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临床试验/ISRCTN16948923
ISRCTN16948923进行中(未招募)3 期

A randomised, two-arm (1:1 ratio), double blind, placebo controlled phase III trial to assess the efficacy, safety, cost and cost-effectiveness of rituximab in treating de novo or relapsing NS in patients with MCD/FSGS (TURING)

Cambridge University Hospitals NHS Foundation Trust0 个研究点目标入组 112 人开始时间: 2019年6月21日最近更新:

试验速览

阶段
3 期
状态
进行中(未招募)
入组人数
112

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Age 16 years or older.
  • 2. NS at trial entry (serum albumin < 35g/l and protein creatinine ratio (PCR) > 300mg/mmol) secondary to MCD/FSGS with,
  • 3. De novo disease or relapsing disease in a patient previously steroid or calcineurin inhibitor (CNI) responsive.
  • 4. Latest biopsy (at any time) proven MCD/FSGS.
  • 5. Ability to provide written informed consent.
  • 6. Agreed to be enrolled in the National Registry of Rare Kidney Disease (RaDaR).

排除标准

  • 1. MCD or FSGS due to secondary causes, including obesity-driven hyperfiltration, remnant kidneys, malignancy of a type likely to be associated with MCD /FSGS and genetic polymorphisms known to be associated with nephrosis
  • 2. MCD/FSGS secondary to malignancy, including lymphoproliferative disorders
  • 3. Family history of MCD or FSGS in a first degree relative
  • 4. Previous rituximab within 18 months preceding Day 0 (SPPR), or 12 months if there is evidence of B cell return in peripheral lymphocyte subsets
  • 5. Previous cyclophosphamide within 6 months preceding Day 0 (SPPR)
  • 6. Prednisolone daily dose equal to or greater than 60mg, with a course length of greater than4 weeks, immediately prior to randomisation
  • 7. Evidence of current or past infection with Hepatitis B, C or HIV (unless appropriate prophylaxis is given and no replicating virus is detected)
  • 8. Positive serum pregnancy test (within 14 days prior to treatment with IMP in main trial and rituximab in OLP)
  • 9. Evidence of active severe infection
  • 10. Severe heart failure or severe, uncontrolled cardiac disease
  • 11. Pregnant or breast-feeding women
  • 12. Live vaccine administration in the four weeks prior to enrolment and while remaining on IMP treatment
  • 13. Previous/known hypersensitivity to prednisolone or IMP or to murine proteins (and any excipients as described in section 6.1 of the SmPC)
  • 14. Co-enrolment in another clinical trial of an investigational medicinal product
  • 15. Any other reason which, in the opinion of the Principal Investigator (PI), renders the patient unsuitable for the trial
  • 16. An increase in CNI dose in the four weeks preceding randomisation

研究者

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