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A new dosing strategy of infliximab versus standard dosing in patients with severe sarcoidosis: optimization of treatment

A new dosing strategy of infliximab versus standard dosing in patients with severe sarcoidosis: optimization of treatment - Concentration guided dosing of infliximab in sarcoidosis

Status
Unknown
Phases
Phase 4
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON42033
Enrollment
70
Registered
2015-01-20
Start date
Unknown
Completion date
Unknown
Last updated
2024-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sarcoidosis

Interventions

Intervention: The intervention group will receive infliximab 3 mg/kg, week 0 and 2. Based on measured serum concentrations, for every patient a dose, to be given at week 6, resulting in a concentrat

Sponsors

Sint Antonius Ziekenhuis
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: patients diagnosed with sarcoidosis being treated with infliximab or with an indication for infliximab;capability of giving informed consent

Exclusion criteria

Exclusion criteria: vaccination with live viral or bacterial vaccines within the previous 3 months, or with the last dose within the previous 3 months;active or untreated latent tuberculosis (by mantoux-Elispot/TBC-IGRA);serious infections within the last 2 months;serious right ventricular heart failure or cor polmunale;Active hepatitis B;history of allergic reactions to monocolonal antibodies or their fragments;oppotunistic infections with the last 6 months;HIV;transplantation;known malignancy;pregnancy or breastfeeding

Design outcomes

Primary

MeasureTime frame
Lung function i.e. FVC at 26 weeks.

Secondary

MeasureTime frame
Symptoms, CRP-, ACE-, sIL2R-concentrations at week 0, 14, 26 and 50. Lung function i.e. FVC and DLCO at week 0, 26 and 50. Imaging: X-Thorax, HRCT and PET scanning at week 0, 26 and 50. Endpoints in terms of Quality of Life are measurements obtained with EuroQol 5D and SF36 questionnaires at week 0, 14, 26 and 50. Endpoints in terms of fatigue are measurements obtained with Checklist Individual Strength (CIS) at week 0, 14, 26 and 50. Safety endpoints such as infusion reactions, infections.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)