Sjogren's Syndrome MedDRA version: 18.0 Level: LLT Classification code 10040766 Term: Sjogren's disease System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders MedDRA version: 18.0 Level: PT Classification code 10040767 Term: Sjogren's syndrome System Organ Class: 10028395 - Musculoskeletal and connective tissue disorders MedDRA version: 18.0 Level: LLT Classification code 10042846 Term: Syndrome Sjogren's System Organ Class: 10028395 - Musculoskeletal and connective ti
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) women, age 18-75 years 2) pSS diagnosed according to the American-European Consensus Criteria, revised in 2002 3) lymphocyte focus score (local lymphocytic infiltrates) =1 in sublablial salivary gland specimen. 4) ESSDAI = 5 5) presence of autoantibodies directed to pSS-related SSA and/or SSB nuclear antigens 6) use of a reliable method of contraception 7) signed written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: 1) Pregnancy or the wish to conceive during the study or within 2 years after the study 2) Breastfeeding 3) Therapy-resistent hypertension 4) Maculopathy or retinitis pigmentosa 5) Secondary Sjogren’s Syndrome 6) Hepatic or renal impairment 7) Severe infection (including hepatitis B,C or HIV) 8) Malignancy other than mucosa-associated lymphoid tissue lymphoma (MALT lymphoma) 9) Significant cytopenia 10) Concomitant cardiac- and inflammatory bowel disease 11) Sarcoidosis 12) Usage of LEF of HCQ <6 months prior to inclusion 13) Usage of immunosuppressive drugs, with the exception of a stable dose of non- steroidal inflammatory drugs and a stable, low dose (=7.5 mg) of oral corticosteroids 14) Inadequate mastery of the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Reduction in disease activity, measured by ESSDAI (EULAR Sjogren's syndrome disease activity index);Secondary Objective: Improvement of dryness measured by stimulated whole saliva output;Primary end point(s): Improvement of disease activity measured by ESSDAI ;Timepoint(s) of evaluation of this end point: After 24 weeks of treatment with either LEF and HCQ, or placebo-LEF and placebo-HCQ | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Dryness measured by stimulated whole saliva;Timepoint(s) of evaluation of this end point: After 24 weeks of treatment with either LEF and HCQ, or placebo | — |
Countries
Netherlands
Contacts
UMC Utrecht