Cardiac Sarcoidosis Randomized Trial
Part of paid clinical trials in New Haven, Connecticut.
- Sponsor
- Ottawa Heart Institute Research Corporation
- Study ID
- NCT03593759
- Phase
- PHASE3
- Status
- Recruiting
Conditions
- Cardiac Sarcoidosis
- Sarcoidosis
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Prednisone or Prednisolone — DRUGOral prednisone/prednisolone tablet
- Methotrexate — DRUGOral, subcutaneous, or intramuscular methotrexate
Study Details
Prospective randomized controlled trial comparing low dose Prednisone(or Prednisolone)/Methotrexate combination to standard dose Prednisone(or Prednisolone) in patients diagnosed with acute active clinically manifest cardiac sarcoidosis and not yet treated. The Investigators hypothesize that low dose Prednisone(or Prednisolone)/Methotrexate combination will be as effective as standard dose Prednisone(or Prednisolone), and result in significantly better quality of life and less toxicity than standard dose Prednisone(or Prednisolone).
Key Dates
- Start date
- Jan 15, 2019
- Status verified
- Apr 2026
- Primary completion
- Dec 31, 2026
- Completion
- Dec 31, 2026
Study Design
- Enrollment
- 194 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Active Comparator: Prednisone (or Prednisolone)\[Dose everywhere except Japan\] Prednisone 0.5 mg kg/day for 6 months (max dose 30 mg) \[Dose in Japan\] Prednisone or prednisolone 0.5 mg/kg po (max 30mg) for one month then reduce by 5 mg per month for five months
- Experimental: Methotrexate\[Dose everywhere except Japan\] Methotrexate 15-20 mg orally, sc, or IM once a week for 6 months + Prednisone 20 mg po daily for one month then 10 mg po daily for one month then 5 mg po daily for one month and then stop. Also Folic Acid OD (exact dose and directions at physicians discretion) for 6 months. \[Dose in Japan\] Methotrexate 5-20mg mg orally, sc, or IM once a week for 6 months+ Prednisone or Prednisolone 20mg OD for 1 month then 10mg OD for 1 month then 5 mg OD one month. Also Folic Acid 2 mg po daily for 6 months.
Primary Outcome Measure
Summed perfusion rest score (SPRS) on FDG-PET scan [ Time Frame: 6 months ]
Central Contacts
- David H Birnie, MD613-696-7269
- Janine Ryan, BAH, CCRP613-696-7000
Locations (9)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Yale-New Haven Hospital | New Haven | Connecticut | 06520 | Edward Miller, MD (PRINCIPAL_INVESTIGATOR) |
| Tufts Medical Center | Boston | Massachusetts | 02111 | Mili Mehta, MD Amanda Vest, MD (PRINCIPAL_INVESTIGATOR) |
| University of Michigan-Michigan Medicine Cardiovascular Center | Ann Arbor | Michigan | 48109-5853 | Todd Koelling, MD (PRINCIPAL_INVESTIGATOR) |
| University of Minnesota | Minneota | Minnesota | 55455 | C Shenoy, MD C Shenoy, MD (PRINCIPAL_INVESTIGATOR) |
| Montefiore Medical Center | New York | New York | 10467 | Yogita Rochlani, MD Yogita Rochlani, MD (PRINCIPAL_INVESTIGATOR) |
| The Ohio State University Wexner Medical Center | Columbus | Ohio | 43210 | Steven Kalbfleisch, MD Steven Kalbfleisch, MD (PRINCIPAL_INVESTIGATOR) |
| Allegheny General Hospital | Pittsburgh | Pennsylvania | 15212 | Indu Poornima, MD Indu Poornima, MD (PRINCIPAL_INVESTIGATOR) |
| University of Utah | Salt Lake City | Utah | 84112 | Line Kemeyou, MD Line Kemeyou, MD (PRINCIPAL_INVESTIGATOR) |
| Virginia Commonwealth University | Richmond | Virginia | 23298-0053 | Jordana Kron, MD (PRINCIPAL_INVESTIGATOR) |
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