ACTHAR Therapy for Central Nervous System Sarcoidosis
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|ClinicalTrials.gov Identifier: NCT02920710|
Recruitment Status : Withdrawn (Difficulty with recruitment)
First Posted : September 30, 2016
Last Update Posted : November 20, 2020
|Condition or disease||Intervention/treatment||Phase|
|Sarcoidosis||Drug: Repository Corticotropin Injection||Phase 4|
Central nervous system (CNS) involvement is one of the most severe manifestations of sarcoidosis. Sarcoidosis affecting the leptomeninges, spinal cord, or brain parenchyma portends a difficult course and frequently results in severe disability or death (1). Treatment of moderate and severe CNS sarcoidosis typically involves a combination of corticosteroids and cytotoxic agents such as methotrexate (2). Unfortunately, most response rates are reportedly only in the 29-38% range for corticosteroids alone, and the effects of cytotoxic agents in sarcoidosis require up to 6 months to occur. A typical scenario is that patients are treated for prolonged periods with high dose glucocorticoids with suboptimal effectiveness despite development of substantial toxicities. Some series report that cyclophosphamide or infliximab may be beneficial (3), but these approaches are limited by potentially severe toxicities, loss of effectiveness, or payor constraints.
. ACTHAR is a 39-amino acid peptide natural form of adrenocorticotropin hormone (ACTH) that was initially approved in 1952 by the FDA. It has since been approved for 19 indications including respiratory sarcoidosis, multiple sclerosis, and infantile spasms.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||0 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||ACTHAR Therapy for Central Nervous System Sarcoidosis|
|Actual Study Start Date :||February 1, 2019|
|Actual Primary Completion Date :||November 2, 2020|
|Actual Study Completion Date :||November 2, 2020|
Experimental: Experimental: H.P. Achtar Gel 80 U
H.P. Acthar Gel (repository corticotropin) Injection, 80 U daily for 10 days, then 80 U twice weekly for up to a total of 48 weeks on therapy.
Drug: Repository Corticotropin Injection
- Proportion of patients with clinically significant improvement - successful glucocorticoid tapering. [ Time Frame: 12 Weeks ]
- Proportion of patients with clinically significant improvement - no need for escalation of other therapy. [ Time Frame: 12 Weeks ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02920710
|United States, Ohio|
|Cleveland Clinic Main Campus|
|Cleveland, Ohio, United States, 44195|
|Principal Investigator:||Daniel Culver, DO||The Cleveland Clinic|