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| Name | Class |
|---|---|
| Monash University | OTHER |
| Beijing ShuangLu Pharmaceutical Co., Ltd. | OTHER |
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Dysfunction of regulatory T (Treg) cells has been detected in diverse autoimmune diseases, which can be promoted by interleukin-2 (IL-2). In a previous small sample trail performed by the investigator's group, the investigators found that the Low-dose IL-2 was effective and well tolerated in active SLE, and the effect was associated with selective modulation of CD4+ T cell subsets.
This clinical study will confirm the efficacy and safety of low dose IL-2 treatment in SLE.
The investigators perform a single-centre, double-blind pilot trial with hrIL-2 in SLE.The investigators evaluate the effectiveness and safeness of low-dose hrIL-2 for Systemic lupus erythematosus by randomized controlled study (hrIL-2 (N = 30) versus placebo group (N = 30)).
Each SLE patients (n=60) with Scores>=8 on SLEDAI received low-dose IL-2 or placebo (active group: placebo group =1:1, 1 million units every other day subcutaneously (HrIL-2 1X 106, ip, Qod) for a period of 14 days. After a 14-day rest, another cycle started) for 3 cycles. The end points were safety and clinical and immunologic response.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hrIL-2 active | Active Comparator | Intervention:Add hrIL-2 according to the protocol to original treatment. HrIL-2 active: 1 million U doses of human recombinant interleukin-2 s.c. injection |
|
| hrIL-2 placebo | Placebo Comparator | 1 million U doses of placebo s.c. injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hrIL-2 active | Drug | active group: placebo group =1:1 |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Were SLE Responders (SRI) | SRI response was defined as (1) a ≥ 4-point reduction in SELENA-SLEDAI score, (2) no new BILAG A score or ≤ 1 new BILAG B score, and (3) no deterioration from baseline in the physician's global assessment by ≥ 0.3 points. | week 24 |
| Evaluation of the safety (type and number of adverse events and serious adverse events) of low-doseIL-2 in patients with SLE | Adverse events includes injection site reactions, influenza-like symptoms, infection, fever, tumor, cardiovascular event,drug-induced liver and kidney damage. | 24 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tian Liu, MD | Contact | 8613661345637 | mikle317@163.com | |
| Jing He, MD | Contact | 8618611707347 | hejing1105@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhanguo Li, MD | Peking University Institute of Rheumatology and Immunology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Rheumatology and Immunology, Peking University People's Hospital | Recruiting | Beijing | Beijing Municipality | 100044 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34116715 | Derived | Miao M, Xiao X, Tian J, Zhufeng Y, Feng R, Zhang R, Chen J, Zhang X, Huang B, Jin Y, Sun X, He J, Li Z. Therapeutic potential of targeting Tfr/Tfh cell balance by low-dose-IL-2 in active SLE: a post hoc analysis from a double-blind RCT study. Arthritis Res Ther. 2021 Jun 11;23(1):167. doi: 10.1186/s13075-021-02535-6. | |
| 33687069 | Derived |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 18, 2018 | |
| Unrelease | Sep 21, 2018 | |
| Release | Sep 21, 2018 | |
| Reset | Feb 12, 2019 | |
| Release | Feb 24, 2019 | |
| Unrelease | Mar 18, 2019 | |
| Release | Mar 18, 2019 | |
| Reset | Jun 14, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 18, 2018 | Sep 21, 2018 | |||
| Sep 21, 2018 |
| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| hrIL-2 placebo | Drug | active group: placebo group =1:1 |
|
| Hannon CW, McCourt C, Lima HC, Chen S, Bennett C. Interventions for cutaneous disease in systemic lupus erythematosus. Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007478. doi: 10.1002/14651858.CD007478.pub2. |
| 31537547 | Derived | He J, Zhang R, Shao M, Zhao X, Miao M, Chen J, Liu J, Zhang X, Zhang X, Jin Y, Wang Y, Zhang S, Zhu L, Jacob A, Jia R, You X, Li X, Li C, Zhou Y, Yang Y, Ye H, Liu Y, Su Y, Shen N, Alexander J, Guo J, Ambrus J, Lin X, Yu D, Sun X, Li Z. Efficacy and safety of low-dose IL-2 in the treatment of systemic lupus erythematosus: a randomised, double-blind, placebo-controlled trial. Ann Rheum Dis. 2020 Jan;79(1):141-149. doi: 10.1136/annrheumdis-2019-215396. Epub 2019 Sep 19. |
| Feb 12, 2019 |
| Feb 24, 2019 | Mar 18, 2019 |
| Mar 18, 2019 | Jun 14, 2019 |