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Clinical Trials/CTRI/2019/02/017795
CTRI/2019/02/017795
Not yet recruiting
未知

A randomised controlled trial comparing the efficacy and safety of rituximab, intravenous cyclophosphamide pulse and mycophenolate mofetil in systemic sclerosis.

ICMR grant applied0 sites0 target enrollmentTBD

Overview

Phase
未知
Intervention
Not specified
Conditions
Health Condition 1: M349- Systemic sclerosis, unspecified
Sponsor
ICMR grant applied
Status
Not yet recruiting
Last Updated
4 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
TBD
End Date
TBD
Last Updated
4 years ago
Study Type
Interventional

Investigators

Sponsor
ICMR grant applied

Eligibility Criteria

Inclusion Criteria

  • 1\. Patients with a diagnosis of systemic sclerosis as per the 2013 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria, irrespective of their gender, will be included in the study. They may have either diffuse cutaneous or limited cutaneous systemic sclerosis.
  • 2\. Age \>\=12 years
  • 3\. Patients with the following evidence of pulmonary involvement:
  • % predicted FVC \<\= 70% and/or
  • HRCT chest showing involvement of \>\= 20% of lung area with interstitial lung disease.

Exclusion Criteria

  • 1\. Patients with overlap syndrome.
  • 2\. Diagnosis of clinically significant resting pulmonary hypertension requiring treatment diagnosed on echocardiography (defined as tricuspid regurgitation velocity \>\= 4m/s, eqivalent to estimated pulmonary artery systolic pressure of 64 mm Hg) while evaluation of the patient during study.
  • 3\. Evidence of uncontrolled congestive heart failure, unstable ischemic heart disease, history of pulmonary embolism, or cardiac arrhythmia requiring chronic anticoagulation.
  • 4\. FVC \<\= 15% at baseline.
  • 5\. Patients who cannot perform spirometry for evaluation of pulmonary function tests despite sufficient counselling about the procedure.
  • 6\. More than 50% area of lung showing fibrosis on HRCT chest at baseline.
  • 7\. Hematologic abnormality at screening including:
  • Leukopenia (white blood cells \[WBC] \< 4\.0x103/µl).
  • Thrombocytopenia (platelet count \< 150\.0x103/µl).
  • Clinically significant anemia (hemoglobin \< 7 g/dl).

Outcomes

Primary Outcomes

Not specified

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