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CompletedNCT02201043Updated Nov 20, 2015

Phase II Clinical Study of Thalidomide in the Treatment of Ankylosing Spondylitis

A Phase 2 interventional study of Thalidomide 150mg and Thalidomide 100mg in Ankylosing Spondylitis, sponsored by Shanghai Pharmaceuticals Holding Co., Ltd. Completed at 9 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2015-11-20.

Sponsored by Shanghai Pharmaceuticals Holding Co., Ltd · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
197
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

  1. Evaluate the efficacy and safety of taking thalidomide tablets once daily in the treatment of active ankylosing spondylitis.
  2. To explore dose-effect relationships of taking thalidomide tablets once daily in the treatment of active ankylosing spondylitis, as well as selecting the appropriate dose for the further larger scale clinical trials.
02

Conditions studied

  • Ankylosing Spondylitis

Keywords

  • ankylosing spondylitis
  • thalidomide
03

In context

Spondylitis

623 studies on the registry are indexed under Spondylitis; 83 are open to participants now.

This study's enrollment of 197 is above the median of 92 across 349 interventional studies indexed under Spondylitis.

Browse Spondylitis studies →

Lead sponsor

Shanghai Pharmaceuticals Holding Co., Ltd is the lead sponsor of 35 studies on the registry; 14 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • (1) Active Ankylosing Spondylitis, Age 18-65, both outpatient or inpatient, both gender;
  • (2) AS patients after traditional therapy (Using NSAIDs in a stable dose for 1 month, using oral corticosteroids, using NSAIDs for 3 months) still in active stage;
  • (3) Pregnancy test must be negative in the female subjects of childbearing age or wife of the male subjects;
  • (4)Female subjects with fertility during the trial (of 32 weeks) agreed to take a double medically accepted and reliable contraceptive measures, which includes a drug and a non-drug contraceptive measures; if the spouses of male subjects have fertility, agreed to use latex condoms for contraception;
  • (5)Willing to have the treatment according to the plan as well as do the follow-up exam on time;
  • (6)Understand and voluntarily signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • (1) Suffering from or have suffered from rheumatoid arthritis, disc prolapse, septic arthritis, diffuse idiopathic skeletal hyperostosis syndrome, iliac dense osteitis, psoriatic arthritis, bowel disease arthritis, Reiter syndrome;
  • (2) Severe AS, spine completely stiff (X-ray class IV) or the disease has been shown to have a shorter survival period;
  • (3) Previously had total hip arthroplasty surgical treatment or appropriate to have the surgery;
  • (4) Previously received anti-TNF therapy;
  • (5) Used leflunomide within 3 months before screening;
  • (6) Severe or persistent infection requires antimicrobial therapy;
  • (7) Hepatitis B surface antigen or hepatitis C antibody test positive;
  • (8) HIV positive or have acquired immunodeficiency syndrome (AIDS) history;
  • (9) Malignancy, lymphoproliferative disease history;
  • (10) Severe diabetes;
  • (11) Resting hypotension (BP\<90/50 mmHg) or hypertension (BP>170/100 mmHg), and orthostatic hypotension and clinically significant ECG abnormalities;
  • (12) Over the past six months had a stroke, heart attack or other serious cardiovascular disease (including heart failure, unstable angina or life-threatening arrhythmias and coronary artery bypass graft surgery);
  • (13) WBC or neutrophils below the lower limit of normal;
  • (14) Liver dysfunction, AST or ALT l> 2 times the upper limit of normal;
  • (15) Renal dysfunction, Cr>2 times the upper limit of normal;
  • (16) Female subjects or spouses of male subjects have positive pregnancy test or be in the sickling period or intend to fertility or unwilling to take effective contraception;
  • (17) With clinical symptoms of serious drug abuse or alcohol abuse or mental illness history;
  • (18) Participated in any clinical trials of drugs within 3 months before screening;
  • (19) Workers engaged in dangerous (eg drivers, machine operator, high-altitude operations, etc.);
  • (20) A history of deep venous thrombosis or pulmonary embolism;
  • (21) Be allergic to Test drug ingredients (including excipients);
  • (22) Other reasons for not be enrolled.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
197 participants (actual)

Study arms

  • Active comparator
    Thalidomide 150mg

    Thalidomide 25mg/qd.po.2weeks; 50mg/qd.po.2weeks;100mg/qd.po.2weeks; 150mg/qd.po.to the end

    Drug: Thalidomide 150mg

  • Active comparator
    Thalidomide 100mg

    Thalidomide 25mg/qd.po.2weeks; 50mg/qd.po.2weeks; 100mg/qd.po.to the end

    Drug: Thalidomide 100mg

  • Placebo comparator
    Placebo

    Placebo po.

    Drug: Placebo

Interventions

  • DrugThalidomide 150mg

    Also known as: Thalomid, Fan Ying Ting

  • DrugThalidomide 100mg

    Also known as: Thalomid, Fan Ying Ting

  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. Number of Subjects Achieving Assessment in Ankylosing Spondylitis 20 (ASAS 20)

    Time frame: week 12

Secondary outcomes

  1. Change of ASDAS score

    Time frame: week 12

  2. Change of ASDAS score

    Time frame: week 24

  3. Mean change from baseline in Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)

    Time frame: week 24

  4. Mean change from baseline in Bath Ankylosing Spondylitis Function Index(BASFI)

    Time frame: week 24

  5. Mean change from baseline in Nocturnal Pain using a Visual Analog Scale(VAS)

    Time frame: week 24

  6. Mean change from baseline in back pain using a Visual Anolog Scale(VAS)

    Time frame: week 24

  7. Morning stiffness

    Time frame: week 24

  8. Number of Peripheral swollen joints

    Time frame: week 24

  9. Number of Peripheral joint tenderness

    Time frame: week 24

  10. Chest expansion

    Time frame: week 24

  11. ESR

    Time frame: week 24

  12. CRP

    Time frame: week 24

  13. Schober test

    Time frame: week 24

  14. Scoliosis

    Time frame: week 24

07

Study locations

9 sites
  • The First Affiliated Hospital of Bengbu Medical College
    Bengbu, Anhui 233004, China
  • The General Hospital of People's Liberation Army
    BeiJing, Beijing 100853, China
  • Zhongshan Hospital Fudan University
    Shanghai, Shanghai 200032, China
  • Shanghai Guanghua Hospital
    Shanghai, Shanghai 200052, China
  • Changhai Hospital
    Shanghai, Shanghai 200433, China
  • Xijing Hospital
    XiAn, Shanxi 710032, China
  • West China Hospital of Sichuan University
    Chengdu, Sichuan 610041, China
  • Sichuan Provincial People's Hospital
    Chengdu, Sichuan 610072, China
  • The Xinjiang Uygur Autonomous Region people's Hospital
    Wulumuqi, Xinjiang 830001, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02201043
Lead sponsor
Shanghai Pharmaceuticals Holding Co., Ltd
Responsible party
Sponsor
First posted
Jul 25, 2014
Start date
Feb 2013
Primary completion
Feb 2015
Completion
Feb 2015
Last update
Nov 20, 2015

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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