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CompletedNCT00190229Updated May 4, 2011

Efficacy of Steroid Versus Steroid Plus Cyclophosphamide for Severe Henoch-Schoenlein Purpura

An interventional study of Cyclophosphamide in Henoch-Schoenlein Purpura, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-05-04.

Sponsored by Assistance Publique - Hôpitaux de Paris · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Henoch-Schonlein purpura is a leucocytoclastic systemic vasculitis involving small vessels with the deposition of immune complexes containing IgA. It is characterized by the association of skin, joint and gastrointestinal manifestations. Even though the evolution is usually simple, some patients, especially adults, may have severe visceral involvement including heart, lung, brain and renal disease. The best treatment is currently unknown. This study will test the safety and efficacy of steroids associated or not with cyclosphosphamide to treat the acute lesions and to prevent the development of chronic lesions.

Read the detailed description

The protocol test the role of 2 modalities of treatment (steroid vs. steroid and cyclophosphamide) for severe systemic form of Henoch-Schonlein purpura. The severe forms include extracapillary glomerulonephritis, myocarditis, pneumonitis, occult involvement, severe gastro-intestinal bleeding. No other randomized trial has been performed in adult patient for this indication.

02

Conditions studied

  • Henoch-Schoenlein Purpura

Keywords

  • Vasculitis
  • Cyclophosphamide
  • Renal failure
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In context

IgA Vasculitis

36 studies on the registry are indexed under IgA Vasculitis; 12 are open to participants now.

This study's enrollment of 200 is above the median of 60 across 19 interventional studies indexed under IgA Vasculitis.

Browse IgA Vasculitis studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with Henoch-Schoenlein purpura
  • Patient's age > 18 years

Exclusion criteria

Exclusion criteria:

  • Patient presenting a purpura RHEUMATOID the diagnosis of which is confirmed by the histology presenting at least a visceral infringement(achievement) making consider the affection as engraves(burns)
  • of 18 or more years old Patient
  • Patient capable of understanding(including) the advantages and the risks of the try
  • Patient having given his assent lit in writing
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    1

    Cyclophosphamide

    Drug: Cyclophosphamide

Interventions

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What researchers measure

Primary outcomes

  1. Birmingham Vasculitis Activity Score (BVAS)

    Birmingham Vasculitis Activity Score (BVAS)

    Time frame: during de study

Secondary outcomes

  1. Chronic lesions (Vasculitis Damage Index)

    Chronic lesions (Vasculitis Damage Index)

    Time frame: during the study

  2. Renal function at 12 months

    Renal function at 12 months

    Time frame: during the study

  3. Kidney survival at 12 months

    Kidney survival at 12 months

    Time frame: during the study

  4. Patient survival at 12 months

    Patient survival at 12 months

    Time frame: during the study

  5. Blood pressure

    Blood pressure

    Time frame: during th study

  6. Infections

    Infections

    Time frame: during the study

  7. Adverse events related to steroid or cyclophosphamide

    Adverse events related to steroid or cyclophosphamide

    Time frame: during the study

07

Study locations

1 site
  • Hôpital LARIBOISIERE
    Paris, 75015, France
08

References and documents

Publications

  • Pillebout E, Thervet E, Hill G, Alberti C, Vanhille P, Nochy D. Henoch-Schonlein Purpura in adults: outcome and prognostic factors. J Am Soc Nephrol. 2002 May;13(5):1271-8. doi: 10.1097/01.asn.0000013883.99976.22. PubMed 11961015 ↗
  • Pillebout E, Alberti C, Guillevin L, Ouslimani A, Thervet E; CESAR study group. Addition of cyclophosphamide to steroids provides no benefit compared with steroids alone in treating adult patients with severe Henoch Schonlein Purpura. Kidney Int. 2010 Sep;78(5):495-502. doi: 10.1038/ki.2010.150. Epub 2010 May 26. PubMed 20505654 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00190229
First posted
Sep 19, 2005
Start date
Sep 2002
Primary completion
Jan 2008
Completion
Jan 2008
Last update
May 4, 2011

Study contacts

Eric THERVET, MD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2007. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Cyclophosphamide

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