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This is a prospective cohort study to observe the efficacy and safety of Tofacitinib in children with Blau syndrome (BS). The investigators would analyze the rate of remission or low disease activity after treatment as well as changes in inflammatory markers, patients' and physician's global assessment of disease activity to determine the efficacy and safety of Tofacitinib.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Janus kinase inhibitors | Experimental | Tofacitinib is used according to weight: 5~<7kg,2mg;7~<10kg,2.5mg;10~<15kg,3mg;15~<25kg,3.5mg;25~<40kg,4mg;≥40kg,5mg. All is twice a day. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Janus Kinase Inhibitor | Drug | Tofacitinib is used according to weight: 5~<7kg,2mg;7~<10kg,2.5mg;10~<15kg,3mg;15~<25kg,3.5mg;25~<40kg,4mg;≥40kg,5mg. All is twice a day. |
|
| Measure | Description | Time Frame |
|---|---|---|
| rate of remission or low disease activity | From enrollment to the end of treatment at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| RCB(Response in Chinese children with Blau syndrome) 30, 50, 70 response rates | From enrollment to the end of treatment at 3, 6, 9, 12 months | |
| Changes in inflammatory markers (including erythrocyte sedimentation rate, C reactive protein), cytokines (including IL-1β, IL-6, IL-17, IL-18, TNFα, IFN γ) and expression of type I interferon-stimulated genes over baseline |
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Inclusion Criteria:
Exclusion Criteria:
Patients will not be included if meets any of the following criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking Union Medical College Hospital | Beijing | 100730 | China |
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| ID | Term |
|---|---|
| C538157 | Blau syndrome |
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| ID | Term |
|---|---|
| D000075242 | Janus Kinase Inhibitors |
| ID | Term |
|---|---|
| D047428 | Protein Kinase Inhibitors |
| D004791 | Enzyme Inhibitors |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
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Changes are standardized as the ratio of the numerical difference before and after treatment to the baseline value |
| From enrollment to the end of treatment at 1,3, 6, 9, 12 months |
| Proportion of recurrent uveitis | From enrollment to the end of treatment at 12 months |
| Incidence of new organ involvement | From enrollment to the end of treatment at 1,3, 6, 9, 12 months |
| Number of participants with adverse effect | From enrollment to the end of treatment at 12 months |
| D020164 | Chemical Actions and Uses |