Study on Mastocytosis for Rupatadine Treatment

Mastocytosis Clinical Trial

— SMART  

Official title:

Study on Mastocytosis for Rupatadine Treatment An Exploratory Phase IV, Randomised, Double-blind, Placebo Controlled Crossover Study to Assess the Efficacy of 20 mg Rupatadine on the Treatment of

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01481909
• Other study ID #: SMART-2010-1
• Status: Completed
• Phase: Phase 2/Phase 3
• First received: November 23, 2011
• Last updated: November 2, 2016
• Start date: September 2010
• Est. completion date: November 2011

Study information

• Verified date: November 2016
• Source: Charite University, Berlin, Germany
• Contact: n/a
• Is FDA regulated: No
• Health authority: Germany: Federal Institute for Drugs and Medical Devices
• Study type: Interventional

Clinical Trial Summary

Study title:

An exploratory, randomised, double-blind, placebo controlled crossover study to assess the efficacy of 20 mg Rupatadine on the treatment of mastocytosis symptoms.

Study code:

SMART-2010-1 Principal Investigator, Co-Investigator, sponsor, and study centre (acc. to § 40 Abs. 4 AMG) Dr. med. F. Siebenhaar, Prof. Dr. Med. M. Maurer, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Charitéplatz 1, D-10117 Berlin Biometry and biostatistical analyses Division of Biostatistics and Clinical Epidemiology, Charité - Universitätsmedizin Berlin, Charitéplatz 1, D-10117 Berlin Monitoring Coordination Centre for Clinical Studies (KKS), Charité - Universitätsmedizin Berlin, Charitéplatz 1, D-10117 Berlin Clinical phase Phase II

Primary objective:

Reduction of wheal and flare type skin reaction after standardised provocation testing assessed by volumetric and thermographic measurements.

Secondary objectives:

Improvement of additional related symptoms (e.g. pruritus) and subjective affliction as assessed by symptom score, DLQI, Itchy-QoL and VAS.

Study design:

An exploratory, randomised, double-blind, placebo controlled crossover study

Type and number of patients:

Male and female patients (n = 30) with cutaneous mastocytosis and indolent systemic mastocytosis with skin involvement

Main criteria for inclusion:

Mastocytosis patients aged 18-65 years, signed written consent, no systemic corticosteroid or other immunosuppressive therapy, no permanent severe diseases Test product, dose and mode of administration 20 mg Rupatadine or placebo before provocation testing, oral administration (tablets)

Duration of treatment:

28 days (testing will be done at the day of last treatment)

Assessment of efficacy:

1. Assessment of wheal and flare development by planimetric analyses of digital photographic, volumetric, and thermographic imaging (time lapse) before and after treatment with study medication,

2. Additional assessment of symptoms,

3. Assessment of life quality

Main criteria of evaluation:

Efficacy

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: November 2011
• Est. primary completion date: August 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1. Chronic stable symptomatic maculopapulous cutaneous mastocytosis or indolent systemic mastocytosis with skin involvement and a positive Darier's Sign

2. Age between 18 and 65 years.

3. Female patients must be using a highly effective method of birth control (such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence, vasectomised partner), or they must be postmenopausal, surgically sterilised, or hysterectomised.

4. Voluntarily signed written informed consent.

Exclusion Criteria:

1. The presence of permanent severe diseases, especially those affecting the immune system, except for mastocytosis

2. History or presence of epilepsy, significant neurological disorders, cerebrovascular attacks or ischemia

3. History or presence of myocardial infarction or cardiac arrhythmia which requires drug therapy, hyper-/hypokalemia, bradycardia < 50bpm, QTc interval > 440ms

4. Evidence of severe renal dysfunction (creatinine > 1,5 x upper reference value)

5. Evidence of significant hepatic disease (liver enzymes > 2 x upper reference value)

6. History of adverse reactions to RUP, or other ingredients of the IMP

7. Presence of active cancer which requires chemotherapy or radiation therapy

8. Aggressive systemic mastocytosis

9. History or presence of alcohol abuse or drug addiction

10. Participation in any clinical trial within 4 weeks prior to enrolment

11. Commitment to an institution in terms of § 40 Abs. 1 S. 3 Nr. 4 AMG

12. Intake of antihistamines or leukotriene antagonists within 7 days prior to the beginning of the study

13. Intake of oral corticosteroids within 14 days prior to the beginning of the study

14. Use of depot corticosteroids or chronic systemic corticosteroids within 21 days before beginning of the study

15. Pregnancy or breast-feeding

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Mastocytosis

Intervention

Drug:
• Rupatadin
20 mg, 28 days over 60 days

Locations

Country	Name	City	State
Germany	University Charité	Berlin

Sponsors (1)

Lead Sponsor	Collaborator
Marcus Maurer

Country where clinical trial is conducted

Germany, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pruritus	Reduction of pruritus and wheal and flare type skin reaction after standardised provocation testing as assessed by volumetric and thermographic measurements.	10 weeks	Yes
Secondary	Questionaire	Improvement of additional disease related symptoms and subjective affliction as measured by physician and patient global assessments, DLQI, Itchy-QoL and QoL(i)MaP*.; *not validated questionnaire for mastocytosis symptoms	10 weeks	Yes