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SAPHO SyndromePhase 1NCT02544659

Efficacy of Bisphosphonates in Patients With Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome

A Phase 1 study testing pamidronate disodium in people with SAPHO Syndrome, run by Peking Union Medical College Hospital.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is designed to evaluate long term efficacy of intravenous bisphosphonates for bone marrow edema in patients with SAPHO syndrome. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
SAPHO Syndrome
What is being tested?
pamidronate disodium
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
No sites listed yet
Study dates
Oct 2015to Oct 2016
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients between the ages of 18 and 70 years
  • Only 1 of the 4 inclusion criteria is sufficient to arrive at a diagnosis of SAPHO syndrome:
  • Osteo-articular manifestations of acne conglobata, acne fulminans, or hidradenitis suppurativa
  • Osteo-articular manifestations of PPP
  • Hyperostosis (of the anterior chest wall, limbs or spine) with or without dermatosis
  • CRMO involving the axial or peripheral skeleton with or without dermatosis Palmoplantar pustulosis(PPP); chronic recurrent multifocal osteomyelitis(CRMO)
Show all 10Show fewer
  • MRI shows bone marrow edema in affected site in patients
  • Blood serum of patients show the normal white blood cell count, liver and renal function
  • Patients who like to be followed up for 1 years
  • Other protocol defined inclusion criteria may apply

Who cannot join

  • Women in pregnancy or lactation.
  • Septic osteomyelitis
  • Infectious chest wall arthritis
  • Infections PPP
  • Palmo-plantar keratodermia
  • DISH except for fortuitous association
  • Osteoarticular manifestations of retinoid therapy
  • Other protocol defined exclusion criteria may apply

About this study

Official title: Unrandomized, Open Label Single-center Study to Assess the Long Term Efficacy of Intravenous Bisphosphonates for Bone Marrow Edema in Patients With SAPHO Syndrome

This study is designed to evaluate long term efficacy of intravenous bisphosphonates for bone marrow edema in patients with SAPHO syndrome.

Read the detailed description

The study will evaluate the long term efficacy at 3 days, 3 and 6 months after pamidronate disodium administered. Patients will be administered pamidronate disodium 1 mg/kg, IV, QD, for 3 days, and every 3 months (up to month 6).

Conditions
SAPHO Syndrome
Being tested
pamidronate disodium
Keywords
Treatment, Bisphosphonates, Response rate
Medical subject headings
Acquired Hyperostosis Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • pamidronate disodiumDrug

    the patients will be administered pamidronate disodium 1 mg/kg, IV, QD, for 3 days, and every 3 month (up to month 6)

Study groups in NCT02544659
Study groupRoleWhat they receive
pamidronate disodiumExperimentalthe patients will be administered intravenous pamidronate disodium
Receives: Drug: pamidronate disodium

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. response to the treatment by the change of MRI result at screening, baseline, month 3 and month 6

    Measured: 3 and 6 month (up to 6 month)

Secondary outcomes (10)
  1. physician's global assessment of disease activity at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  2. response to the treatment by the change of Visual Analogue ale/Score (VAS) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  3. response to the treatment by the change of bath ankylosing spondylitis disease activity index (BASDAI) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  4. response to the treatment by the change of bath ankylosing spondylitis functional index (BASFI) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  5. response to the treatment by the change of bath ankylosing spondylitis metroloty index (BASMI) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  6. response to the treatment by the change of ankylosing spondylitis disease activity score (ASDAS) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  7. response to the treatment by the change of erythrocyte sedimentation rate (ESR) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  8. response to the treatment by the change of high sensitivity-C reaction protein (hs-CRP) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  9. response to the treatment by the change of Osteocalcin at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

  10. response to the treatment by the change of beta-Crosslaps (beta-CTx) at screening, baseline, month 3 and month 6

    Measured: 3 days, 3 and 6 month (up to 6 month)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2015 (estimated)
  2. Study startOct 2015
  3. Primary completionOct 2016
  4. Study completionOct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02544659
Sponsor's protocol ID
PUMCH-SAPHO-01
Status last verified
Sep 2015
First submitted
28 Aug 2015
Last updated
13 Oct 2016
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing pamidronate disodium in people with SAPHO Syndrome, run by Peking Union Medical College Hospital.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

response to the treatment by the change of MRI result at screening, baseline, month 3 and month 6 (time frame: 3 and 6 month (up to 6 month)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2016.

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