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A multi-center, prospective, open-label, randomized controlled study of efficacy and safety of Iguratimod in patients with Primary Sjögren's syndrome
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IGU Group | Experimental |
| |
| HCQ Group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Iguratimod Tablets | Drug | Participants are treated with Iguratimod Tablets 25 mg Twice a day for 24 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The change of SSRI-30 between the two groups at 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 | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in The European League Against Rheumatism (EULAR) Sjogren's Syndrome Patient Reported Index (ESSPRI) score from Baseline to Week 24 | 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. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jing Xue | Contact | 13858121751 | xuej@zju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Yongmei Han | Sir Run Run Shaw Hospital | Principal Investigator |
| Hongzhi Wang | Affiliated Hospital of Jiaxing University | Principal Investigator |
| Ying Guan |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Second affiliated hospital of zhejiang university,school of medical | Recruiting | Hangzhou | Zhejiang | 310000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41423293 | Derived | Chen X, Zhang T, Meng L, Xu C, Jiang L, Wang G, Hou T, Wang H, Han Y, Guan Y, Wang Y, Xue J. Efficacy and safety of iguratimod in patients with primary Sjogren's syndrome: a multicentre randomised controlled trial. RMD Open. 2025 Dec 21;11(4):e006180. doi: 10.1136/rmdopen-2025-006180. |
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| ID | Term |
|---|---|
| D012859 | Sjogren's Syndrome |
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| C519076 | iguratimod |
| D006886 | Hydroxychloroquine |
| ID | Term |
|---|---|
| D002738 | Chloroquine |
| D000634 | Aminoquinolines |
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
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| Hydroxychloroquine Sulfate Tablets | Drug | Participants are treated with Hydroxychloroquine Sulfate Tablets 200 mg Twice a day for 24 weeks. |
|
| 24 weeks |
| Change in total score of the EULAR Sjogren's syndrome disease activity index (ESSDAI) from baseline to week 24 | 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. | 24 weeks |
| Change in Schimer's test | The change from baseline in Schimer's test at 24 weeks. The Schirmer's test assesses tear secretion. | 24 weeks |
| Change in Immunoglobulin G (IgG) concentration | The change from baseline in IgG concentration at 10 and 24 weeks. | 10 and 24 weeks |
| Change in serum complements C3 and C4 concentration | The change from baseline in serum complements C3 and C4 concentrationat 10 and 24 weeks. | 10 and 24 weeks |
| Change in titer of Rheumatoid Factors | The change from baseline in titer of rheumatoid factors at 10 and 24 weeks. | 10 and 24 weeks |
| Zhuji People's Hospital of Zhejiang Province |
| Principal Investigator |
| D012216 |
| Rheumatic Diseases |
| D014987 | Xerostomia |
| D012466 | Salivary Gland Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D015352 | Dry Eye Syndromes |
| D007766 | Lacrimal Apparatus Diseases |
| D005128 | Eye Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D000072471 |
| Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |