Giant Cell Arteritis
Conditions
Keywords
giant cell arteritis,, hydroxychloroquine,, corticosteroid sparing,, corticodependence
Brief summary
Cortico-dependence is frequent in giant cell arteritis patients, and no drugs has proved its ability to prevent corticodependence. Hydrocychloroquine is a well tolerated immunomodulatory drug that may have a corticosteroid sparing potential according to immuno-pharmacological and clinical data. We have designed a multcentric double blind versus placebo randomized controled trial to assess the corticosteroid sparing effect of hydroxychloroquine in non complicated giant cell arteritis.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* giant celle arteritis with at least 3 ACR criteria including a disgnostic temporal artery biopsy * corticosteroid treatment since less than 1 month * age less than 85 years * signed informed consent
Exclusion criteria
* amaurosis fugax, loss of vision, acute lumb ischemia, angina pectoris or myocardium infarctus, mesenteric ischemia or other vascular complications related to GCA * low life expectancy (\<2 years) * corticosteroid treatment since more than 30 days whatever the dosage * primary corticosteroid resistance defined by persistant symptoms despite prednisone for more than 15 days * previous psychiatric troubles induced corticosteroids * hydroxychloroquine contra-indicated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| prednisone dosage equal to or lower than 5 mg since more than 3 months without | 3 months at least |
| having experienced relapse since the inclusion in the study | — |
Secondary
| Measure | Time frame |
|---|---|
| prednisone daily dosage | 6, 12, 18 and 24 months |
| hydroxychloroquine blood levels | — |
Countries
France