Status:

COMPLETED

Sirolimus in Graves' Orbitopathy

Lead Sponsor:

University of Pisa

Conditions:

Graves Ophthalmopathy

Eligibility:

All Genders

18-75 years

Brief Summary

Graves' Orbitopathy (GO) is a disabling and disfiguring condition associated with Graves' Disease, due to autoimmunity against antigens expressed by the thyroid and orbital tissues, and resulting in o...

Detailed Description

Study Design: observational Thirty consecutive patients with moderate-to-severe and active GO treated with sirolimus (15 patients) or methylprednisolone (15 patients) observance 18 consecutive months...

Eligibility Criteria

Inclusion

  • Patients willing and capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form
  • A moderate-to-severe GO, defined as the presence of at least one of the following criteria: an exophthalmos ≥2 mm compared with normal values for sex and race; presence of inconstant to constant diplopia; a lid retraction ≥2 mm
  • Active GO: CAS (4) ≥2 out of 7 points in the most affected eye
  • Previous GO treatment with glucocorticoids and/or orbital radiotherapy and/or orbital decompressive surgery, performed more than 24 weeks before the current treatment
  • Male and female patients of age: 18-75 years

Exclusion

  • Optic neuropathy
  • Treatment with glucocorticoids or other immunosuppressive medications, and/or selenium, and/or orbital radiotherapy and/or orbital decompressive surgery in the 24 weeks preceding the current treatment
  • Mental illness that prevents patients from comprehensive, written informed consent

Key Trial Info

Start Date :

January 15 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

June 15 2021

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT05345119

Start Date

January 15 2020

End Date

June 15 2021

Last Update

April 25 2022

Active Locations (1)

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Endocrinologia II

Pisa, PI, Italy, 56124