Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT06468709

A Trial on the Recurrence Free Survival Rate of Type I AIP With High-risk of Recurrence

Led by Ruijin Hospital · Updated on 2024-06-21

86

Participants Needed

1

Research Sites

162 weeks

Total Duration

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AI-Summary

What this Trial Is About

Autoimmune pancreatitis (AIP) is an autoimmune disease with low incidence rate and involving the pancreas. In China, type I AIP is predominant. Glucocorticoids (GC) have a significant therapeutic effect. Even though a consensus has been reached on the effective initial GC treatment dose, type I AIP is prone to recurrence after GC induction and maintenance therapy. Currently, there is no consensus on how to reduce the disease recurrence rate in high-risk type I AIP patients. Multiple studies have shown that immunosuppressants (IM) combined with GC can effectively reduce the disease recurrence rate in IgG4 RD patients, including azathioprine, mycophenolate mofetil (MMF), etc. Among them, the incidence of adverse reactions in MMF is relatively low. As a special type of IgG4-RD, there is currently no prospective study evaluating the efficacy and safety of GC combined with MMF treatment in high-risk recurrent type I AIP patients. The smooth implementation of this project can provide new treatment ideas and evidence-based medicine for reducing the recurrence rate of high-risk type I AIP.

CONDITIONS

Official Title

A Trial on the Recurrence Free Survival Rate of Type I AIP With High-risk of Recurrence

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent form
  • Willingness to follow all study procedures
  • Age 18 years or older
  • Confirmed type I autoimmune pancreatitis with high risk of recurrence, including any of: IgG4 > 4 times upper limit before treatment, high serum IgG4 after glucocorticoid treatment, pancreatic diffuse enlargement, IgG4-related sclerosing cholangitis with proximal bile duct involvement, or extrapancreatic organ involvement
  • Indications for treatment such as symptoms of pancreatic or extrapancreatic involvement or asymptomatic individuals with severe potential organ damage
  • Ability to take oral medications and cooperate with the study
  • Women of reproductive age must use contraception for at least one month before screening and throughout the study period
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding women
  • Inability or refusal to sign informed consent
  • History of mental illness
  • Allergy to study medications
  • Presence of malignant tumors
  • Active infections such as hepatitis or tuberculosis
  • Severe uncontrolled diseases like heart failure or respiratory failure
  • Use of glucocorticoids or immunosuppressants for other illnesses within the last 3 months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Ruijin Hospital

Shanghai, Shanghai Municipality, China, 200025

Actively Recruiting

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Research Team

X

XIaonan Shen, Doctor

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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