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临床试验/EUCTR2012-003314-13-BE
EUCTR2012-003314-13-BE进行中(未招募)不适用

RING – RItuximab for lupus Nephritis with remissionas a Goal, an investigator-initiated randomized international open multicentric study - RING

Cliniques Universitaires Saint Luc, Université catholique de Louvain0 个研究点目标入组 194 人开始时间: 2012年8月27日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
194

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

  • Inclusion criteria (at screening)
  • All the following inclusion criteria are to be met :
  • 1. SLE, according to ACR and/or SLICC (Arthritis Rheum 2012; May 2; doi: 10.1002/art.34473) criteria ;
  • 2. Age =15y (except if local ethics committee imposes =18y) ;
  • 3. ISN/RPS 2003 Class III (A or A/C), IV (A or A/C ; S or G) or V lupus GN confirmed on renal biopsy performed within 24 months before screening ;
  • 4. Having received one out of four following immunosuppressive regimens: i): Euro-Lupus (EL) intravenous (IV) cyclophosphamide (CY) (6x 500 mg q2w) followed by AZA/MMF for 3 months; ii): NIH IVCY for 6M (6 monthly pulses) followed by AZA/MMF for 3 months; iii): MMF for at least 6 months; iv): AZA for at least 6 months
  • All patients should be on AZA or MMF at screening. In all regimens, MMF can be replaced by enteric-coated mycophenolic acid (eMPA) ;
  • 5. If on GC, being on maximum 10 mg equivalent prednisolone/d at screening (for at least 2 weeks) ;
  • 6. uP/C ratio =1 (expressed in mg/mg) measured in a 24-h urine collection, confirmed at randomization (w-2) ;
  • 7. Contraception (any type ; sexual abstinence is an alternative to
  • contraception in paediatric patients) ;
  • 8. Signed informed consent (drafted according to local practice and approved by the local ethics committee).
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 15
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 179
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range 0

排除标准

  • Exclusion criteria (at screening, except exclusion criteria 1 at randomization).
  • Any of the following :
  • 1. Recent or ongoing renal flare defined as either i) : fall in estimated glomerular filtration rate (eGFR ; MDRD) =25% within 3 month prior to screening or between screening and randomization ; or ii) : increase in urine protein by =100% to >3.5g/d compared to previous assessment ;
  • 2. 24-h proteinuria decline >50% over previous 6 months ;
  • 3. Treatment with =10 mg equivalent prednisolone/d in the last 2 weeks before screening ;
  • 4. Pregnancy or breast-feeding ;
  • 5. Anticipated non-compliance with the protocol ;
  • 6. History of malignancy (except non-melanoma skin and cervical intraepithelial cancer) ;
  • 7. Previous treatment with RTX (whenever) and previous treatment with another biologic agent within the last 6 months ;
  • 8. HIV infection ;
  • 9. Active HBV/HCV/TB infection ;
  • 10. Severe liver, cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, haematologic or psychiatric disturbances, that would contraindicate inclusion in the protocol, as judged by the clinician.

研究者

发起方
Cliniques Universitaires Saint Luc, Université catholique de Louvain

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