Primary Objective: \- To investigate the efficacy on skin manifestation of 16 weeks treatment of once daily regimen of hydroxychloroquine sulphate (HCQ) in patients with cutaneous lupus erythematosus (CLE) and systemic lupus erythematosus (SLE) with active skin manifestation (CLASI \[Cutaneous Lupus Erythematosus Disease Area and Severity Index\] activity score is ≥4) concomitant treatment with or without corticosteroid. Secondary Objectives: * To evaluate the efficacy on skin manifestation and the safety of 16 weeks treatment of once daily regiment of HCQ versus placebo as the reference group in patients with CLE and SLE with active skin manifestation (CLASI activity score is ≥4) concomitant treatment with or without corticosteroid. * To investigate the safety of 16 weeks treatment of once daily regiment of HCQ in patients with CLE and SLE with active skin manifestation concomitant treatment with or without corticosteroid. * To investigate the safety and efficacy of 52 weeks long-term treatment of once daily regimen of HCQ in patients with CLE and SLE - To investigate the influence of the dose reduction of corticosteroid on CLE and SLE patients treated with HCQ concomitant with corticosteroid * To investigate efficacy of once daily regimen of HCQ on systemic symptoms, musculoskeletal symptoms and immunological parameters in SLE patients.
Total 59 weeks (screening;4 weeks, treatment;52 weeks, Follow-up; 3 weeks)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
103
Pharmaceutical form:tablet Route of administration: oral
Pharmaceutical form:tablet Route of administration: oral
Investigational Site Number 392017
Bunkyō City, Japan
Investigational Site Number 392022
Bunkyō City, Japan
Investigational Site Number 392011
Chuo-Ku, Kumamoto-Shi, Japan
Investigational Site Number 392003
Chūōku, Japan
Investigational Site Number 392001
Fuchu-Shi, Japan
Investigational Site Number 392008
Iruma-Gun, Japan
Investigational Site Number 392009
Iruma-Gun, Japan
Investigational Site Number 392005
Itabashi-Ku, Japan
Investigational Site Number 392014
Kamogawa, Japan
Investigational Site Number 392019
Kanazawa, Japan
...and 12 more locations
A change in CLASI (Cutaneous Lupus Erythematosus Disease Area and Severity Index) activity score
Time frame: from baseline (at visit 2) to 16 weeks treatment (at visit 6)
A change in CLASI activity score
Time frame: from baseline (at visit 2) to 52 weeks treatment (at visit 15)
BILAG (British Isles Lupus Assessment Group) index to be conducted in patients complicated with SLE
Time frame: 7 timepoints during 52 weeks
RAPID 3 (Routine assessment of patient index data 3) to be conducted in patients complicated with SLE : daily life activity, pain associated with the original disease, patient's severity related to the original disease
Time frame: 7 timepoints during 52 weeks
QOL related to skin manifestations (skindex-29)
Time frame: 4 timepoints during 52 weeks
Dose reduction of concomitant corticosteroid
Time frame: From 16 weeks to 55 weeks after the initiation of the treatment
Global assessment by investigator (skin and other)
Time frame: 3 timepoints during 52 weeks
Global assessment by patient (skin)
Time frame: 3 timepoints during 52 weeks
Immunological parameters
Time frame: up to maximum of 13 timepoints during 52 weeks
Number of patients with serious adverse events / adverse events
Time frame: up to a maximum of 59 weeks
Ophthalmologic examination (visual acuity examination, slit-lamp examination, funduscopic examination, visual field examination and color vision examination)
Time frame: 14 timepoints during 52 weeks
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