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To Assess Prevention of Bone Loss in Women With Lupus Receiving Treatment With Glucocorticoids

Primary Purpose

Lupus

Status
Unknown status
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Prasterone (GL701)
Sponsored by
Genelabs Technologies
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Lupus focused on measuring lupus, systemic lupus erythematosus, SLE, bone loss, DHEA

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

INCLUSION CRITERIA Women at least 18 years of age. Meet ACR criteria for diagnosis of SLE. Concomitant treatment with prednisone at a dose of ≥5 mg/day over the last 30 days prior to Screening visit. Cumulative history of oral glucocorticoid use for at least 6 months over the last year prior to the Screening Visit (the 6 months do not have to be consecutive). Patient has lumbar spine and proximal femur anatomy suitable for measurement by DXA with at least 3 evaluable vertebrae from L1 to L4. SLEDAI ≥3 at the Qualifying Visit. Women of child-bearing potential must have a negative serum pregnancy test (at the Screening Visit) and agree to use a reliable form of birth control while participating in the study. Patient is fully ambulatory. Patient has read and signed an Informed Consent Form. EXCLUSION CRITERIA History of breast cancer or malignancy of the reproductive tract organs. History of any other cancers unless no evidence of disease for 5 years. History of endometrial hyperplasia. End stage renal disease or receiving hemodialysis treatment. Any disease or condition that would preclude the accurate measurement of bone mineral density of the lumbar spine or proximal femur by dual X-ray absorptiometry. A T-score of less than or equal to - 2.5 of the L-spine or proximal femur at Screening DXA assessment. Unstable cardiac disease. Conditions causing bone loss such as hyperparathyroidism, Cushing's disease, thyrotoxicosis, chronic diarrheal state or malabsorption, renal tubular acidosis, or anorexia nervosa. Significant hepatic disease (i.e., cirrhosis). Body mass index > 35 kg/m2 or weight >300 lbs. Patients who are pregnant or breast feeding. Patients who require glucocorticoids by an alternate day dosing schedule. Known hypersensitivity to DHEA, or the inactive ingredients used in the GL701 formulation (cornstarch, lactose, magnesium stearate). Known medical contraindication or hypersensitivity to Calcium/Vitamin D. Participation in any prior DHEA or GL701 study. Use of investigational agents within 30 days of the Screening Visit or 10 half-lives of the agent. Any condition which in the Investigator's or Sponsor's opinion is sufficient to prevent adequate compliance with the study or likely to confuse follow-up evaluation (e.g., alcoholism, drug addiction, acute withdrawal from chemical dependency, psychiatric disease). The patient is taking or has taken one of the medications listed below: ANTIRESORPTIVES: Use of calcitonin within 30 days prior to Screening Visit. Fluorides > 1 mg/day at any time prior to the study. Strontium at pharmacologic dose at any time. BISPHOSPHONATE USE as follows: Any use within 90 days prior to the Screening Visit. ≥ 2 weeks of use in the last year prior to the Screening Visit. ≥ 3 months of use in the last 2 years prior to the Screening Visit. ≥ 1 intravenous dose over the last 2 years prior to the Screening Visit. ≥ 6 months of life-time exposure prior to the Screening Visit. ESTROGENIC STEROIDS (Except for oral contraceptives): Estrogenic steroids (HRT) within 60 days of the Screening Visit. Selective estrogen receptor modulator (raloxifene) within 60 days of the Screening Visit. OTHER HORMONES: Parathyroid hormone (PTH) within six months of the Screening Visit. Use of any androgens, including prescription or nutritional supplement DHEA, within 30 days of the Screening Visit.

Sites / Locations

  • University of Arizona
  • Wallace Rheumatic Study Center
  • Peng T Fan, MD & Wonil Lee, MD Partnership
  • Lifestyles Health Science Center
  • University of California San Diego
  • East Bay Rheumatology Group
  • Center for Rheumatology, Immunology and Arthritis
  • Rheumatology Associates of Central Florida
  • Tampa Medical Group, P.A.
  • Northwestern University
  • Ochsner Clinic Foundation
  • Johns Hopkins University
  • St. John's Medical Research Group
  • Washington University School of Medicine
  • Albert Einstein Medical School
  • SUNY Downstate Medical Center
  • North Shore University Hospital, Division of Rheumatology
  • Oklahoma Center for Arthritis Therapy
  • Oregon Health & Science University
  • Altoona Center for Clinical Research
  • University of Pittsburgh
  • Vanderbilt University
  • University of Texas, Medical Branch
  • Sentara Medical Group DBA
  • Seattle Rheumatology Associates
  • Immunology/Rheumatology Instituto Nacional de Ciencias Medicas y Nutricion, S.Z.

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
January 30, 2003
Last Updated
December 26, 2007
Sponsor
Genelabs Technologies
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1. Study Identification

Unique Protocol Identification Number
NCT00053560
Brief Title
To Assess Prevention of Bone Loss in Women With Lupus Receiving Treatment With Glucocorticoids
Official Title
A Randomized, Double-Blind, Multi-Center, Placebo- Controlled Study to Assess Prevention of Bone Loss by Treatment With GL701 (Prestara) in Women With Systemic Lupus Erythematosus Receiving Treatment With Glucocorticoids
Study Type
Interventional

2. Study Status

Record Verification Date
November 2004
Overall Recruitment Status
Unknown status
Study Start Date
December 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
August 2004 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Genelabs Technologies

4. Oversight

5. Study Description

Brief Summary
The purpose of this clinical trial is to study the effects of GL701 on bone mineral density in women with active systemic lupus erythematosus (SLE) who are also receiving treatment with glucocorticoids (e.g., prednisone).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lupus
Keywords
lupus, systemic lupus erythematosus, SLE, bone loss, DHEA

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
155 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Prasterone (GL701)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA Women at least 18 years of age. Meet ACR criteria for diagnosis of SLE. Concomitant treatment with prednisone at a dose of ≥5 mg/day over the last 30 days prior to Screening visit. Cumulative history of oral glucocorticoid use for at least 6 months over the last year prior to the Screening Visit (the 6 months do not have to be consecutive). Patient has lumbar spine and proximal femur anatomy suitable for measurement by DXA with at least 3 evaluable vertebrae from L1 to L4. SLEDAI ≥3 at the Qualifying Visit. Women of child-bearing potential must have a negative serum pregnancy test (at the Screening Visit) and agree to use a reliable form of birth control while participating in the study. Patient is fully ambulatory. Patient has read and signed an Informed Consent Form. EXCLUSION CRITERIA History of breast cancer or malignancy of the reproductive tract organs. History of any other cancers unless no evidence of disease for 5 years. History of endometrial hyperplasia. End stage renal disease or receiving hemodialysis treatment. Any disease or condition that would preclude the accurate measurement of bone mineral density of the lumbar spine or proximal femur by dual X-ray absorptiometry. A T-score of less than or equal to - 2.5 of the L-spine or proximal femur at Screening DXA assessment. Unstable cardiac disease. Conditions causing bone loss such as hyperparathyroidism, Cushing's disease, thyrotoxicosis, chronic diarrheal state or malabsorption, renal tubular acidosis, or anorexia nervosa. Significant hepatic disease (i.e., cirrhosis). Body mass index > 35 kg/m2 or weight >300 lbs. Patients who are pregnant or breast feeding. Patients who require glucocorticoids by an alternate day dosing schedule. Known hypersensitivity to DHEA, or the inactive ingredients used in the GL701 formulation (cornstarch, lactose, magnesium stearate). Known medical contraindication or hypersensitivity to Calcium/Vitamin D. Participation in any prior DHEA or GL701 study. Use of investigational agents within 30 days of the Screening Visit or 10 half-lives of the agent. Any condition which in the Investigator's or Sponsor's opinion is sufficient to prevent adequate compliance with the study or likely to confuse follow-up evaluation (e.g., alcoholism, drug addiction, acute withdrawal from chemical dependency, psychiatric disease). The patient is taking or has taken one of the medications listed below: ANTIRESORPTIVES: Use of calcitonin within 30 days prior to Screening Visit. Fluorides > 1 mg/day at any time prior to the study. Strontium at pharmacologic dose at any time. BISPHOSPHONATE USE as follows: Any use within 90 days prior to the Screening Visit. ≥ 2 weeks of use in the last year prior to the Screening Visit. ≥ 3 months of use in the last 2 years prior to the Screening Visit. ≥ 1 intravenous dose over the last 2 years prior to the Screening Visit. ≥ 6 months of life-time exposure prior to the Screening Visit. ESTROGENIC STEROIDS (Except for oral contraceptives): Estrogenic steroids (HRT) within 60 days of the Screening Visit. Selective estrogen receptor modulator (raloxifene) within 60 days of the Screening Visit. OTHER HORMONES: Parathyroid hormone (PTH) within six months of the Screening Visit. Use of any androgens, including prescription or nutritional supplement DHEA, within 30 days of the Screening Visit.
Facility Information:
Facility Name
University of Arizona
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85724
Country
United States
Facility Name
Wallace Rheumatic Study Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Peng T Fan, MD & Wonil Lee, MD Partnership
City
North Hollywood
State/Province
California
ZIP/Postal Code
91607
Country
United States
Facility Name
Lifestyles Health Science Center
City
Rancho Mirage
State/Province
California
ZIP/Postal Code
92270
Country
United States
Facility Name
University of California San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92093-0943
Country
United States
Facility Name
East Bay Rheumatology Group
City
San Leandro
State/Province
California
ZIP/Postal Code
94578
Country
United States
Facility Name
Center for Rheumatology, Immunology and Arthritis
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33334
Country
United States
Facility Name
Rheumatology Associates of Central Florida
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806-6264
Country
United States
Facility Name
Tampa Medical Group, P.A.
City
Tampa
State/Province
Florida
ZIP/Postal Code
33614
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Ochsner Clinic Foundation
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70121
Country
United States
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
St. John's Medical Research Group
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65804
Country
United States
Facility Name
Washington University School of Medicine
City
St. Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Albert Einstein Medical School
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Facility Name
SUNY Downstate Medical Center
City
Brooklyn
State/Province
New York
ZIP/Postal Code
11203
Country
United States
Facility Name
North Shore University Hospital, Division of Rheumatology
City
Manhasset
State/Province
New York
ZIP/Postal Code
11030
Country
United States
Facility Name
Oklahoma Center for Arthritis Therapy
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74114
Country
United States
Facility Name
Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97201
Country
United States
Facility Name
Altoona Center for Clinical Research
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
University of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15261
Country
United States
Facility Name
Vanderbilt University
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
University of Texas, Medical Branch
City
Galveston
State/Province
Texas
ZIP/Postal Code
77555
Country
United States
Facility Name
Sentara Medical Group DBA
City
Virginia Beach
State/Province
Virginia
ZIP/Postal Code
23462
Country
United States
Facility Name
Seattle Rheumatology Associates
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Facility Name
Immunology/Rheumatology Instituto Nacional de Ciencias Medicas y Nutricion, S.Z.
City
Mexico City
ZIP/Postal Code
14000
Country
Mexico

12. IPD Sharing Statement

Citations:
PubMed Identifier
18634158
Citation
Sanchez-Guerrero J, Fragoso-Loyo HE, Neuwelt CM, Wallace DJ, Ginzler EM, Sherrer YR, McIlwain HH, Freeman PG, Aranow C, Petri MA, Deodhar AA, Blanton E, Manzi S, Kavanaugh A, Lisse JR, Ramsey-Goldman R, McKay JD, Kivitz AJ, Mease PJ, Winkler AE, Kahl LE, Lee AH, Furie RA, Strand CV, Lou L, Ahmed M, Quarles B, Schwartz KE. Effects of prasterone on bone mineral density in women with active systemic lupus erythematosus receiving chronic glucocorticoid therapy. J Rheumatol. 2008 Aug;35(8):1567-75. Epub 2008 Jul 15.
Results Reference
derived

Learn more about this trial

To Assess Prevention of Bone Loss in Women With Lupus Receiving Treatment With Glucocorticoids

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