About this trial
Comparison of short-term glucocorticoid monotherapy and short-term glucocorticoid combined with MMF in the treatment of IgG4 Related Disease
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18-80 years old;
All patients must meet the comprehensive diagnostic criteria of IgG4-RD revised in Japan in 2020 or the classification criteria of IgG4-RD formulated by ACR/EULAR in 2019;
Active IgG4-RD (at least one organ has an IgG4-RD reaction score >=2 at the time of enrollment.);
No previous medication or recurrence after withdrawal.
Disqualifiers
Combined with other autoimmune diseases as the main diagnosis.
Pregnant or lactating women
Patients with malignant tumor
Active bacterial, fungal, viral or mycobacterial infections.
Trial design
Parallel
Treatments tested in this trial
prednison
DrugOral prednison starts at 0.6-0.8mg/kg/d, then tapered and withdrawal in 6 months.
Mycophenolate mofetil
DrugOral Mycophenolate mofetil 0.75g bid for 6 months.
Treatment groups
Trial outcomes
Primary outcomes
The difference of recurrent rate of IgG4-RD between the two groups
Clinical recurrence definition: any item of IgG4-RD Responder Index \>=2 points; Recurrence of previously involved organs or involvement of new organs; With or without elevated serum IgG4 levels.
Secondary outcomes
The time of recurrence
Clinical recurrence definition: any item of IgG4-RD Responder Index \>=2 points; Recurrence of previously involved organs or involvement of new organs; With or without elevated serum IgG4 levels.
The changes of IgG4-related disease Responder Index
According to international multispecialty validation study of IgG4-related disease Responder Index (November, 2018), Responder Index ≥ 0, and higher scores mean a worse outcome.
The changes of serum IgG4 levels
Level of serum IgG4(mg/dL)
The percentages of adverse events
Adverse effect of drugs
Sponsors and contacts
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Wen Zhang
Lead sponsor
Peking Union Medical College Hospital
Sponsor institution