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Taper Or Abrupt Steroid Stop: TOASSTtrial
Sponsor: University Hospital, Basel, Switzerland
Summary
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.
Official title: Glucocorticoid Withdrawal and Glucocorticoid-induced Adrenal Insufficiency: a Randomized Controlled Multicenter Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
530
Start Date
2017-05-31
Completion Date
2027-06
Last Updated
2026-02-25
Healthy Volunteers
No
Conditions
Interventions
Prednisone
The control intervention (standard treatment) consists of prednisone treatment in decreasing doses, starting with 7.5 mg q.d. and reducing the dose every 7 days, such that prednisone treatment is stopped after a total of 4 weeks.
Placebo Arm
The experimental intervention consists of stopping glucocorticoid treatment abruptly and administering matching placebo over 4 weeks.
Locations (16)
University Hospital Frankfurt
Frankfurt, Germany
University Hospital Würzburg
Würzburg, Germany
Departement of Internal Medicine, Kantonsspital Aarau
Aarau, Switzerland
Kantonsspital Baden
Baden, Switzerland
Endocrinology/Diabetology/Metabolism; University Hospital Basel
Basel, Switzerland
St. Claraspital Basel
Basel, Switzerland
Department of Rheumatology, Immunology, and Allergology, Inselspital
Bern, Switzerland
Division of Gastroenterology, Spital Bülach AG
Bülach, Switzerland
Kantonsspital Frauenfeld
Frauenfeld, Switzerland
Geneva University Hospitals
Geneva, Switzerland
Center for Primary Health Care,University of Basel, Kantonsspital Baselland
Liestal, Switzerland
Internal Medicine, Kantonsspital Baselland/Liestal
Liestal, Switzerland
Department of Internal Medicine, Kantonsspital Münsterlingen
Münsterlingen, Switzerland
Stoffwechselzentrum, Kantonsspital Olten
Olten, Switzerland
Department of Internal Medicine, Kantonsspital St. Gallen
Sankt Gallen, Switzerland
Dept. of Endocrinology, Diabetology and Clinical Nutrition, University Hospital
Zurich, Switzerland