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A double-blind placebo-controlled pilot study of safety and tolerability of AIMSPRO® in established diffuse cutaneous systemic sclerosis
ISRCTN ISRCTN54813778
ClinicalTrials.gov identifier
Public title A double-blind placebo-controlled pilot study of safety and tolerability of AIMSPRO® in established diffuse cutaneous systemic sclerosis
Scientific title
Acronym N/A
Serial number at source DISS01
Study hypothesis That the hyperimmune caprine serum medication AIMSPRO® will be a safe and well tolerated therapy for patients with established diffuse cutaneous systemic sclerosis.
Ethics approval This study was approved by the National Research Ethics Committee, Royal Free Hospital NHS Trust on 30 July 2008 (ref: 08/H0720/63).
Study design Treatment, parallel-assignment, double-blind (subject, caregiver, investigator, outcomes assessor), randomised, placebo-controlled, safety/efficacy trial
Countries of recruitment United Kingdom
Disease/condition/study domain Diffuse cutaneous systemic sclerosis
Participants - inclusion criteria 1. Males and females aged 18 years and older
2. Must fulfil 1980 preliminary classification criteria for systemic sclerosis of the American Rheumatism Association
3. Diffuse cutaneous systemic sclerosis, as evidenced by skin sclerosis proximal to the elbows or knees and absence of the anti-centromere autoantibody
4. Three years must have elapsed since the first non-Raynaud's manifestation
5. Men and women of chilbdearing potential must use adequate birth control measures for the duration of the study and should continue such precautions for six months after receiving the last injection of AIMSPRO®
6. Hb >8.5 g/dL
7. White blood cell (WBC) >3.5 x 10^9/L
8. Platelets >100 x 10^9/L
9. Serum glutamic-oxaloacetic transaminase (SGOT)/aspartate aminotransferase (AST) and alkaline phosphatatse levels must be within twice the upper limit of normal range
Participants - exclusion criteria 1. Woman who are pregnant, nursing or planning pregnancy within one and a half years after screening
2. Use of any Investigational Medicinal Product (IMP) within one month prior to screening or within five half-lives of the IMP, whichever is longer
3. Use of a putative disease modifying drug within one month of screening
4. Treatment with any medication targeted at reducing tumour necrotising factor (TNF) within three months of screening
5. Previous administration of AIMSPRO®
6. History of known allergy to animal proteins
7. Serious infections in the last three months
8. Active Hepatitis B or C
9. Active tuberculosis
10. Opportunistic infections within the last six months
11. History or suggestive signs of lymphoproliferative disease
12. Known recent substance abuse
13. Poor tolerability of venesection or poor access
14. Presence of a transplanted organ (other than a corneal transplant of >3 months duration)
15. Immunosuppressive therapy within one month of screening
16. Malignancy within the past five years
17. Signs or symptoms of severe, progressive or uncontrolled renal, hepatic, haematologic, gastrointestinal, endocrine, pulmonary, cardiac or neurological disease
18. Myocardial infarction, uncontrolled cardiac failure, unstable angina or uncontrolled systemic hypotension or hypertension within the past three months
19. Screening values which deviate 20% or more from the limits of normal which are considered to be clinically significant by the investigator
Anticipated start date 21/10/2008
Anticipated end date 21/10/2009
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 20
Interventions AIMSPRO® (manufactured by Sypharma Pty Ltd, Australia) 1.0 ml twice weekly for 6 months, injected sub-cutaneously vs placebo.
Primary outcome measure(s) Modified Rodnan Skin Score at 0, 6 and 26 weeks.
Secondary outcome measure(s) The following will be assessed at 0, 6 and 26 weeks:
1. Scleroderma Health Assessment Questionnaire
2. Scleroderma UK functional score
3. Patient and Physician Global Assessment
4. SF-36 Health Survey
5. Medical Research Concil (MRC) Sum Score
Sources of funding Daval International Ltd (UK)
Trial website
Publications
Contact name Prof  Christopher  Denton
  Address Centre for Rheumatology and Connective Tissue Diseases
Royal Free Hospital
Pond Street
  City/town London
  Zip/Postcode NW3 2QG
  Country United Kingdom
  Tel +44 (0)20 7317 7544
  Email niamhq@gmail.com
Sponsor Daval International Ltd (UK)
  Address 4a Gildredge Street
  City/town Eastbourne
  Zip/Postcode BN21 4RL
  Country United Kingdom
  Tel +44 (0)845 130 3014
  Fax +44 (0)845 603 1190
  Email bryanyoul@gmail.com
  Sponsor website: http://www.davalinternational.com
Date applied 07/10/2008
Last edited 24/10/2008
Date ISRCTN assigned 24/10/2008
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