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Completed

NCT Number: NCT05605665

Low-dose Interleukin-2 and Rapamycin on sjögren's Syndrome

The purpose of this paper is to analysis of therapeutic effect and immunological mechanism of low-dose IL-2 combined with rapamycin in the treatment of Sjogren's syndrome

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Key information

About this study

A randomized, open clinical trial was designed. Patients will be randomly divided into three groups,including Ld-IL2 group, rapamycin group, Ld-IL2+rapamycin group. The improvement of clinical and laboratory indexes will be evaluated. Changes of immune cell subsets and cytokines will be monitored.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female, and aged 18-70 at the time of screening visit.
  • Patients with Sjogren's syndrome who meet the 2002 EULAR classification criteria.
  • If the standardized treatment is not effective or relapses, it is clinically necessary to give additional immunomodulatory treatment.
  • Disease activity: ESSDAI≥4 points.
  • The pregnancy test results of female subjects of childbearing age should be negative at screening and baseline.
  • The written informed consent form approved by the Ethics Committee of Peking University People's Hospital was signed and dated by the subject or legal representative.

Exclusion criteria

  • Severe chronic liver, kidney and heart dysfunction.
  • Severe drug-resistant bacterial infections, such as bacteremia and septicemia.
  • Patients with tumor and tumor history.
  • Chronic respiratory failure.
  • Patients who are ineffective in high-dose hormone pulse therapy.
  • Those who use rituximab or other biological agents within 3 months.
  • Patients with active tuberculosis infection or potential tuberculosis infection.
  • There are obstacles that can't cooperate or cause interference in completing this research: such as mental patients.

Treatment and study plan

low-dose interleukin-2

Drug

low dose interleukin-2 injected subcutaneously, at a dose of 1 x 10~6 IU once twice a week, for 12 weeks.

Other names: Recombinant Human Interleukin-2

Rapamycin

Drug

Rapamycin 0.5ml was taken orally once per day

Other names: sirolimus

Primary outcomes

  1. Proportion of Treg cells in peripheral blood

    Time frame: week 12

    Proportion of Treg cells in peripheral blood will be detected by flowcytometry

Secondary outcomes

  1. ESSDAI [potential score 0 - 123]

    Time frame: week 12

    ESSDAI is [European League Against Rheumatism (EULAR) Sjögrens Syndrome Disease Activity Index]. Higher scores mean a worse outcome.

  2. Physician's Global Disease Activity VAS, (potential score 0 - 10)

    Time frame: week 12

    Physician's Global Disease Activity (10 cm VAS assessing global disease activity from "No evidence of disease activity" to "Extremely active or severe disease activity"; Disease Activity being defined as potentially reversible pathology or physiology resulting from the myositis). Higher scores mean a worse outcome.

  3. Patient's Global Disease Activity VAS, (potential score 0 - 80)

    Time frame: week 12

    Patient's Global Disease Activity (10 cm VAS assessing global disease activity from "No evidence of disease activity" to "Extremely active or severe disease activity"; Disease Activity being defined as potentially reversible pathology or physiology resulting from the myositis). Higher scores mean a worse outcome.

  4. Rate of Participants with adverse effects associated with experimental drugs

    Time frame: week 12

    Adverse effects include fever, rash, abnormal liver function, rate of new-onset infection and any abnormal measures associated with low-dose IL-2 therapy, and oral ulcer, rash, hypertension, anemia, arthralgia, diarrhea and any abnormal measures associated with rapamycin therapy.

Sponsors and collaborators

Lead sponsor

Peking University People's Hospital

Other

Registry information

Official study title

Therapeutic Effect of Low Dose IL-2 Combined With Rapamycin in on sjögren's Syndrome

Important dates

Study start
2022
Primary completion
2023
Study completion
2024
First posted
Nov 4, 2022
Registry last updated
Jul 9, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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