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Efficacy of Faslodex in Treatment of SLE Clinical, Serologic, and Molecular Studies

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: The Center for Rheumatic Disease, Allergy, & Immunology
AstraZeneca
Information provided by: The Center for Rheumatic Disease, Allergy, & Immunology
ClinicalTrials.gov Identifier: NCT00417430
  Purpose

SLE(Systemic Lupus Erythematosus) is an autoimmune disese that primarily occurs in women(9:1 compared to men). The disease is activated by genetic and environmental factors, yet the female gender is the strongest risk factor. The sex hormone estrogen has been proven in the past to be an enhancer of the immune response. Estrogen serves as a ligand for two specific receptor proteins. Lab studies that we have already done have shown estrogen significantly increases these two ligands in the T cells from SLE females, but not in T cells from normal women. These estrogen-dependent increases are blocked by the estrogen receptor antagonist ICI 182,780. The objective of this research is to investigate if ICI 182,780 alters disease progression and/or activity in females with SLE and may provide a new treatment for women with SLE. This is based on previous work we have done.


Condition Intervention Phase
Systemic Lupus Erythematosus
Drug: ICI 182,780 (Faslodex)
Phase II

MedlinePlus related topics:   Lupus   

Drug Information available for:   Ici 182780   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Safety/Efficacy Study
Official Title:   Phase II Study of Efficacy of ICI 182,780 (Faslodex) in the Treatment of Systemic Lupus Erythematosus: Clinical, Serologic, Molecular

Further study details as provided by The Center for Rheumatic Disease, Allergy, & Immunology:

Primary Outcome Measures:
  • Improved SLEDAI
  • Improved Disease Lab parameters
  • Measurement of the estrogen receptors from start to finish

Estimated Enrollment:   20
Study Start Date:   September 2004
Estimated Study Completion Date:   December 2006

Detailed Description:

This is a double-blind study, involving (goal) 20 women with SLE. All will be premenopausal with regular menstrual cycles. Patients will meet at least four of the criteria of the American Colleges of Rheumatology for classification of SLE. Disease activity will be determined by SLE disease activity index called SLEDAI scores. Patients can take meds to control their disease, but none will be able to take birth control pills/patches, or hormone replacement at the time of the study. The pharmacy will be in control of the blind and 10 will get ICI 182,780 (Faslodex) and 10 will get placebo. Lab will be drawn before each injection and a bone density will be done on injection 1 and 12, the injections will be monthly, depending on the female's cycle. A visit will be done at month 15 to evaluate SLEDAI, and draw lab as well. Each vs will have a SLEDAI done with the clinical evaluation. The injection is 250mg/5cc, which is divided into 2 injections of 2.5cc each, given IM, on day 4-10 of each cycle.

  Eligibility
Ages Eligible for Study:   16 Years to 50 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • Premenopausal women with SLE
  • Without life-threatening manifestations
  • With regular menstrual cyles not on hormones of any kind

Exclusion Criteria:

For any of the following:

  • Increase of SLEDAI greater than 12
  • If life-threatening manifestations occur
  • If menstruation ceases
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00417430

Locations
United States, Missouri
4330 Wornall suite 40    
      Kansas City, Missouri, United States, 64111

Sponsors and Collaborators
The Center for Rheumatic Disease, Allergy, & Immunology
AstraZeneca

Investigators
Principal Investigator:     Nabih Abdou, MD, PhD     Center for Rheumatic Disease    
  More Information


Study ID Numbers:   03-082
First Received:   December 28, 2006
Last Updated:   December 29, 2006
ClinicalTrials.gov Identifier:   NCT00417430
Health Authority:   United States: Food and Drug Administration

Study placed in the following topic categories:
Autoimmune Diseases
Lupus Erythematosus, Systemic
Fulvestrant
Connective Tissue Diseases

Additional relevant MeSH terms:
Estrogen Receptor Modulators
Estrogen Antagonists
Antineoplastic Agents, Hormonal
Immune System Diseases
Antineoplastic Agents
Hormone Antagonists
Therapeutic Uses
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 22, 2008




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