Page last updated: 2024-11-06

prednisolone and Central Nervous System Lupus

prednisolone has been researched along with Central Nervous System Lupus in 19 studies

Prednisolone: A glucocorticoid with the general properties of the corticosteroids. It is the drug of choice for all conditions in which routine systemic corticosteroid therapy is indicated, except adrenal deficiency states.
prednisolone : A glucocorticoid that is prednisone in which the oxo group at position 11 has been reduced to the corresponding beta-hydroxy group. It is a drug metabolite of prednisone.

Research Excerpts

ExcerptRelevanceReference
"We report a patient with neuropsychiatric systemic lupus erythematosus (NPSLE) complicated by diabetes mellitus (DM) who showed pneumatosis cystoides intestinalis (PCI) while being treated with prednisolone (PSL) and an alpha-glucosidase inhibitor (αGI)."4.87Pneumatosis cystoides intestinalis in neuropsychiatric systemic lupus erythematosus with diabetes mellitus: case report and literature review. ( Ikeda, S; Ishii, W; Matsuda, M; Shimojima, Y; Tojo, K; Watanabe, R, 2011)
"A 25-year-old female presenting acutely with lupus retinal vasculitis was treated urgently with plasma exchange after failure to respond to intravenous methylprednisolone."3.77Plasma exchange and rituximab in the management of acute occlusive retinal vasculopathy secondary to systemic lupus erythematosus. ( Chilov, M; Damato, E; Dick, A; Harper, S; Lee, R; Singh, A, 2011)
"We report on a case of juvenile parkinsonism as a manifestation of SLE and review the literature."2.41Juvenile parkinsonism as a manifestation of systemic lupus erythematosus: case report and review of the literature. ( Chacón, J; García-Moreno, JM, 2002)
"Prednisolone was given in dosages ranging from 5 to 60 mg/day, adjusted according to laboratory data and clinical symptoms."1.39Intravenous cyclophosphamide pulse therapy in Japanese children with systemic lupus erythematosus. ( Igarashi, T; Itoh, Y; Shimizu, A, 2013)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's13 (68.42)29.6817
2010's6 (31.58)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Petri, MA1
van Vollenhoven, RF1
Buyon, J1
Levy, RA1
Navarra, SV1
Cervera, R1
Zhong, ZJ1
Freimuth, WW1
Igarashi, T2
Shimizu, A1
Itoh, Y1
Kato, R1
Sumitomo, S1
Kawahata, K1
Fujio, K1
Yamamoto, K1
Kim, HA1
Ye, YM1
Choi, JB1
Park, HS1
Suh, CH2
Shimojima, Y1
Ishii, W1
Matsuda, M1
Tojo, K1
Watanabe, R1
Ikeda, S1
Damato, E1
Chilov, M1
Lee, R1
Singh, A1
Harper, S1
Dick, A1
Kashiwagi, Y1
Horiuchi, T1
Harashima, C1
Matsubara, F1
Harashima, S1
García-Moreno, JM1
Chacón, J1
Funauchi, M1
Ohno, M1
Nozaki, Y1
Sugiyama, M1
Kinoshita, K1
Kanamaru, A1
Stojanovich, L1
Stojanovich, R1
Kostich, V1
Dzjolich, E1
Song, J1
Park, YB1
Lee, SK1
Leung, FK1
Fortin, PR1
Kobayashi, H1
Watanabe, H1
Seino, T1
Suzuki, S1
Sato, Y1
Tsuji, M1
Satoh, R1
Miyake, K1
Nakashima, H1
Harada, M1
Hirohata, S1
Kato, T1
Shiratori, K1
Kobashigawa, T1
Hidaka, Y1
Eren, M1
Baskin, E1
Cila, A1
Ozen, S1
Tan, EK1
Chan, LL1
Auchus, AP1
Gibbs, AN1
Moroney, J1
Foley-Nolan, D1
O'Connell, PG1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prognosis Assessment of the Increase of GADD34 Gene Expression for Patient Suffering From Systemic Lupus Erythematosus[NCT02455089]143 participants (Actual)Interventional2015-06-30Completed
The BAFF-var Polymorphism as a Biomarker of Response to B-depletive Treatment in Patients Affected by Systemic Lupus Erythematosus and Rheumatoid Arthritis: a Prospective Study[NCT05659407]60 participants (Anticipated)Observational2020-07-24Recruiting
A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 52-Wk Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006, LymphoStat-B™), a Fully Human Monoclonal Anti-BLyS Antibody, in Subjects With Systemic Lupus Erythematosus (SLE)[NCT00424476]Phase 3865 participants (Actual)Interventional2007-05-31Completed
A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, 76-Week Study to Evaluate the Efficacy and Safety of Belimumab (HGS1006, LymphoStat-B™), a Fully Human Monoclonal Anti-BLyS Antibody, in Subjects With Systemic Lupus Erythematosus (SLE[NCT00410384]Phase 3819 participants (Actual)Interventional2006-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean Change From Baseline in Medical Outcomes 36-Item Short Form Health Survey (SF-36) Physical Component Summary Score (PCS) at Wk 24.

The SF-36 is a generic health related quality of life (HRQOL) measurement. The survey includes 36 questions grouped to 8 domains and 2 summary measures (physical and mental health component, PCS and MCS, respectively) assessing HRQOL. Responses are scored according to the SF-36v2™ manual. A score is calculated for each SF-36 domain based on the patient's response to each question within it. This is then transformed to a scale ranging from 0 (worst) to 100 (best) points. The PCS is norm-based where the mean=50 and standard deviation (SD)=10. Higher scores represent better physical health. (NCT00424476)
Timeframe: Baseline, 24 weeks

InterventionScores on a scale (Mean)
Placebo3.64
Belimumab 1 mg/kg3.65
Belimumab 10 mg/kg3.58

Mean Change in Physician's Global Assessment (PGA) at Wk 24.

The PGA is a visual analog scale scored from 0 to 3. A score of 1 corresponds to mild lupus disease activity. A score of 2 correlates with moderate disease activity and a score of 3 with severe disease activity. (NCT00424476)
Timeframe: Baseline, 24 weeks

InterventionScores on a 3-point scale (Mean)
Placebo-0.39
Belimumab 1 mg/kg-0.44
Belimumab 10 mg/kg-0.54

Percent of Subjects Whose Average Prednisone Dose Has Been Reduced by ≥ 25% From Baseline to ≤ 7.5 mg/Day During Weeks 40 Through 52

(NCT00424476)
Timeframe: Baseline, Weeks 40 through 52

InterventionPercentage of participants (Number)
Placebo12.0
Belimumab 1 mg/kg20.6
Belimumab 10 mg/kg18.6

Percent of Subjects With a ≥ 4 Point Reduction From Baseline in SELENA SLEDAI Score at Wk 52.

(NCT00424476)
Timeframe: Baseline, 52 weeks

InterventionPercentage of participants (Number)
Placebo46.0
Belimumab 1 mg/kg53.1
Belimumab 10 mg/kg58.3

SLE Responder Index (SRI) Response Rate at Week 52

"Percentage of subjects with a ≥ 4 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline.~SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E)." (NCT00424476)
Timeframe: Baseline, 52 weeks

InterventionPercentage of participants (Number)
Placebo43.6
Belimumab 1 mg/kg51.4
Belimumab 10 mg/kg57.6

Adverse Events (AE) Overview

SEE ALSO ADVERSE EVENTS RESULTS SECTION (NCT00424476)
Timeframe: Up to 56 Weeks

,,
InterventionPercentage of participants (Number)
Percent of patients with at least 1 AEPercent of patients with at least 1 Serious AEPercent of patients with an AE resulting in death
Belimumab 1 mg/kg91.716.30.7
Belimumab 10 mg/kg91.714.11.4
Placebo91.612.51.0

Mean Change From Baseline in Medical Outcomes 36-Item Short Form Health Survey (SF-36) Physical Component Summary Score (PCS) at Week 24.

The SF-36 is a generic health related quality of life (HRQOL) measurement. The survey includes 36 questions grouped to 8 domains and 2 summary measures (physical and mental health component, PCS and MCS, respectively) assessing HRQOL. Responses are scored according to the SF-36v2™ manual. A score is calculated for each SF-36 domain based on the patient's response to each question within it. This is then transformed to a scale ranging from 0 (worst) to 100 (best) points. The PCS is norm-based where the mean=50 and standard deviation (SD)=10. Higher scores represent better physical health. (NCT00410384)
Timeframe: Baseline, 24 Weeks

InterventionScores on a scale (Mean)
Placebo3.35
Belimumab 1 mg/kg3.78
Belimumab 10 mg/kg3.21

Mean Change in Physician's Global Assessment (PGA) at Week 24.

The PGA is a visual analog scale scored from 0 to 3. A score of 1 corresponds to mild lupus disease activity. A score of 2 correlates with moderate disease activity and a score of 3 with severe disease activity. (NCT00410384)
Timeframe: Baseline, 24 Weeks

InterventionScores on a 3-point scale (Mean)
Placebo-0.49
Belimumab 1 mg/kg-0.47
Belimumab 10 mg/kg-0.44

Percent of Subjects Whose Average Prednisone Dose Has Been Reduced by ≥ 25% From Baseline to ≤ 7.5 mg/Day During Weeks 40 Through 52

(NCT00410384)
Timeframe: Baseline, Weeks 40-52

InterventionPercentage of participants (Number)
Placebo12.7
Belimumab 1 mg/kg19.2
Belimumab 10 mg/kg17.5

Percent of Subjects With a ≥ 4 Point Reduction From Baseline in SELENA SLEDAI Score at Week 52.

(NCT00410384)
Timeframe: Baseline, 52 Weeks

InterventionPercentage of participants (Number)
Placebo35.3
Belimumab 1 mg/kg42.8
Belimumab 10 mg/kg46.5

SLE Responder Index (SRI) Response Rate at Week 52

"Percentage of subjects with a ≥ 4 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline.~SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E)." (NCT00410384)
Timeframe: Baseline, 52 Weeks

InterventionPercentage of participants (Number)
Placebo33.5
Belimumab 1 mg/kg40.6
Belimumab 10 mg/kg43.2

SRI Response Rate at Week 76

"Percentage of subjects with a ≥ 4 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of < 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline.~SELENA SLEDAI is calculated from 24 individual descriptors; 0 indicates inactive disease and the maximum theoretical score is 105; scores > 20 are rare. PGA is a visual analog scale scored from 0 to 3 (1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 8 organ domains; range is from severe to no disease (A to E)." (NCT00410384)
Timeframe: Baseline, 76 Weeks

InterventionPercentage of participants (Number)
Placebo32.4
Belimumab 1 mg/kg39.1
Belimumab 10 mg/kg38.5

Adverse Event (AE) Overview

SEE ALSO ADVERSE EVENT RESULTS SECTION (NCT00410384)
Timeframe: Up to 80 Weeks

,,
InterventionPercentage of participants (Number)
Percent of patients with at least 1 AEPercent of patients with at least 1 Serious AEPercent of patients with an AE resulting in death
Belimumab 1 mg/kg93.423.20.7
Belimumab 10 mg/kg92.722.30.4
Placebo92.019.60.0

Reviews

3 reviews available for prednisolone and Central Nervous System Lupus

ArticleYear
Pneumatosis cystoides intestinalis in neuropsychiatric systemic lupus erythematosus with diabetes mellitus: case report and literature review.
    Modern rheumatology, 2011, Volume: 21, Issue:4

    Topics: Diabetes Complications; Drug Therapy, Combination; Glucocorticoids; Humans; Hypoglycemic Agents; Ino

2011
Juvenile parkinsonism as a manifestation of systemic lupus erythematosus: case report and review of the literature.
    Movement disorders : official journal of the Movement Disorder Society, 2002, Volume: 17, Issue:6

    Topics: Adult; Diagnosis, Differential; Drug Therapy, Combination; Humans; Levodopa; Lupus Erythematosus, Sy

2002
[Systemic lupus erythematosus].
    Nihon rinsho. Japanese journal of clinical medicine, 2004, Volume: 62 Suppl

    Topics: Anticonvulsants; Autoantibodies; Biomarkers; Cyclophosphamide; Humans; Immunoglobulins; Immunosuppre

2004

Trials

2 trials available for prednisolone and Central Nervous System Lupus

ArticleYear
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Baseline predictors of systemic lupus erythematosus flares: data from the combined placebo groups in the phase III belimumab trials.
    Arthritis and rheumatism, 2013, Volume: 65, Issue:8

    Topics: Adult; Antibodies, Antinuclear; Antibodies, Monoclonal, Humanized; B-Cell Activating Factor; Complem

2013
Neuropsychiatric lupus favourable response to low dose i.v. cyclophosphamide and prednisolone (pilot study).
    Lupus, 2003, Volume: 12, Issue:1

    Topics: Adolescent; Adult; Aged; Anti-Inflammatory Agents; Cyclophosphamide; Drug Therapy, Combination; Elec

2003

Other Studies

14 other studies available for prednisolone and Central Nervous System Lupus

ArticleYear
Intravenous cyclophosphamide pulse therapy in Japanese children with systemic lupus erythematosus.
    Journal of Nippon Medical School = Nippon Ika Daigaku zasshi, 2013, Volume: 80, Issue:5

    Topics: Administration, Intravenous; Adolescent; Biomarkers; Cyclophosphamide; Drug Therapy, Combination; Fe

2013
Successful treatment of cerebral large vessel vasculitis in systemic lupus erythematosus with intravenous pulse cyclophosphamide.
    Lupus, 2015, Volume: 24, Issue:8

    Topics: Adult; Brain Infarction; Cyclophosphamide; Cyclosporine; Female; Headache; Humans; Immunosuppressive

2015
Neurogenic bladder in a patient with systemic lupus erythematosus and cerebral involvement.
    Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2009, Volume: 15, Issue:1

    Topics: Antirheumatic Agents; Cyclophosphamide; Female; Humans; Lupus Vasculitis, Central Nervous System; Pr

2009
Plasma exchange and rituximab in the management of acute occlusive retinal vasculopathy secondary to systemic lupus erythematosus.
    Ocular immunology and inflammation, 2011, Volume: 19, Issue:5

    Topics: Acute Disease; Adult; Antibodies, Monoclonal, Murine-Derived; Female; Fluorescein Angiography; Human

2011
Marchiafava-Bignami disease-like lesions due to central nervous system lupus.
    BMJ case reports, 2010, Nov-29, Volume: 2010

    Topics: Administration, Oral; Adult; Anemia, Hemolytic, Autoimmune; Anti-Inflammatory Agents; Antibodies, An

2010
Intrathecal corticosteroids for systemic lupus erythematosus with central nervous system involvement.
    The Journal of rheumatology, 2003, Volume: 30, Issue:1

    Topics: Adult; Female; Glucocorticoids; Humans; Injections, Spinal; Lupus Vasculitis, Central Nervous System

2003
Transient panhypogammaglobulinaemia and B-lymphocyte deficiency in a patient with neuropsychiatric systemic lupus erythematosus after immunosuppressive therapy.
    Clinical rheumatology, 2003, Volume: 22, Issue:1

    Topics: Adult; Agammaglobulinemia; B-Lymphocytes; Female; Humans; Immunosuppressive Agents; Lupus Vasculitis

2003
Intravenous cyclophosphamide and high dose corticosteroids improve MRI lesions in demyelinating syndrome in systemic lupus erythematosus.
    The Journal of rheumatology, 2003, Volume: 30, Issue:8

    Topics: Antirheumatic Agents; Cyclophosphamide; Demyelinating Diseases; Female; Glucocorticoids; Humans; Inj

2003
Quantitative imaging of cerebral blood flow using SPECT with 123I-iodoamphetamine in neuropsychiatric systemic lupus erythematosus.
    The Journal of rheumatology, 2003, Volume: 30, Issue:9

    Topics: Adult; Cerebrovascular Circulation; Cyclophosphamide; Drug Therapy, Combination; Female; Humans; Iof

2003
Sudden aphasia occurred in a postpartum woman.
    Internal medicine (Tokyo, Japan), 2003, Volume: 42, Issue:9

    Topics: Adult; Anti-Inflammatory Agents; Aphasia; Female; Humans; Lupus Vasculitis, Central Nervous System;

2003
Systemic lupus erythematosus with organic brain syndrome: serial electroencephalograms accurately evaluate therapeutic efficacy.
    Internal medicine (Tokyo, Japan), 2006, Volume: 45, Issue:2

    Topics: Azathioprine; Cerebrospinal Fluid; Cyclophosphamide; Disorders of Excessive Somnolence; Electroencep

2006
Mannitol treatment in central nervous system lupus.
    Clinical rheumatology, 2001, Volume: 20, Issue:2

    Topics: Administration, Oral; Allopurinol; Brain Ischemia; Child; Cyclophosphamide; Drug Therapy, Combinatio

2001
Reversible parkinsonism in systemic lupus erythematosus.
    Journal of the neurological sciences, 2001, Dec-15, Volume: 193, Issue:1

    Topics: Brain; Cyclophosphamide; Female; Humans; Immunosuppressive Agents; Lupus Vasculitis, Central Nervous

2001
Neuromyelitis optica (Devic's syndrome) in systemic lupus erythematosus: a case report.
    Rheumatology (Oxford, England), 2002, Volume: 41, Issue:4

    Topics: Anti-Inflammatory Agents; Azathioprine; Drug Therapy, Combination; Female; Humans; Immunosuppressive

2002