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.
Investigators
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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