IgG4-related Disease
Conditions
Keywords
IgG4-related disease, IgG4-RD
Brief summary
This is a randomized, open-label, single-center clinical trial to compare the efficacy and safety profile for medium-dose versus high dose glucocorticoid in patients with IgG4-related Disease. Patients will be followed for three months to measure the primary outcome and secondary outcomes.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and females * Age 18-70 years old with informed consent * Patients with IgG4-RD: 1. swelling, sclerosing and inflammatory involvement of one or more organ, including sclerosing pancreatitis, sclerosing cholangitis, inflammatory pseudotumors, retroperitoneal or mediastinal fibrosis, interstitial nephritis, hypophysitis, sclerosing dacryoadenitis, sialadenitis, inflammatory aortic aneurysm, lymphadenopathy, or other inflammatory conditions; 2. elevated serum IgG4 (\>1.35 g/L) 3. histopathologic features of fibrosis and/or lymphocytic and polyclonal plasma cell infiltration (and IgG4+ plasma cells on immunohistology when performed); 4. exclusion of other diseases.
Exclusion criteria
* Previously or currently received glucocorticoid and(or) immunomodulator * Pregnancy or lactating * Concurrent severe and/or uncontrolled and/or unstable diseases * Patient with malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete Response | 3 months | Complete Response(CR) is defined as resolution of clinical manifestations, biochemical tests (C-reactive Proteins and IgG or IgG4 levels), and imaging studies. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease Response | 3 months | Disease Response is measured by IgG4-RD Responder Index(IgG4-RD RI) and defined as: * Improvement of \> 2 points in the IgG4-RD RI over baseline * No disease flares, as assessed by the IgG4-RD RI. |
| Adverse Effect | 3 months | Treatment-related adverse effect, including glucocorticoid-induced diabetes mellitus and infections. |
Countries
China