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NCT Number: NCT04981145

The Efficacy and Safety of Iguratimod (IGU) in the Treatment of Primary Sjögren's Syndrome

A multi-center, prospective, open-label, randomized controlled study of efficacy and safety of Iguratimod in patients with Primary Sjögren's syndrome

Recruiting

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Second affiliated hospital of zhejiang university,school of medical

Hangzhou, Zhejiang, 310000, China

Location status: Recruiting

Location contact

Jing Xue

CONTACT

[email protected]

13858121751

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Diagnosed with pSS by meeting the 2016 ACR/EULAR Classification Criteria.
  • The patient complained of dry mouth and eyes.
  • Positive anti-SSA/Ro-60 antibody at screening.
  • IgG≥16 g/L.
  • No hormone, immunosuppressant, biological agents or other treatments were received within 4 weeks before screening;
  • Pregnancy test of is negative. Use effective contraceptives during the trial (female)
  • Those who did not participate in any drug trial within 12 weeks before enrollment

Exclusion criteria

  • Pregnant or lactating or planning to get pregnant during the duration of the study.
  • Complicated with other CTD
  • Complicated with malignancy
  • mental illness, a history of alcohol abuse, immunodeficiency, uncontrolled infections, and drug or other substance abuse
  • serious systemic damage, glucocorticoids, other immunosuppressants and biological agents should be added to control the condition: Heart, liver (transaminase/bilirubin >1.5 times the upper normal limit), kidney (Cr≥133mmol/L), lung (FVC % < 60%), blood (white blood cell <3×109/L, HGB<80g/L, PLT<80×109/L), etc.
  • Fundus/visual field lesions;
  • Allergic to any component of the study drug (IGU and/or HCQ);
  • the investigator considers the patient to be unsuitable for entry into the study

Treatment and study plan

Iguratimod Tablets

Drug

Participants are treated with Iguratimod Tablets 25 mg Twice a day for 24 weeks.

Hydroxychloroquine Sulfate Tablets

Drug

Participants are treated with Hydroxychloroquine Sulfate Tablets 200 mg Twice a day for 24 weeks.

Primary outcomes

  1. The change of SSRI-30 between the two groups at 24 weeks

    Time frame: 24 weeks

    SS Responder Index (SSRI) is a composite endpoint, investigators defined an SSRI-30 response as a ≥30% improvement in at least two of five outcome measures (patient-assessed visual analogue scale scores for fatigue, oral dryness and ocular dryness, unstimulated whole salivary flow and ESR at 24 weeks

Secondary outcomes

  1. Change in The European League Against Rheumatism (EULAR) Sjogren's Syndrome Patient Reported Index (ESSPRI) score from Baseline to Week 24

    Time frame: 24 weeks

    The ESSPRI is composed of 3 scales - dryness, fatigue, and pain. Each scale is measured 0 - 10, 0 being no symptoms, 10 being maximal imaginable dryness, fatigue or pain. The total score is the mean score of the three scales. Baseline ESSPRI total score will be compared to week 24, end of treatment, ESSPRI total score.

  2. Change in total score of the EULAR Sjogren's syndrome disease activity index (ESSDAI) from baseline to week 24

    Time frame: 24 weeks

    The ESSDAI is a disease activity measurement that has 12 domains. The score of each domain is the product of the weight of the domain by the level of activity. Activity levels are 0 - 3, 0 being no activity, 3 being high activity. The total score is the sum of the score of all domains. Change in total score from BL to week 24 will be measured.

  3. Change in Schimer's test

    Time frame: 24 weeks

    The change from baseline in Schimer's test at 24 weeks. The Schirmer's test assesses tear secretion.

  4. Change in Immunoglobulin G (IgG) concentration

    Time frame: 10 and 24 weeks

    The change from baseline in IgG concentration at 10 and 24 weeks.

  5. Change in serum complements C3 and C4 concentration

    Time frame: 10 and 24 weeks

    The change from baseline in serum complements C3 and C4 concentrationat 10 and 24 weeks.

  6. Change in titer of Rheumatoid Factors

    Time frame: 10 and 24 weeks

    The change from baseline in titer of rheumatoid factors at 10 and 24 weeks.

Study contacts

Contact information is provided by the study sponsor or research team.

Jing Xue

CONTACT

[email protected]

13858121751

Sponsors and collaborators

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University

Other

Registry information

Official study title

The Efficacy and Safety of Iguratimod (IGU) in the Treatment of Primary Sjögren's Syndrome: a Multi-center, Prospective, Open Study

Important dates

Study start
2022
Primary completion
2024
Study completion
2025
First posted
Jul 28, 2021
Registry last updated
Oct 16, 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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