Taper Or Abrupt Steroid Stop: TOASSTtrial

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Basel, Switzerland

About this trial

This study is an Investigator-initiated, placebo-controlled, multicenter noninferiority trial, comparing rapid termination of systemic glucocorticoid treatment with a tapering regime over 4 weeks.

Eligibility criteria

Qualifiers

Informed Consent as documented by signature (Appendix Informed Consent Form)

Age ≥ 18 years

Daily glucocorticoid dose ≥ 7.5 mg prednisone-equivalent at the time of inclusion

Therapy over ≥ 28 days, ≥ 7.5 mg average daily dose, with a cumulative glucocorticoid dose ≥ 420 mg prednisone-equivalent prior to inclusion

Disqualifiers

Primary adrenal failure

Treatment with systemic depot glucocorticoids (e.g. intramuscular, epidural)

Incapability to administer glucocorticoid cover treatment in situations of stress

Inability or unwillingness to provide informed consent

Trial design

Treatments tested in this trial

  • Prednisone
  • Placebo Arm

Treatment groups

530 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University Hospital, Basel, Switzerland

Lead sponsor

Kantonsspital Baselland Bruderholz

Collaborator

Swiss National Science Foundation

Collaborator

HEMMI Stiftung Switzerland

Collaborator

Gebauer Stiftung Zurich

Collaborator