, China, 200025
Contact: Wei Zhu, Attending    (8621)64370045 ext 602105   
Sponsors and Collaborators
Ruijin Hospital
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Wei Zhu, Attending, Ruijin Hospital Identifier: NCT01969019     History of Changes
Other Study ID Numbers: CCEMD015
Study First Received: October 21, 2013
Last Updated: October 21, 2013

Additional relevant MeSH terms:
Eye Diseases
Graves Ophthalmopathy
Eye Diseases, Hereditary
Graves Disease
Orbital Diseases
Thyroid Diseases
Endocrine System Diseases
Autoimmune Diseases
Immune System Diseases
Prednisolone acetate
Methylprednisolone acetate
Methylprednisolone Hemisuccinate
Prednisolone hemisuccinate
Prednisolone phosphate
Anti-Inflammatory Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Autonomic Agents
Peripheral Nervous System Agents processed this record on August 18, 2017