Role of PPAR-y Agonists in Immunomodulation and Vascular Prevention in SLE (PPAR-SLE)
NCT02338999 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 88
Last updated 2021-09-14
Summary
Background:
\- Lupus causes a person s immune system to attack the body. It can cause blood vessel problems, heart attack, or stroke. Researchers want to see if the drug pioglitazone may help.
Objectives:
\- To see how well pioglitazone improves blood vessel function and decreases blood vessel inflammation. To study its effect on lupus symptoms.
Eligibility:
\- Adults at least 18 years old with lupus.
Design:
* Participants will be screened with medical history, heart test, and blood and urine tests. They may have a bone density test.
* Visit 1:
* Participants will have:
* Physical exam and blood drawn.
* Peripheral Arterial Tonometry (Endopat). A cup will be placed on the finger and a pressure cuff on the arm.
* Cardio-ankle vascular index (CAVI) and/or Sphygmocor. Electrodes will be placed on both wrists, a microphone on the chest, and a blood pressure cuff on each arm and leg. Another test will involve placing a small device on a fingertip.
* 18-Fluorodeoxyglucose (FDG) positron emission tomography/computerized tomography (PET/CT) (some participants). A radioactive sugar will be injected into a small plastic tube in an arm vein. Participants will lie on a bed that moves in and out of a scanner that takes pictures.
* Participants will get a 3-month-supply of the study drug or placebo. After 1 week, their dose may increase.
* After those 3 months, they will not take either drug for 8 weeks. Then they will switch and take the other drug for 3 months.
* Participants will have 6 more visits over 8 months after Visit 1. Tests from Visit 1 may be repeated. They may have a urine test.
Conditions
Interventions
- RADIATION
-
PET/CT
The combined PET/CT scans provide images that pinpoint the anatomic location of abnormal metabolic activity within the body.
- DRUG
-
Pioglitazone
Increases insulin sensitivity in muscle and adipose tissue, and inhibits hepatic gluconeogenesis.
- DRUG
Sponsors & Collaborators
-
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
lead NIH
Principal Investigators
-
Mariana J Kaplan, M.D. · National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-06-18
- Primary Completion
- 2020-07-14
- Completion
- 2020-07-14
- FDA Drug
- Yes
Countries
- United States
Study Locations
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