Nctid:
NCT00000420
Payload:
{"hasResults"=>false, "derivedSection"=>{"miscInfoModule"=>{"versionHolder"=>"2024-12-20"}, "conditionBrowseModule"=>{"meshes"=>[{"id"=>"D008180", "term"=>"Lupus Erythematosus, Systemic"}], "ancestors"=>[{"id"=>"D003240", "term"=>"Connective Tissue Diseases"}, {"id"=>"D001327", "term"=>"Autoimmune Diseases"}, {"id"=>"D007154", "term"=>"Immune System Diseases"}], "browseLeaves"=>[{"id"=>"M11177", "name"=>"Lupus Erythematosus, Systemic", "asFound"=>"Systemic Lupus Erythematosus", "relevance"=>"HIGH"}, {"id"=>"M6464", "name"=>"Connective Tissue Diseases", "relevance"=>"LOW"}, {"id"=>"M4629", "name"=>"Autoimmune Diseases", "relevance"=>"LOW"}, {"id"=>"M10200", "name"=>"Immune System Diseases", "relevance"=>"LOW"}], "browseBranches"=>[{"name"=>"Skin and Connective Tissue Diseases", "abbrev"=>"BC17"}, {"name"=>"Immune System Diseases", "abbrev"=>"BC20"}, {"name"=>"All Conditions", "abbrev"=>"All"}]}, "interventionBrowseModule"=>{"meshes"=>[{"id"=>"C014715", "term"=>"Norinyl"}], "ancestors"=>[{"id"=>"D003277", "term"=>"Contraceptives, Oral, Combined"}, {"id"=>"D003276", "term"=>"Contraceptives, Oral"}, {"id"=>"D003271", "term"=>"Contraceptive Agents, Female"}, {"id"=>"D003270", "term"=>"Contraceptive Agents"}, {"id"=>"D012102", "term"=>"Reproductive Control Agents"}, {"id"=>"D045505", "term"=>"Physiological Effects of Drugs"}, {"id"=>"D003278", "term"=>"Contraceptives, Oral, Hormonal"}, {"id"=>"D000080066", "term"=>"Contraceptive Agents, Hormonal"}], "browseLeaves"=>[{"id"=>"M6494", "name"=>"Contraceptive Agents", "relevance"=>"LOW"}, {"id"=>"M8116", "name"=>"Estrogens", "relevance"=>"LOW"}, {"id"=>"M6500", "name"=>"Contraceptives, Oral", "relevance"=>"LOW"}, {"id"=>"M6501", "name"=>"Contraceptives, Oral, Combined", "relevance"=>"LOW"}, {"id"=>"M266293", "name"=>"Norinyl", "asFound"=>"Clonic Seizures", "relevance"=>"HIGH"}, {"id"=>"M6495", "name"=>"Contraceptive Agents, Female", "relevance"=>"LOW"}, {"id"=>"M6502", "name"=>"Contraceptives, Oral, Hormonal", "relevance"=>"LOW"}, {"id"=>"M2116", "name"=>"Contraceptive Agents, Hormonal", "relevance"=>"LOW"}], "browseBranches"=>[{"name"=>"Reproductive Control Agents", "abbrev"=>"Repr"}, {"name"=>"All Drugs and Chemicals", "abbrev"=>"All"}]}}, "protocolSection"=>{"designModule"=>{"phases"=>["PHASE3"], "studyType"=>"INTERVENTIONAL", "designInfo"=>{"allocation"=>"RANDOMIZED", "maskingInfo"=>{"masking"=>"DOUBLE"}, "primaryPurpose"=>"TREATMENT", "interventionModel"=>"SINGLE_GROUP"}, "enrollmentInfo"=>{"count"=>350}}, "statusModule"=>{"overallStatus"=>"COMPLETED", "startDateStruct"=>{"date"=>"1997-06"}, "expandedAccessInfo"=>{"hasExpandedAccess"=>false}, "statusVerifiedDate"=>"2013-05", "completionDateStruct"=>{"date"=>"2003-08"}, "lastUpdateSubmitDate"=>"2013-05-01", "studyFirstSubmitDate"=>"1999-11-03", "studyFirstSubmitQcDate"=>"1999-11-03", "lastUpdatePostDateStruct"=>{"date"=>"2013-05-03", "type"=>"ESTIMATED"}, "studyFirstPostDateStruct"=>{"date"=>"1999-11-04", "type"=>"ESTIMATED"}}, "conditionsModule"=>{"keywords"=>["SLE", "SELENA", "Oral contraceptives", "The pill", "Birth control", "Condom", "Diaphragm", "Estrogen", "Lupus", "Placebo"], "conditions"=>["Systemic Lupus Erythematosus"]}, "referencesModule"=>{"references"=>[{"pmid"=>"11123033", "type"=>"BACKGROUND", "citation"=>"Buyon JP. Clinical trials in systemic lupus erythematosus. Curr Rheumatol Rep. 2000 Feb;2(1):11-12. doi: 10.1007/s11926-996-0062-y. No abstract available."}, {"pmid"=>"10568907", "type"=>"BACKGROUND", "citation"=>"Petri M, Buyon J, Kim M. Classification and definition of major flares in SLE clinical trials. Lupus. 1999;8(8):685-91. doi: 10.1191/096120399680411281."}, {"pmid"=>"10568898", "type"=>"BACKGROUND", "citation"=>"Kim MY, Buyon JP, Petri M, Skovron ML, Shore RE. Equivalence trials in SLE research: issues to consider. Lupus. 1999;8(8):620-6. doi: 10.1191/096120399680411308."}, {"pmid"=>"9259444", "type"=>"BACKGROUND", "citation"=>"Buyon JP, Dooley MA, Meyer WR, Petri M, Licciardi F. Recommendations for exogenous estrogen to prevent glucocorticoid-induced osteoporosis in premenopausal women with oligo- or amenorrhea: comment on the American College of Rheumatology recommendations for the prevention and treatment of glucocorticoid-induced osteoporosis. Arthritis Rheum. 1997 Aug;40(8):1548-9. doi: 10.1002/art.1780400831. No abstract available."}, {"pmid"=>"8952745", "type"=>"BACKGROUND", "citation"=>"Buyon JP. Oral contraceptives in women with systemic lupus erythematosus. Ann Med Interne (Paris). 1996;147(4):259-64."}, {"type"=>"BACKGROUND", "citation"=>"Buyon JP, Wallace DJ. The endocrine system, use of exogenous estrogens, and the urogenital tract. In Dubois' Lupus Erythematosus, 6th edition. Wallace DJ, Hahn BH, eds. Philadelphia: Lippincott Williams & Wilkins, 2002; pp. 821-841."}, {"pmid"=>"9458619", "type"=>"BACKGROUND", "citation"=>"Buyon JP. Hormone replacement therapy in postmenopausal women with systemic lupus erythematosus. J Am Med Womens Assoc (1972). 1998 Winter;53(1):13-7."}, {"pmid"=>"16354891", "type"=>"RESULT", "citation"=>"Petri M, Kim MY, Kalunian KC, Grossman J, Hahn BH, Sammaritano LR, Lockshin M, Merrill JT, Belmont HM, Askanase AD, McCune WJ, Hearth-Holmes M, Dooley MA, Von Feldt J, Friedman A, Tan M, Davis J, Cronin M, Diamond B, Mackay M, Sigler L, Fillius M, Rupel A, Licciardi F, Buyon JP; OC-SELENA Trial. Combined oral contraceptives in women with systemic lupus erythematosus. N Engl J Med. 2005 Dec 15;353(24):2550-8. doi: 10.1056/NEJMoa051135."}]}, "descriptionModule"=>{"briefSummary"=>"Safety of Estrogens in Lupus Erythematosus - National Assessment (SELENA) is a study to test whether women with systemic lupus erythematosus (SLE or lupus) can safely use estrogen. We will determine this by looking at the effects of oral contraceptives (birth control pills, also known as \"the pill\") on disease activity and severity in women with SLE. The results of the study will show whether it is safe for women with SLE to use the pill.", "detailedDescription"=>"This study tests the effect of exogenous female hormones on disease activity and severity in women with systemic lupus erythematosus (SLE). Physicians generally do not prescribe oral contraceptives (OCs) to women with lupus because of the widely held view that these drugs can activate SLE. This practice is based on the greater incidence of SLE in women than in men, biologic abnormalities of estrogen metabolism, murine models of lupus, several anecdotes of patients having disease flares while receiving exogenous hormones, and a single retrospective study in patients with preexisting renal disease.\n\nBy contrast, recent retrospective studies suggest that the rate of flare is not significantly increased in patients taking OCs. The preexisting data is insufficient to warrant the dismissal of a potentially important birth control option in a disease that predominantly affects women in their reproductive years and whose fertility is not altered by the disease. Moreover, the use of OCs to preserve fertility in patients taking cyclophosphamide and the use of estrogens to prevent coronary artery disease and postmenopausal and steroid-induced osteoporosis are timely considerations.\n\nWe will attempt to define, in a multicenter, randomized, double-blind, placebo-controlled trial, the effect of OCs containing low-dose synthetic estrogens and progestins on disease activity in women with SLE. Because the research hypothesis is that OCs do not increase the risk of flares, we have designed the study to be able to detect minimal increases in the rate of flares in patients taking OCs.\n\nWe will enroll patients with inactive, stable, or moderate disease requiring less than 0.5 mg prednisone per kg of bodyweight per day over a 2-year period and randomize them to receive birth control pills or placebo pills for 12 months. During that time, the patient must use condoms or a diaphragm as birth control. We will recruit patients from clinics and private practices that include over 4,000 women with SLE, most belonging to minority groups."}, "eligibilityModule"=>{"sex"=>"FEMALE", "stdAges"=>["ADULT"], "maximumAge"=>"39 years", "minimumAge"=>"18 years", "healthyVolunteers"=>false, "eligibilityCriteria"=>"Inclusion Criteria:\n\n* Female\n* Unequivocal diagnosis of SLE\n* Inactive disease or be stable on 0.5 mg/kg/day or less of predisone\n* Must be between 18 and 39 years old if non-smoker\n* Must be between 18 and 35 years old if smoker\n\nExclusion Criteria:\n\n* Blood pressure \\>145/95 on three occasions\n* Deep vein, arterial thrombosis or pulmonary embolus\n* GPL \\>40; MPL \\>40; APL \\>50; dRVVT \\>37 sec\n* APL antibody syndrome ever\n* Gynecologic or breast cancer\n* Hepatic dysfunction or liver tumors\n* Diabetes mellitus (NOT due to steroids) with vascular disease\n* Congenital hyperlipidemia\n* Complicated migraine\n* Severe disease activity (SLEDAI \\>12)\n* Increase in SLEDAI \\>2 points in 3 months\n* Unexplained vaginal bleeding\n* Use of estrogen (OCP) for \\>1 month at any time after SLE diagnosis\n* Present pregnancy\n* Angina or MI due to APS\n* Age \\>35 yrs. for smokers; \\>39 yrs. for nonsmokers"}, "identificationModule"=>{"nctId"=>"NCT00000420", "briefTitle"=>"Safety of Estrogens in Lupus: Birth Control Pills", "organization"=>{"class"=>"OTHER", "fullName"=>"NYU Langone Health"}, "officialTitle"=>"Safety of Estrogens in Lupus Erythematosus - National Assessment (SELENA): Oral Contraceptives", "orgStudyIdInfo"=>{"id"=>"U01 AR42540 NIAMS-028B"}, "secondaryIdInfos"=>[{"id"=>"U01AR042540", "link"=>"https://reporter.nih.gov/quickSearch/U01AR042540", "type"=>"NIH"}]}, "armsInterventionsModule"=>{"interventions"=>[{"name"=>"Ortho-Novum 777", "type"=>"DRUG"}]}, "contactsLocationsModule"=>{"locations"=>[{"zip"=>"90024", "city"=>"Los Angeles", "state"=>"California", "country"=>"United States", "facility"=>"UCLA Medical Center, Dept. of Rheumatology", "geoPoint"=>{"lat"=>34.05223, "lon"=>-118.24368}}, {"zip"=>"60637", "city"=>"Chicago", "state"=>"Illinois", "country"=>"United States", "facility"=>"University of Chicago Pritzker School of Medicine", "geoPoint"=>{"lat"=>41.85003, "lon"=>-87.65005}}, {"zip"=>"71130-3932", "city"=>"Shreveport", "state"=>"Louisiana", "country"=>"United States", "facility"=>"Louisiana School of Medicine, Dept. of Medicine/Immunology", "geoPoint"=>{"lat"=>32.52515, "lon"=>-93.75018}}, {"zip"=>"21205", "city"=>"Baltimore", "state"=>"Maryland", "country"=>"United States", "facility"=>"Johns Hopkins Hospital, Dept. of Rheumatology", "geoPoint"=>{"lat"=>39.29038, "lon"=>-76.61219}}, {"zip"=>"48109-0358", "city"=>"Ann Arbor", "state"=>"Michigan", "country"=>"United States", "facility"=>"Univ. of Michigan Med. Ctr., Rheumatology Division", "geoPoint"=>{"lat"=>42.27756, "lon"=>-83.74088}}, {"zip"=>"10461", "city"=>"Bronx", "state"=>"New York", "country"=>"United States", "facility"=>"Albert Einstein College of Medicine, Jacobi Hospital, Dept. of Rheumatology", "geoPoint"=>{"lat"=>40.84985, "lon"=>-73.86641}}, {"zip"=>"10003", "city"=>"New York", "state"=>"New York", "country"=>"United States", "facility"=>"Hospital for Joint Diseases", "geoPoint"=>{"lat"=>40.71427, "lon"=>-74.00597}}, {"zip"=>"10021", "city"=>"New York", "state"=>"New York", "country"=>"United States", "facility"=>"Hospital for Special Surgery, Dept. of Rheumatology", "geoPoint"=>{"lat"=>40.71427, "lon"=>-74.00597}}, {"zip"=>"27599-7280", "city"=>"Chapel Hill", "state"=>"North Carolina", "country"=>"United States", "facility"=>"UNC Medical Center, Dept. of Rheumatology", "geoPoint"=>{"lat"=>35.9132, "lon"=>-79.05584}}, {"zip"=>"73104", "city"=>"Oklahoma City", "state"=>"Oklahoma", "country"=>"United States", "facility"=>"Oklahoma Medical Research Foundation", "geoPoint"=>{"lat"=>35.46756, "lon"=>-97.51643}}, {"zip"=>"19104", "city"=>"Philadelphia", "state"=>"Pennsylvania", "country"=>"United States", "facility"=>"Univ. of Pennsylvania Medical Center", "geoPoint"=>{"lat"=>39.95233, "lon"=>-75.16379}}, {"zip"=>"15213", "city"=>"Pittsburgh", "state"=>"Pennsylvania", "country"=>"United States", "facility"=>"Univ. of Pittsburgh, Dept. of Rheumatology", "geoPoint"=>{"lat"=>40.44062, "lon"=>-79.99589}}, {"zip"=>"77030", "city"=>"Houston", "state"=>"Texas", "country"=>"United States", "facility"=>"University of Texas Health Sciences Center", "geoPoint"=>{"lat"=>29.76328, "lon"=>-95.36327}}, {"zip"=>"23219", "city"=>"Richmond", "state"=>"Virginia", "country"=>"United States", "facility"=>"Medical College of Virginia", "geoPoint"=>{"lat"=>37.55376, "lon"=>-77.46026}}, {"zip"=>"53226", "city"=>"Milwaukee", "state"=>"Wisconsin", "country"=>"United States", "facility"=>"Medical College of Wisconsin", "geoPoint"=>{"lat"=>43.0389, "lon"=>-87.90647}}], "overallOfficials"=>[{"name"=>"Jill P. Buyon, MD", "role"=>"PRINCIPAL_INVESTIGATOR", "affiliation"=>"Hospital for Joint Diseases"}, {"name"=>"Michelle Petri, MD", "role"=>"STUDY_DIRECTOR", "affiliation"=>"Johns Hopkins University Hospital, Dept. of Rheumatology"}]}, "sponsorCollaboratorsModule"=>{"leadSponsor"=>{"name"=>"NYU Langone Health", "class"=>"OTHER"}, "collaborators"=>[{"name"=>"National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)", "class"=>"NIH"}, {"name"=>"Office of Research on Women's Health (ORWH)", "class"=>"NIH"}]}}}
