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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 12 December 2020
Main ID:  NCT02703194
Date of registration: 27/02/2016
Prospective Registration: Yes
Primary sponsor: Chinese PLA General Hospital
Public title: Leflunomide for Maintenance of Remission in IgG4 Related Disease
Scientific title: A Study of Safety and Efficacy of Leflunomide for Maintenance of Remission in IgG4 Related Disease
Date of first enrolment: March 2016
Target sample size: 68
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT02703194
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 4
Countries of recruitment
China
Contacts
Name:     Jian Zhu
Address: 
Telephone:
Email:
Affiliation:  Chinese PLA General Hospital
Key inclusion & exclusion criteria

Inclusion Criteria:

1. Age between 18 and 80 years.

2. Diagnosis of IgG4-RD according to either Consensus statement on the pathology of
IgG4-related disease (for those who have undergone biopsies) or 2011 Comprehensive
diagnostic criteria for IgG4-related disease. Both of the two criteria for diagnosis
are specified below.

(1)Consensus statement on the pathology of IgG4-related disease

1. Histopathologic features consisting of dense lymphoplasmacytic infiltrate,
fibrosis(usually storiform in character)and/or obliterative phlebitis within involved
organs.

2. Either an elevated IgG4+/IgG+cell ratio of >40% within the affected organs or elevated
IgG4-bearing plasma cells per high-power field is necessary. The cut-off number of
IgG4-bearing plasma cells per high-power field is different depending upon the types
of affected organs and specimens(through surgery or needle puncture biopsy).

(2)2011 Comprehensive diagnostic criteria for IgG4-related disease

1. Clinical examination showing characteristic diffuse/localized swelling or masses in
single or multiple organs.

2. Hematological examination shows elevated serum IgG4 concentrations(135 mg/dl).

3. Histopathologic examination shows marked lymphocyte and plasmacyte infiltration and
fibrosis or Infiltration of IgG4+ plasma cells(ratio of IgG4+/IgG+ cells > 40% and >10
IgG4+ plasma cells/HPF).

Definite: a + b + c,Probable: a + c,Possible: a + b

4. Excluded from malignant tumors of each organ (e.g. cancer, lymphoma) and similar
diseases (e.g. Sjögren's syndrome, primary sclerosing cholangitis, Castleman's
disease, secondary retroperitoneal fibrosis, Wegener's granulomatosis, sarcoidosis,
Churg-Strauss syndrome) by additional histopathological examination.

5. Even when patients cannot be diagnosed using the Comprehensive diagnostic criteria,
they may be diagnosed using organ-specific diagnostic criteria for IgG4-RD, such as
Diagnostic criteria for IgG4-Mikulicz's disease.

Exclusion Criteria:

1. Subjects having received steroids or immunosuppressants in recent 3 months will be
excluded.

2. Subjects who were hypersensitive to leflunomide will be excluded.

3. ALT and/or AST is more than two folds of the upper limit of relevant reference value
at baseline.

4. WBC is less than 3×10*9/L at baseline.

5. Female patients who are pregnant or breastfeeding.

6. Known significant concurrent medical disease.



Age minimum: 18 Years
Age maximum: 80 Years
Gender: All
Health Condition(s) or Problem(s) studied
Immunoglobulin G4 Related Sclerosing Disease
Intervention(s)
Drug: Prednisone
Drug: Leflunomide
Primary Outcome(s)
Relapse rate at 12 months. [Time Frame: 12 months]
Secondary Outcome(s)
Relapse rate at 6 months. [Time Frame: 6 months]
Complete response assessed by IgG4-RD Responder Index (IgG4-RD RI) at 1, 3, 6 and 12 months. [Time Frame: Up to 12 months]
Partial response assessed by IgG4-RD RI at 1, 3, 6 and 12 months. [Time Frame: Up to 12 months]
Serum IgG4 concentrations (mg/dL) measured by immunonephelometry at 1, 3, 6 and 12 months. [Time Frame: Up to 12 months]
Adverse effect events [Time Frame: Up to 12 months]
Number of circulating plasmablasts (cell number/mL) assessed by flow cytometry by gating peripheral blood at 1, 3, 6 and 12 months. [Time Frame: Up to 12 months]
Secondary ID(s)
ChinaPLAGH-IgG4
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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