ClinicalTrials.gg
TerminatedNCT01781611DAREUpdated Nov 25, 2020Results posted

Dipyridamole Assessment for Flare Reduction in Systemic Lupus Erythematosus (SLE)

An interventional study of extended release dipyridamole 200mg/aspirin 25mg and 81mg aspirin in Systemic Lupus Erythematosus, sponsored by Oklahoma Medical Research Foundation. Terminated at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-11-25.

Sponsored by Oklahoma Medical Research Foundation · Not applicable, Interventional, and Treatment

Why this study was terminated
Slow recruitment
Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Lupus Erythematosus, Systemic by Oklahoma Medical Research Foundation — none open to participants now, none under way, none of them phase 3. Lupus Erythematosus, Systemic · Oklahoma Medical Research Foundation.

Started
2013
the only one that year
No phase
Only one
of the 10
Registered
6th of 10
by date

Among the 10 studies in Lupus Erythematosus, Systemic by Oklahoma Medical Research Foundation, this one is the only one that started in 2013, is the only one with no phase, and was the 6th registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

Observational2 · 0 open
Phase 12 · 0 open
Phase 1/22 · 0 open
Phase 22 · 0 open
No phasethis study1 · 0 open
Phase 41 · 0 open

By the year they started

First in 1995; this study’s year is marked. 1 started in 2013.

Size and results

Median enrollment 20 across the 8 interventional studies, 2,908 across the 2 observational. Of the 8 that completed or were terminated, 4 (50%) have results posted.

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Download CSVWith an account: the 10 studies in Lupus Erythematosus, Systemic by Oklahoma Medical Research Foundation as a file.
02

Study summary

Dipyridamole, a medication extensively used in combination with aspirin for stroke prevention, is a promising new treatment for lupus. Dipyridamole has been shown to inhibit certain lymphocyte populations that are over-reactive in lupus and to delay the emergence of lupus-related pathology in mice with lupus. The investigators are interested in investigating the efficacy of dipyridamole in preventing flares in patients with lupus and its impact on biomarkers of disease activity.

Read the detailed description

T cells in systemic lupus erythematosus (SLE) express an abnormal phenotype characterized by increased effector functions and deficient regulatory responses. Dipyridamole, a phosphodiesterase inhibitor extensively used in combination with low dose aspirin in secondary stroke prevention, has been proposed as a specific T cell directed treatment for SLE. Dipyridamole inhibits the calcium/calcineurin/NF-AT pathway in SLE T cells in vitro and abrogates expression of cytokines and costimulatory molecules, eventually also affecting B cell responses. Dipyridamole delays the emergence of lupus related pathology in lupus prone mice, but has not yet been studied in humans with SLE. The investigators aim to investigate the efficacy of dipyridamole in the prevention of flares in SLE patients after withdrawal of background immunosuppressive medications. The investigators will additionally evaluate the safety and tolerability of dipyridamole and its impact on quality of life measures in this population. Furthermore, the effect of dipyridamole on T and B cell biomarkers will be examined.

03

Conditions studied

  • Systemic Lupus Erythematosus

Keywords

  • lupus
  • dipyridamole
04

Who can participate

Ages eligible
18 Years to 70 Years
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 SLE meeting the 1997 ACR Classification Criteria
  • Evidence of positive ANA or anti-dsDNA within one year of screening
  • SLEDAI ≥4 or ≥1 BILAG A or B at screening, despite standard of care

Exclusion criteria

Exclusion Criteria:

  • Leukopenia (WBC \<2.000/mm3) or lymphopenia (lymphocytes \< 300/mm3)
  • or ALT >3 times above normal cut off values
  • Acute lupus nephritis defined as class II, IV or V nephritis diagnosed within 6 months or prot/creat > 1.5 gm/gm due to active lupus or in process of receiving induction therapy for nephritis
  • Active CNS lupus affecting mental status
  • Pregnancy or breast feeding
  • Current requirement for anticoagulation
  • to aspirin or dipyridamole, including history of recent or severe GI bleeding, \<9 mg/dL, count of \<30,000 /mm3 or unstable platelet count
  • Any other medical condition, whether or not related to lupus which, in the opinion of the investigator would render the patient inappropriate or too unstable to complete the study protocol
  • Inability or unwillingness to understand and/or sign
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    extended release dipyridamole/aspirin

    extended release dipyridamole 200mg/aspirin 25mg twice daily for 24 weeks

    Drug: extended release dipyridamole 200mg/aspirin 25mg

  • Active comparator
    aspirin

    half a tablet of a 81mg aspirin twice daily for 24 weeks

    Drug: 81mg aspirin

Interventions

  • Drugextended release dipyridamole 200mg/aspirin 25mg

    one tablet twice daily for 24 weeks

    Also known as: Aggrenox

  • half a tablet twice daily for 24 weeks

    Also known as: ASA

06

What researchers measure

Primary outcomes

  1. British Isles Lupus Assessment Group Index-based Combined Lupus Assessment (BICLA)

    This is a landmark measure of percentage of patients who meet response criteria. To meet the BICLA response measure a patient must, compared to baseline, have a decrease in all moderate or severe scores on the British Isles Lupus Assessment Group (BILAG) index by at least one severity grade (Severe disease (BILAG A score) must drop to at least moderate (B or better) and B must drop to at least mild (C or not present). Also, there must be no increase in any other BILAG organ scores, no increase in The Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score, and no increase in the physician's global assessment (PGA) by more than 10% of the scale. Furthermore, there may no off protocol medication increases. Note on all scales mentioned a higher score signifies greater disease activity. Ranges on BILAG could be 0-108 but are rarely greater than 36. SLEDAI could range 0-105 but is rarely greater than 20. PGA 0-100 but rarely greater than 76.

    Time frame: 24 weeks

Secondary outcomes

  1. Systemic Lupus Erythematosus Responder Index (SRI) 4

    This is a landmark analysis of percentage of patients who meet the following response criteria: Compared to baseline there must be a 4 point decrease in the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI), no increase in The British Isles Lupus Assessment Group (BILAG) Index score and no more of an increase in Physician's Global Assessment (PGA) than 10% of the scale. As assessed here, there must also be no off protocol increase in medications. All scales signify worsening disease when scores increase. Ranges on BILAG could be 0-108 but are rarely greater than 36. SLEDAI could range 0-105 but is rarely greater than 20. PGA 0-100 but rarely greater than 76.

    Time frame: 24 weeks

  2. SRI Component Analyses: 4 Point Drop in SLEDAI

    This is a landmark analysis of percentage of patients who, compared to baseline, have a 4 point drop in the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). A 4 point decrease signifies a clinically significant decrease in disease activity as reported in many studies and as commonly used as a clinical endpoint in trials. SLEDAI could range 0-105 but is rarely greater than 20.

    Time frame: 24 weeks

07

Results

Posted Nov 25, 2020

Participant flow

All patients were recruited from the Oklahoma Medical Research Foundation clinic after a full informed consent process.

Participant flow — Overall Study
MilestoneExtended Release Dipyridamole/AspirinAspirin
Started135
Completed95
Not completed40
Withdrew: Adverse event40

Outcome measures

PrimaryBritish Isles Lupus Assessment Group Index-based Combined Lupus Assessment (BICLA)

This is a landmark measure of percentage of patients who meet response criteria. To meet the BICLA response measure a patient must, compared to baseline, have a decrease in all moderate or severe scores on the British Isles Lupus Assessment Group (BILAG) index by at least one severity grade (Severe disease (BILAG A score) must drop to at least moderate (B or better) and B must drop to at least mild (C or not present). Also, there must be no increase in any other BILAG organ scores, no increase in The Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score, and no increase in the physician's global assessment (PGA) by more than 10% of the scale. Furthermore, there may no off protocol medication increases. Note on all scales mentioned a higher score signifies greater disease activity. Ranges on BILAG could be 0-108 but are rarely greater than 36. SLEDAI could range 0-105 but is rarely greater than 20. PGA 0-100 but rarely greater than 76.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
British Isles Lupus Assessment Group Index-based Combined Lupus Assessment (BICLA)
ParticipantsExtended Release Dipyridamole/AspirinAspirin
British Isles Lupus Assessment Group Index-based Combined Lupus Assessment (BICLA)32
SecondarySystemic Lupus Erythematosus Responder Index (SRI) 4

This is a landmark analysis of percentage of patients who meet the following response criteria: Compared to baseline there must be a 4 point decrease in the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI), no increase in The British Isles Lupus Assessment Group (BILAG) Index score and no more of an increase in Physician's Global Assessment (PGA) than 10% of the scale. As assessed here, there must also be no off protocol increase in medications. All scales signify worsening disease when scores increase. Ranges on BILAG could be 0-108 but are rarely greater than 36. SLEDAI could range 0-105 but is rarely greater than 20. PGA 0-100 but rarely greater than 76.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
Systemic Lupus Erythematosus Responder Index (SRI) 4
ParticipantsExtended Release Dipyridamole/AspirinAspirin
Systemic Lupus Erythematosus Responder Index (SRI) 432
SecondarySRI Component Analyses: 4 Point Drop in SLEDAI

This is a landmark analysis of percentage of patients who, compared to baseline, have a 4 point drop in the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI). A 4 point decrease signifies a clinically significant decrease in disease activity as reported in many studies and as commonly used as a clinical endpoint in trials. SLEDAI could range 0-105 but is rarely greater than 20.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
SRI Component Analyses: 4 Point Drop in SLEDAI
ParticipantsExtended Release Dipyridamole/AspirinAspirin
SRI Component Analyses: 4 Point Drop in SLEDAI42

Adverse events

Collected over 6 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Extended Release Dipyridamole/Aspirin0/13 (0%)0/13 (0%)13/13 (100%)
Aspirin0/5 (0%)1/5 (20%)5/5 (100%)
Most frequent serious events
Most frequent serious events
EventExtended Release Dipyridamole/AspirinAspirin
HysterectomyReproductive system and breast disorders0/131/5
Most frequent other events
Showing 10 of 19
Most frequent other events
EventExtended Release Dipyridamole/AspirinAspirin
GastroenteritisGastrointestinal disorders8/133/5
Upper Respiratory InfectionInfections and infestations1/133/5
Urinary Tract InfectionInfections and infestations3/132/5
Spider BiteInjury, poisoning and procedural complications0/132/5
HeadacheNervous system disorders4/131/5
PneumoniaInfections and infestations1/131/5
DizzinessNervous system disorders0/131/5
urticariaImmune system disorders2/130/5
Bladder Outlet ObstructionRenal and urinary disorders1/130/5
Chest PainMusculoskeletal and connective tissue disorders1/130/5

Baseline characteristics

Age, Continuous
Age, Continuous(years)Extended Release Dipyridamole/AspirinAspirinTotal
Mean44.5 ± 12.043.8 ± 12.944.3 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Extended Release Dipyridamole/AspirinAspirinTotal
Female12517
Male101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Extended Release Dipyridamole/AspirinAspirinTotal
American Indian or Alaska Native101
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American213
White9413
More than one race101
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Extended Release Dipyridamole/AspirinAspirinTotal
United States13518
Mean BILAG Score at Entry
Mean BILAG Score at Entry(units on a scale)Extended Release Dipyridamole/AspirinAspirinTotal
Mean11.2 ± 4.410 ± 4.910.9 ± 4.4
08

Study locations

1 site
  • Oklahoma Medical Research Foundation
    Oklahoma City, Oklahoma 73104, United States
09

References and documents

Publications

  • Kyttaris VC, Zhang Z, Kampagianni O, Tsokos GC. Calcium signaling in systemic lupus erythematosus T cells: a treatment target. Arthritis Rheum. 2011 Jul;63(7):2058-66. doi: 10.1002/art.30353. PubMed 21437870 ↗
  • 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. PubMed 33687069 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Those who wish access to this data may contact Joan Merrill at joan-merrill@omrf.org for further information

Supporting information: Study protocol

Time frame: The data will be available on or before June 1 2021

Access criteria: For de-identified data only: Please submit a two page request describing the research you wish to do and the investigators credentials and current employment. This will be reviewed by our cohort advisory board and IRB prior to release.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2013 to primary completion in May 2017, 51 months.

Results were first posted in Nov 2020, 3 years 6 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 2, 2013
First posted
Feb 1, 2013
StartActual
Feb 2013
Primary completionActual
May 2017
CompletionActual
Nov 2017
Results first posted
Nov 25, 2020
Last update
Nov 25, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01781611
Lead sponsor
Oklahoma Medical Research Foundation
Responsible party
Sponsor
First posted
Feb 1, 2013
Start date
Feb 2013
Primary completion
May 2017
Completion
Nov 2017
Results posted
Nov 25, 2020
Last update
Nov 25, 2020

Study contacts

Katherine Thanou, MD
principal investigator · Oklahoma Medical Research Foundation

Oversight

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

Not currently enrolling

This study is terminated, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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