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Evaluation of the Discontinuation of Maintenance Corticosteroid Treatment in Quiescent Systemic Lupus (CORTICOLUP)

Primary Purpose

Systemic Lupus Erythematosus

Status
Unknown status
Phase
Phase 3
Locations
France
Study Type
Interventional
Intervention
prednisone discontinuation
Sponsored by
Groupe Hospitalier Pitie-Salpetriere
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring Systemic Lupus Erythematosus, Corticosteroids, Chronic disease

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with SLE according to the ACR revised criteria.
  • Quiescent disease without flare since at least one year (SELENA SLEDAI < or equal to 4, BILAG C, D or E, PGA 0) _ Treatment with 5 milligrams/day of prednisone since at least 1 year

Exclusion Criteria:

  • failure to sign the informed consent or unable to consent
  • Patient participating to another clinical trial
  • Pregnancy or plan to become pregnant

Sites / Locations

  • Groupe Hospitalier Pitié Salpêtrière, Service de médecine Interne 2, Institut e3mRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Prednisone maintenance

Prednisone discontinuation

Arm Description

Patients will be kept under Prednisone 5 milligrams/day. Other treatments will be maintained (in particular HYDROXYCHLOROQUINE, METHOTEXATE etc..)

Prednisone will be stopped and remplaced by HYDROCORTISONE for one month (20 mg/day). Other treatments will be maintained (in particular HYDROXYCHLOROQUINE, METHOTEXATE etc..)

Outcomes

Primary Outcome Measures

Occurence of mild or moderate flares of SLE defined by the SLE FLARE Index

Secondary Outcome Measures

Full Information

First Posted
September 22, 2015
Last Updated
August 10, 2016
Sponsor
Groupe Hospitalier Pitie-Salpetriere
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1. Study Identification

Unique Protocol Identification Number
NCT02558517
Brief Title
Evaluation of the Discontinuation of Maintenance Corticosteroid Treatment in Quiescent Systemic Lupus
Acronym
CORTICOLUP
Official Title
Evaluation of the Discontinuation of Maintenance Corticosteroid Treatment (Prednisone 5 Milligram Per Day) in Quiescent Systemic Lupus
Study Type
Interventional

2. Study Status

Record Verification Date
August 2016
Overall Recruitment Status
Unknown status
Study Start Date
January 2014 (undefined)
Primary Completion Date
January 2017 (Anticipated)
Study Completion Date
January 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Groupe Hospitalier Pitie-Salpetriere

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Systemic Lupus (SLE) is a chronic disease for which long term treatments are warranted. The aim of this study was to study the possibility of corticosteroids interruption in patients with quiescent SLE treated since at least one year with 5 milligrams of predonisone per day.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
Keywords
Systemic Lupus Erythematosus, Corticosteroids, Chronic disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
136 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Prednisone maintenance
Arm Type
No Intervention
Arm Description
Patients will be kept under Prednisone 5 milligrams/day. Other treatments will be maintained (in particular HYDROXYCHLOROQUINE, METHOTEXATE etc..)
Arm Title
Prednisone discontinuation
Arm Type
Experimental
Arm Description
Prednisone will be stopped and remplaced by HYDROCORTISONE for one month (20 mg/day). Other treatments will be maintained (in particular HYDROXYCHLOROQUINE, METHOTEXATE etc..)
Intervention Type
Drug
Intervention Name(s)
prednisone discontinuation
Other Intervention Name(s)
prednisone maintenance
Intervention Description
randomization
Primary Outcome Measure Information:
Title
Occurence of mild or moderate flares of SLE defined by the SLE FLARE Index
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with SLE according to the ACR revised criteria. Quiescent disease without flare since at least one year (SELENA SLEDAI < or equal to 4, BILAG C, D or E, PGA 0) _ Treatment with 5 milligrams/day of prednisone since at least 1 year Exclusion Criteria: failure to sign the informed consent or unable to consent Patient participating to another clinical trial Pregnancy or plan to become pregnant
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zahir AMOURA, MD
Phone
+33 1 42 17 80 01
Email
zahir.amoura@aphp.fr
First Name & Middle Initial & Last Name or Official Title & Degree
Fleur COHEN AUBART, PD, PhD
Phone
+33 1 42 17 82 42
Email
fleur.cohen@aphp.fr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zahir AMOURA, MD
Organizational Affiliation
Groupe Hospitalier Pitié-Salpêtrière
Official's Role
Principal Investigator
Facility Information:
Facility Name
Groupe Hospitalier Pitié Salpêtrière, Service de médecine Interne 2, Institut e3m
City
Paris
ZIP/Postal Code
75 013
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zahir AMOURA, MD
Phone
+33 1 42 17 80 01
Email
zahir.amoura@aphp.fr

12. IPD Sharing Statement

Citations:
PubMed Identifier
31852672
Citation
Mathian A, Pha M, Haroche J, Cohen-Aubart F, Hie M, Pineton de Chambrun M, Boutin THD, Miyara M, Gorochov G, Yssel H, Cherin P, Devilliers H, Amoura Z. Withdrawal of low-dose prednisone in SLE patients with a clinically quiescent disease for more than 1 year: a randomised clinical trial. Ann Rheum Dis. 2020 Mar;79(3):339-346. doi: 10.1136/annrheumdis-2019-216303. Epub 2019 Dec 18.
Results Reference
derived

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Evaluation of the Discontinuation of Maintenance Corticosteroid Treatment in Quiescent Systemic Lupus

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