Status:
COMPLETED
A Study of the Efficacy and Safety of Rituximab in Participants With Systemic Sclerosis
Lead Sponsor:
Tokyo University
Collaborating Sponsors:
Japan Agency for Medical Research and Development
Zenyaku Kogyo Co., Ltd.
Conditions:
Scleroderma, Systemic
Skin Sclerosis
Eligibility:
All Genders
20-80 years
Phase:
PHASE2
PHASE3
Brief Summary
This study evaluates the efficacy and safety of rituximab compared with placebo in SSc patients. This study consists of a 24-week, double-blind, placebo-controlled period followed by a 24-week active ...
Eligibility Criteria
Inclusion
- Fulfill the diagnostic criteria for systemic sclerosis defined in the 2016 edition of the Clinical Practice Guidelines for Systemic Sclerosis and have an mRTSS of 2 (moderate) or higher for skin sclerosis
- Aged 20 or older and younger than 80 at the time of consent
- Have an expected survival of at least 6 months (and expected to allow 6 months of observation)
- Fulfill the following criteria related to concomitant medications/therapies:
- Not received corticosteroids equivalent to more than 10 mg/day of prednisolone within 2 weeks before the start of study treatment; and
- Not received antifibrotic agents (like nintedanib, pirfenidone, tocilizumab), other investigational products, immunosuppressants (cyclophosphamide, mycophenolate mofetil, ciclosporin, tacrolimus, azathioprine, and mizoribine), high-dose intravenous immunoglobulin, or imatinib 4 weeks prior to the start of study treatment.
- Provided written consent to participate in the study
Exclusion
- Present with pulmonary hypertension\* associated with systemic sclerosis
- \*: The patient will undergo echocardiography during the pre-treatment observation period to exclude pulmonary hypertension. The patient will be required to undergo examination by an expert (eg, at the Department of Cardiovascular Medicine) if systolic pulmonary artery pressure exceeds 35 mmHg.
- Have serious complications (eg, renal crisis) associated with systemic sclerosis (excluding interstitial pneumonia\*\*)
- \*\*: Patients with interstitial pneumonia will be excluded if the criterion 3) below is met.
- Have only poor respiratory reserve (%VC or %DLco, both calculated using the "estimation equation more suitable for Japanese," is less than 60% or 40%, respectively)
- Known to have HIV antibodies
- Have a positive result for any of the following: HBs antigen, HBs antibody, HBc antibody, and HCV antibody (this criterion does not apply to a positive test for hepatitis B clearly attributable to hepatitis vaccination)
- Have serious bacterial/fungal infections
- Have a serious liver disease (AST \[GOT\] or ALT\[GPT\] of ≥ 300 IU)
- Have a serious renal disease (serum creatinine ≥ 2.0 mg/dL)
- Have severe heart disease
- Have active tuberculosis
- Have any known malignancy or a history of malignancy within the past 5 years
- Have a history of serious infections
- Have a history of serious hypersensitivity or anaphylactic reactions to any component of rituximab or to mouse proteins
- Pregnant, postpartum, and lactating women
- Refuse to practice contraception from the time of consent to at least 12 months after study completion
- Have any disease or physical/psychiatric conditions that make study participation difficult/inappropriate
- Received other investigational products within 12 weeks prior to the study treatment or are participating in other clinical research/studies
- Smoked within 12 weeks prior to the date of consent
- Is determined by the investigator (or sub-investigator) to be ineligible for the study for any other reason
Key Trial Info
Start Date :
December 4 2017
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 5 2019
Estimated Enrollment :
56 Patients enrolled
Trial Details
Trial ID
NCT04274257
Start Date
December 4 2017
End Date
November 5 2019
Last Update
February 18 2020
Active Locations (4)
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1
University of Fukui Hospital
Fukui, Japan
2
Chukyo Hospital
Nagoya, Japan
3
The University of Tokyo Hospital
Tokyo, Japan, 113-8655
4
University of Tsukuba Hospital
Tsukuba, Japan