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Plasma exchange and glucocorticoid dosing in the treatment of anti-neutrophil cytoplasm antibody associated vasculitis: an international randomized controlled trial - PEXIVAS

Phase 1
Conditions
Anti-neutrophil Cytoplasm Antibody (ANCA) Associated Vasculitis (which comprises Wegener's Granulomatosisand Microscopic Polyangiits)
MedDRA version: 12.1Level: LLTClassification code 10050894Term: Anti-neutrophil cytoplasmic antibody positive vasculitis
Registration Number
EUCTR2009-013220-24-DK
Lead Sponsor
Cambridge University Hospitals NHS Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
704
Inclusion Criteria

1) New or previous diagnosis of ANCA associated vasculitis
2) Has either PR3 or MPO positive antibody(ANCA) binding by ELISA or equivalent
3) Has a severe manifestation of vasculitis as defined by either a) renal vasculitis resulting in an estimated
glomerular filtration rate below 50 ml/min; or b) lung haemorrhage
4) Provision of informed consent by patient or a surrogate decision maker
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

Exclusion Criteria

1) Presence of concomitant anti-glomerular basement membrane disease or another vasculitic disease
2) Requirement for dialysis for >21 days in the period immediately preceeding enrollment
3) Age <15 years
4) Pregnancy
5) Inability or unwillingness to comply with birth control/abstinence
6) Treatment for vasculitis with cyclophosphamide and/or glucocorticoids for >14 days prior to randomisation or
rituximab >28 days prior to randomisation
7) A comorbidity that, in the opinion of the investigator, mandates the use plasma exchange or precludes the use
of reduced dose glucocorticoids

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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