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The Effect of Xolair ® (Omalizumab) in Mastocytosis Patients

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University of Zurich

关键词

抽象

Patients with mastocytosis often suffer from associated symptoms such as nausea, vertigo, fatigue, urticaria, abdominal cramps, diarrhea or hypotension due to release of mediators by mast cells. These patients have also an increased frequency of anaphylactic/anaphylactoid reactions due to allergens such as hymenoptera or nonspecific stimuli such as contrast media, local anesthetics or analgesics. In addition, there is increased osteoporosis in mastocytosis patients due to the activity of mast cell mediators on osteoblasts and osteoclasts. Symptoms of mastocytosis respond poorly to treatment with antihistamines or other antiallergic drugs. There is currently no specific treatment for this disease with the exception of rare cases. There are, however, some case reports suggesting that omalizumab might decrease symptoms including hypotensive events.
The aim of the study is to investigate whether patients suffering from mastocytosis benefit from a 6 month course of omalizumab with regard to symptoms and quality of life and whether the applied in vitro and in vivo monitoring tools represent useful surrogate markers for the efficacy of omalizumab in patients with mastocytosis.
- Trial with medicinal product

描述

The study will take place as double-blind placebo controlled study. After a first a run-period of 2 months for all participants randomization (1:1) in two group will take place:

Group A: With omalizumab treatment for 6 months; dosage and administration schedule according to body weight and total IgE level (1/2 of the patients). Group B: Placebo (1/2 of the patients). After 4 months of treatment in both groups patients are encouraged to stop all drugs given to reduce mast cell related effects, mainly antihistaminics . In case that disturbing symptoms are reoccurring patients are allowed to restart these drugs. The evaluation will take place after 5 months of treatment.

Finally, a follow up visit 1 and 4 months after the study will take place.

日期

最后验证: 12/31/2015
首次提交: 07/19/2009
提交的预估入学人数: 04/07/2011
首次发布: 04/10/2011
上次提交的更新: 01/14/2016
最近更新发布: 01/17/2016
实际学习开始日期: 08/31/2011
预计主要完成日期: 09/30/2015
预计完成日期: 12/31/2015

状况或疾病

Mastocytosis

干预/治疗

Drug: injections

相 2/相 3

手臂组

干预/治疗
Experimental: Omalizumab
Placebo Comparator: Placebo

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion criteria:

- Histological proven mastocytosis (cutaneous or systemic);

- Diagnosis made by one marrow unction and/or skin biopsy or other histological work up;

- Age: 18-70 years

Exclusion criteria

- Age <18 years;

- Known hypersensitivity to omalizumab or any of its components;

- History of cancer in previous 5 years;

- Patients with serious infections;

- Patients with active tuberculosis or undergoing anti-TB therapy;

- Patients currently treated with systemic immunosuppressive agents;

- Female patients who are pregnant or breast feeding;Contraception must be performed by a save reliable and accept method such as oral or implanted contraceptives, intravaginal or male preservatives or permanent methods such as tubal ligation.

- Patients with known positivity for human immunodeficiency virus (HIV). HIV screening will be performed by an HIV 1/2 Antibody-detection test.

Note: Specific immunotherapy for insect sting allergy is no exclusion criteria.

结果

主要结果指标

1. Reduction of mast-cell induced adverse events and symptoms as summarized and calculated from patient's main complaint score and AFIRM score. [10 months]

次要成果指标

1. Effect on the consumption or possibility to reduce mast-cell related drugs [10 months]

2. Effect on: - Lung function (FEV1), analysed by standard lung function measurements - blood pressure, - quantitative measurement of pressure-induced wheal and flare. [10 months]

3. Effect on in-vitro parameters (Tryptase levels, density of Fc-IgE-R expression on basophils, Platelet-Activation-Factor (PAF) and cysteinyl leukotriene LTC4) [10 months]

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