EUCTR2006-001000-37-DE进行中(未招募)不适用
Efficacy and safety of rituximab in patients with rheumatoid arthritis - FIRST
适应症
相关药物
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 300
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •Age 18 to 80
- •Active rheumatoid arthritis (DAS 28 =3.2)
- •SJC =4 at screening and baseline
- •TJC =4 at screening and baseline
- •Patients with rheumatoid arthritis for at least 6 month diagnosed according to the revised 1987 ACR criteria for the classification of rheumatoid arthritis
- •Not more than one TNFa- inhibitor in history
- •Inadequate response to either etanercept (Enbrel) or infliximab (Remicade) or adalimumab (Humira). Inadequate response is defined as either a lack of response to the respective drug or loss of response to the respective drug or intolerance to the respective drug. Etanercept treatment must have been stopped at least 4 weeks prior to first rituximab infusion, treatment with infliximab or adalimumab at least 8 weeks prior to first rituximab in-fusion.
- •Willingness and capability to give written informed consent, written consent for data protection (legal requirement in Germany: datenschutzrechtliche Einwilligung) and willingness to participate and to comply with the study.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •Exclusion criteria related to RA
- •Functional class IV as defined by the ACR classification of Functional Status in Rheuma-toid Arthritis.
- •Exclusion criteria related to general health conditions
- •Patients with other chronic inflammatory articular disease or systemic autoimmune dis-ease, e.g. Systemic lupus erythematosus, Sjögren’s syndrome, active rheumatoid vascu-litis, a history of systemic diseases associated with arthritis, chronic fatigue syndrome
- •Any active infection, a history of recurrent clinically significant infection, a history of re-current bacterial infections with encapsulated organisms
- •Primary or secondary immunodeficiency
- •History of cancer with curative treatment not longer than 5 years ago except basal-cell carcinoma of the skin that had been excised
- •Evidence of significant uncontrolled concomitant diseases or serious and/or uncontrolled diseases that are likely to interfere with the evaluation of the patient's safety and of the study outcome
- •Neuropathy that can interfere with quality of life and/or pain assessment.
- •Patients with a history of a psychological illness or condition such as to interfere with the patient's ability to understand the requirements of the study.
- •Known hypersensitivity to any component of the product or to murine proteins.
- •Women, pregnant, nursing or of childbearing potential with a positive pregnancy test (urine test)
- •Males or females of reproductive potential not willing to use effective contraception (e.g. contraceptive pill, IUD, physical barrier) for up to 12.5 months after first infusion of ri-tuximab
- •History of alcohol, drug or chemical abuse within 6 month prior to screening
- •Lack of peripheral venous access
- •Exclusion criteria related to medications
- •Previous treatment with rituximab or intolerance to rituximab
- •Previous treatment with abatacept
- •Corticosteroids at doses exceeding 10 mg per day of prednisolone or the equivalent within the last 2 weeks prior to the first rituximab infusion or corticosteroids at instable doses within the last 2 weeks prior to the first rituximab infusion
- •Intolerance or contraindication to drugs required for the treatment of the side effects of ri-tuximab (e.g. paracetamol, acetaminophen, diphenhydramine, p.o. and i.v. corticosteroids, anti-emetics or H1 blockers)
- •Concurrent treatment with any DMARD (apart from MTX), any TNFalpha inhibitor, or any anti-IL or CTLA4 Ig or other biologic or any investigational agent
- •Receipt of a live vaccine within 4 weeks prior to treatment
- •Intra-articular or parenteral corticosteroids within 4 weeks prior to screening visit
- •Exclusion criteria related to lab findings
- •Haemoglobin < 8.5 g/dl
- •Neutrophil counts < 1.500 / µl
- •Platelet count < 75.000 / µl
- •Lower than 1 x 700/µl lymphopenia for more than three months prior to inclusion.
- •Serum creatinine > 1.4 mg/dl for women or 1.6 mg/dl for men.
- •Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 2.5 times upper limit of normal.
- •Positive HIV or hepatitis C serology as well as positive tests for hepatitis B surface antigen (HBsAg) and/or positive tests for hapatitis B core antibody (HbcAb)).
- •Exclusion criteria related to formal aspects.
- •Patients who have paritcipated in this study before.
- •Patients who participate currently in another clinical trial or patients who participated in another clinical trial during the last 30 days.
- •Patients who are underage or patients who are incapable to understand the aim, impor-tance and consequences of the s
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