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CompletedNCT04183387Updated Dec 3, 2019

Simvastatin in Uveitis

A Phase 2 interventional study of Simvastatin 40mg in Uveitis, sponsored by Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology. Completed at 1 site in Russia. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-12-03.

Sponsored by Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 2 months after the study started (first participant enrolled Sep 2014, registered Nov 2019).
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The study evaluates anti-inflammatory effects and safety of simvastatin in non-infectious uveitis.

Read the detailed description

3-Hydroxy-3-methyl-glutaryl coenzyme A reductase inhibitors (statins) have been shown to reduce local and systemic inflammation in animal models of various autoimmune disorders including uveitis. In this open-label, randomized study clinical efficacy and tolerability of simvastatin 40 mg/day for 8 weeks is evaluated.

02

Conditions studied

  • Uveitis

Browse trials for

03

In context

Uveitis

345 studies on the registry are indexed under Uveitis; 38 are open to participants now.

This study's enrollment of 50 is above the median of 30 across 214 interventional studies indexed under Uveitis.

Browse Uveitis studies →

Lead sponsor

Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 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

- diagnosis of active non-infectious uveitis

Exclusion criteria

Exclusion Criteria:

  • serious liver or kidney disease
  • increased transaminase levels of >1.5 ULN
  • planned or active pregnancy
  • use of fibrates, nicotinic acid, cyclosporine A, antifungal drugs, macrolide antibiotics, verapamil, and grapefruit juice (>1 L/day).
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Simvastatin and standard treatment

    40 mg simvastatin per day for 2 months in addition to conventional treatment of uveitis

    Drug: Simvastatin 40mg

  • No intervention
    standard treatment

    conventional treatment of uveitis

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of corticosteroid sparing control of ocular inflammation

    Incident cases of corticosteroid sparing control of ocular inflammation will be defined using following criteria: 1. ≤0.5+ anterior chamber cells, ≤0.5+ vitreous haze, and no active retinal/choroidal lesions; and 2. ≤10 mg of oral prednisone daily and ≤2 drops of prednisolone acetate 1% (or equivalent) a day; The patient should fullfill both criteria to be classified as having corticosteroid sparing control of ocular inflammation

    Time frame: 8 weeks

Secondary outcomes

  1. Visual acuity

    Assessment of visual acuity using the Golovin-Sivtsev table

    Time frame: Baseline, 4 weeks, 8 weeks

  2. Anterior chamber cells

    The grades for anterior chamber cells were 0 (\<1 cell), 0.5 (1-5 cells), 1 (6-15 cells), 2 (16-25 cells), 3 (26-50 cells), or 4 (\>50 cells)

    Time frame: Baseline, 4 weeks, 8 weeks

  3. Anterior chamber flare

    The grades are the following: 0 (none), 1+ (faint), 2+ (moderate (iris and lens details clear)), 3+ (marked (iris and lens details hazy)), 4+ (intense (fibrin or plastic aqueous)

    Time frame: Baseline, 4 weeks, 8 weeks

  4. Vitreous haze

    Nussenblatt scale: 0 (no flare), 0.5+ (trace), 1+ (clear optic disc and vessels, hazy nerve fiber layer), 2+ (hazy optic disc and vessels), 3+ (optic disc visible), 4+ (optic disc not visible)

    Time frame: Baseline, 4 weeks, 8 weeks

  5. Intraocular pressure

    Measured using Maklakov tonometer

    Time frame: Baseline, 4 weeks, 8 weeks

  6. Changes in tear IL-6

    Concentrations of IL-6 (pg/ml) in tear samples

    Time frame: Baseline, 8 weeks

  7. Changes in tear IL-8

    Concentrations of IL-8 (pg/ml) in tear samples

    Time frame: Baseline, 8 weeks

  8. Changes in tear IL-10

    Concentrations of IL-10 (pg/ml) in tear samples

    Time frame: Baseline, 8 weeks

  9. Changes in tear TNFα

    Concentrations of TNFα (pg/ml) in tear samples

    Time frame: Baseline, 8 weeks

  10. Changes in tear IFN-γ

    Concentrations of IFN-γ (pg/ml) in tear samples

    Time frame: Baseline, 8 weeks

  11. Incidence of corticosteroid sparing control of ocular inflammation

    Incident cases of corticosteroid sparing control of ocular inflammation will be defined using following criteria: 1. ≤0.5+ anterior chamber cells, ≤0.5+ vitreous haze, and no active retinal/choroidal lesions; and 2. ≤10 mg of oral prednisone daily and ≤2 drops of prednisolone acetate 1% (or equivalent) a day; The patient should fullfill both criteria to be classified as having corticosteroid sparing control of ocular inflammation

    Time frame: 4 weeks

07

Study locations

1 site
  • Laboratory of Clinical Immunopharmacology
    Novosibirsk, 630047, Russia
08

References and documents

Publications

  • Shirinsky IV, Biryukova AA, Kalinovskaya NY, Shirinsky VS. Tear cytokines as potential biomarkers in non-infectious uveitis: post hoc analysis of a randomised clinical trial. Graefes Arch Clin Exp Ophthalmol. 2020 Aug;258(8):1813-1819. doi: 10.1007/s00417-020-04707-7. Epub 2020 May 6. PubMed 32377822 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2014 to primary completion in Jan 2016, 16 months.

Of 22 phase 2 interventional studies under Uveitis, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 49. This study's 16 months is below that.

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

Registered
Nov 26, 2019
First posted
Dec 3, 2019
StartActual
Sep 2014
Primary completionActual
Jan 2016
CompletionActual
Jan 2016
Last update
Dec 3, 2019
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 Dec 3, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04183387
Lead sponsor
Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology
Responsible party
Ivan Shirinsky, MD, PhD (Head of the Laboratory of Clinical Immunopharmacology, Federal State Budgetary Scientific Institution, Research Institute of Fundamental and Clinical Immunology) — Principal investigator
First posted
Dec 3, 2019
Start date
Sep 2014
Primary completion
Jan 2016
Completion
Jan 2016
Last update
Dec 3, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Simvastatin

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