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Primary Cutaneous VasculitisPhase 2ARAMISNCT02939573

A Randomized Multicenter Study for Isolated Skin Vasculitis

A Phase 2 study testing Colchicine, Dapsone and Azathioprine in people with Primary Cutaneous Vasculitis and Cutaneous Polyarteritis Nodosa, run by University of Pennsylvania at 16 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Multi-center sequential multiple assignment randomized trial comparing the effectiveness of three different standard of care treatment options for patients with isolated skin vasculitis. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Colchicine, Dapsone and Azathioprine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
16 sitesin 3 countries
Study dates
1 Jan 2017to 31 Dec 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with primary skin vasculitis, not associated with any significant extra-cutaneous involvement that would require specific immunosuppressive therapy. Eligible patients will have a diagnosis of either:
  • Isolated cutaneous small vessel (SV) or medium-sized vessel (MV) vasculitis or cutaneous polyarteritis nodosa (PAN)
  • IgA vasculitis (IgA, formerly Henoch-Schönlein purpura), without active and/or progressing renal involvement (stable glomerular filtration rate (GFR) >60 ml/min; absence of, or mild-and-stable microscopic hematuria without red blood cell casts; absence of, or mild-and-stable proteinuria (<1g/24 hours); not requiring systemic immunosuppressive therapy).
  • These conditions, when skin-limited, are all currently treated in similar manners in practice. Mild arthralgias, myalgias, peripheral limb edema, fatigue, weight loss ≤6 lbs or 3 kg within past 3 months, low-grade fever, and mild anemia (Hb ≥ 10 g/dL) will be allowed.
  • The diagnosis of vasculitis must have been confirmed by skin biopsy prior to enrollment (earlier, at diagnosis, and/or just prior to enrollment) that has included an immunofluorescence study (in the case of small vessel vasculitis).
  • Patients must have active cutaneous vasculitis lasting for at least 1 month continuously and/or have had 2 or more flares over the six months preceding enrollment (post-inflammatory lesions such as hyperpigmentation or healing ulceration(s) are not to be considered active vasculitis).
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  • Patients must have active / ongoing cutaneous vasculitis lesions at the time of enrollment (post-inflammatory lesions such as hyperpigmentation or healing ulceration(s) are not to be considered active vasculitis).
  • Patients may have a contra-indication to one of the study drug or have been treated prior to enrollment with one of the study medications but failed to respond to it (according to the study definitions of failure and if they have been on the drug at the target dose or higher for 3 months or longer) or had to stop it because of an adverse event. Such patients can be enrolled directly in the second stage of the study and be randomized to receive one of the two other study drugs. The number of such patients enrolled directly in stage 2 will be capped at 10 (10% of the total recruitment target).
  • Patients may have received systemic glucocorticoids for their cutaneous vasculitis before enrollment. For the patients on prednisone at the time of enrollment, prednisone should be stopped within a maximum of 6 weeks after enrollment and initiation of the study drug, following a pre-defined tapering schedule. Patients on long-term, low and stable dose of glucocorticoids (≤5 mg/day prednisone-equivalent) for other conditions (e.g., asthma or adrenal insufficiency) can be enrolled if the likelihood of requiring a dose increase for this other condition is low during the 6 month study period (these patients will remain on that low and stable dose during the study period, with the option to receive one short course of prednisone at higher doses for skin vasculitis flare during the first 3 months of the study period, like any other patients enrolled).
  • Participant age 18 years or greater.

Who cannot join

  • Presence of significant extra-cutaneous manifestations suggestive of a systemic vasculitis or more diffuse condition. The presence of mild arthralgias, myalgias, peripheral limb edema, fatigue, weight loss ≤6 lbs or 3 kg within past 3 months, low-grade fever, and mild anemia [Hb ≥ 10 g/dL] are not exclusion criteria. Mild and stable microscopic hematuria without RBC casts and/or mild and stable proteinuria (<1g/24 hours) are not exclusion criteria. These latter patients must not require systemic immunosuppressive therapy because of possible renal involvement and their GFR must be >60 ml/min.
  • Known systemic and/or non-skin-isolated vasculitis, such as granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis, cryoglobulinemic vasculitis, systemic polyarteritis nodosa, central nervous system vasculitis and patients with detectable antineutrophil cytoplasmic antibody (ANCA) by immunofluorescence or ELISA.
  • Hypocomplementemic urticarial vasculitis, cryoglobulinemic vasculitis, and other known secondary skin vasculitides such as those secondary to systemic lupus erythematosus, Sjögren syndrome, another auto-immune condition, a cancer, a hematological disorder, an ongoing active infection, or an ongoing medication. Investigators should consider such underlying diagnoses and perform and interpret appropriate laboratory work-up where indicated based on clinical presentation.
  • History of significant intolerance, allergy or serious adverse events to any of the study medications: such patients can be enrolled directly in the second stage of the study and be randomized to receive one of the two other study drugs. The number of patients enrolled directly in stage 2 of the study will be capped at 10 (10%).
  • Patients who have contra-indications to two or three of the study drugs (azathioprine, colchicine, or dapsone), or have been treated prior to enrollment with two or three of the study drugs but failed to respond to them, or had to stop two or three of them because of adverse events.
  • Deficit in glucose-6-phosphate dehydrogenase (G6PD) or history of hemolytic anemia (all patients must be tested for G6PD at the screening visit to assess for their eligibility): such patients can be enrolled directly in the second stage of the study and be randomized to receive one of the two other study drugs (azathioprine or colchicine). The number of patients enrolled directly in stage 2 of the study will be capped at 10 (10%).
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  • Low or absent thiopurine methyltransferase (TPMT) activity (if known, not a requirement for study entry): Patients known to have low or absent TPMT can be enrolled directly in the second stage of the study and be randomized to receive one of the two other study drugs (dapsone or colchicine).
  • Evidence of significant hepatic insufficiency or liver function tests > 2 times the upper limit of normal.
  • Evidence of significant renal insufficiency or creatinine clearance < 60 mL/min.
  • Evidence of significant or symptomatic anemia or Hb < 10 g/dL.
  • Comorbid condition that has moderate or high likelihood of requiring intermittent courses of prednisone within the study period, according to the investigator (e.g. chronic obstructive pulmonary disease (COPD), unstable or severe asthma).
  • Active cancer or history of malignancy within the previous 5 years (patient in remission of a cancer >5 years, or with non-metastatic prostate cancer or treated basal or squamous cell carcinoma of the skin can be enrolled).
  • Active uncontrolled or serious infection that may compromise or contra-indicate the use of the study medications.
  • Patient unable to consent.
  • Pregnant or lactating women.

Trial locations and contacts

16 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Carol McAlear, MA contact

cmcalear@upenn.edu

16 sites in 3 countries

United States12 sites, 4 recruiting
  • Boston University School of Medicine

    Boston, Massachusetts, 02118

    Completed
  • University of Virginia

    Charlottesville, Virginia, 22903

    Lauren Kuhns, LRK9T@uvahealth.org

    Recruiting
  • Cleveland Clinic

    Cleveland, Ohio

    Completed
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

    Aleuna Lee, Aleuna.Lee@UTSouthwestern.edu

    Recruiting
  • Penn State Hershey Medical Center

    Hershey, Pennsylvania, 17033

    Completed
  • University of Kansas Medical Center

    Kansas City, Kansas

    Theresa Howard, twang@kumc.edu

    Recruiting
  • Northwell Health

    Lake Success, New York, 11042

    Completed
  • Vanderbilt University

    Nashville, Tennessee, 37232

    Completed
  • Hospital for Special Surgery

    New York, New York, 10021

    Completed
  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Laura Cesar, Laura.Cesar@Pennmedicine.upenn.edu

    Recruiting
  • Mayo Clinic

    Rochester, Minnesota, 55905

    Completed
  • University of Utah

    Salt Lake City, Utah

    Completed

Other trials in United States

Canada3 sites, 3 recruiting
  • St. Joseph's Healthcare

    Hamilton, Ontario

    Sandra Messier, smessier@stjoes.ca

    Recruiting
  • McGill University Health Centre

    Montreal, Quebec, H4A 3J1

    Michele Tobaly, michele.tobaly@muhc.mcgill.ca

    Recruiting
  • University of Toronto Mount Sinai Hospital

    Toronto, Ontario

    Nazrana Haq, Nazrana.Haq@sinaihealth.ca

    Recruiting

Other trials in Canada

Japan1 site
  • Tohoku Medical and Pharmaceutical University Hospital

    Kyoto, 602-8566

    Completed

Other trials in Japan

About this study

Multi-center sequential multiple assignment randomized trial comparing the effectiveness of three different standard of care treatment options for patients with isolated skin vasculitis.

Read the detailed description

Eligible patients will be initially randomized (1:1:1) to receive one of the 3 medications under investigation (colchicine 0.6 mg x 2/day; dapsone 150 mg/day; azathioprine 2 mg/kg/day) for 6 months. Endpoint is response to treatment at month 6 (stage 1).

If the patient has to discontinue the study drug within the 6 month study period or during the subsequent follow-up period (up to month 12) because of a lack of response (or failure), flare or side effect, he/she will be randomized again to receive one of the remaining two study drugs (stage 2, with a 1:1 randomization ratio) for 6 months. Endpoint in this second stage will again be the response to treatment at 6 months.

Being tested
Colchicine, Dapsone, Azathioprine
Medical subject headings
IgA Vasculitis

What participants receive

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

  • ColchicineDrug

    Also called Colcrys

    Randomized to colchicine 0.6 mg x 2/day

  • DapsoneDrug

    Also called DDS, Diaminodiphenylsulfone

    Randomized to dapsone 150 mg/day

  • AzathioprineDrug

    Also called Imuran

    Randomized to azathioprine 2 mg/kg/day

Study groups in NCT02939573
Study groupRoleWhat they receive
Stage 1ExperimentalEligible patients will be initially randomized (1:1:1) to receive one of the 3 medications under investigation (colchicine 0.6 mg x 2/day; dapsone 150 mg/day; azathioprine 2 mg/kg/day) for 6 months. Endpoint is response to treatment at month 6 (stage 1).
Receives: Drug: Colchicine; Drug: Dapsone; Drug: Azathioprine
Stage 2ExperimentalIf the patient has to discontinue the study drug within the (stage 1) 6 month study period or during the subsequent follow-up period (up to month 12) because of a lack of response (or failure), flare or side effect, he/she will be randomized again to receive one of the remaining two study drugs (stage 2, with a 1:1 randomization ratio, colchicine 0.6 mg x 2/day; dapsone 150 mg/day; azathioprine 2 mg/kg/day) for 6 months. Endpoint in this second stage will again be the response to treatment at 6 months.
Receives: Drug: Colchicine; Drug: Dapsone; Drug: Azathioprine

What is being measured

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

  1. Efficacy of the study drugs for the treatment of skin vasculitis.

    Compare response to therapies.

    Measured: Response to therapy at month 6 of the pooled study stages 1 and 2.

Secondary outcomes (5)
  1. Response rates for each of the study drugs

    Proportion of patient with complete response and significant response to therapy at months 3, 6 and 12

    Measured: Response evaluated months 3, 6 and 12

  2. Physician's global assessment of response

    Health-related quality of life as measured using physician's global assessment scale.

    Measured: Assessed at months 0, 1, 3, 6, 9, and 12.

  3. Patient's global assessment of response

    Health-related quality of life as measured using patient's global assessment scale.

    Measured: Assessed at months 0, 1, 3, 6, 9, and 12.

  4. Skindex29 score

    Disease activity measured by response to therapy at months 1, 3, 6, and 12

    Measured: Assessed at months 1, 3, 6, 9, and 12.

  5. Health-related quality of life

    Health-related quality of life as measured using SF-36 and Patient-Reported Outcomes Measurement Information System (PROMIS)

    Measured: Assessed at months 1, 3, 6, 9, and 12.

Timeline

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

  1. First posted20 Oct 2016 (estimated)
  2. Study start1 Jan 2017
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Dec 2028 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02939573
Sponsor's protocol ID
VCRC5562
Other IDs
U54AR057319
Acronym
ARAMIS
Status last verified
Aug 2026
First submitted
18 Oct 2016
Last updated
20 Aug 2026
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Hahn D, Hodson EM, Craig JC. Interventions for preventing and treating kidney disease in IgA vasculitis. Cochrane Database Syst Rev. 2023 Feb 28;2(2):CD005128. doi: 10.1002/14651858.CD005128.pub4.

    PubMed 36853224
  • Micheletti RG, Pagnoux C, Tamura RN, Grayson PC, McAlear CA, Borchin R, Krischer JP, Merkel PA; Vasculitis Clinical Research Consortium. Protocol for a randomized multicenter study for isolated skin vasculitis (ARAMIS) comparing the efficacy of three drugs: azathioprine, colchicine, and dapsone. Trials. 2020 Apr 28;21(1):362. doi: 10.1186/s13063-020-04285-3.

    PubMed 32345372

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Colchicine, Dapsone and Azathioprine in people with Primary Cutaneous Vasculitis and Cutaneous Polyarteritis Nodosa, run by University of Pennsylvania at 16 sites in 3 countries.

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 15 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: looking for participants now, as of the sponsor's last update on 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States, Canada, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Carol McAlear, MA (cmcalear@upenn.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy of the study drugs for the treatment of skin vasculitis. (time frame: Response to therapy at month 6 of the pooled study stages 1 and 2.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02939573, which also lists 2 linked publications.

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 20 Aug 2026.

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