Macrophage Activation Syndrome
Conditions
Brief summary
The investigators evaluate the effectiveness and safeness of low-dose Recombinant Human Interleukin-2 (rhIL-2) for MAS.
Detailed description
Autoimmune-associated macrophage activation syndrome (MAS), also known as secondary hemophagocytic lymphohistiocytosis (HLH), is a rapidly progressing life-threatening disease. VP16 (Etoposide) is a well-known standard therapy, but is associated with substantial adverse effects, especially myelosuppression and infections , while steroids and ciclosporin (CSA) are not always efficient in this disease. The investigators hypothesized that low- dose IL-2 could be a novel therapy in MAS. This clinical study will test the efficacy and safety of low dose IL-2 treatment in MAS. The investigators perform a single-centre pilot trial with rhIL-2 in MAS. The investigators evaluate the effectiveness and safeness of low-dose IL-2 for MAS.
Interventions
Recombinant Human Interleukin-2 (RhIL-2) was administered subcutaneously at a dose of 1 million IU every other day for 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of Macrophage Activation Syndrome(MAS) * MAS secondary to autoimmune disease, such as Adult onset still's disease (AOSD), juvenile rheumatoid arthritis (JRA) or Systemic Lupus Erythematosus (SLE).
Exclusion criteria
* Primary MAS * Secondary to neoplasia, lymphoma and virus infection * pre-treatment with Cyclosporine A * relevant cardiac, pulmonary, neurologic or psychiatric disease * life-Vaccination within 4 weeks before begin with study medication * pregnant or breast-feeding * weight under 45kg or more than 80kg
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease activity on the HScore (a Score for the Diagnosis of Reactive Hemophagocytic Syndrome) | 1month | Examination of the therapeutic effects (improvement in HScore) of low dose IL-2 in patients with MAS |
Countries
China