RIMAG Study: Trial of Rituximab Versus Placebo in Polyneuropathy Associated With Anti-MAG IgM Monoclonal Gammopathy
Double-blind Randomized Trial of Rituximab Versus Placebo in Polyneuropathy Associated With Anti-MAG IgM Monoclonal Gammopathy
1 other identifier
interventional
60
1 country
1
Brief Summary
Polyneuropathy associated with anti-MAG monoclonal IgM gammopathy is responsive of mainly a sensory deficit in predominantly males ,aged 40-70 years. Significantly high serum anti-MAG antibodies are linked with demyelinating features of the peripheral nerves.Rituximab, an anti-CD 20 monoclonal antibody is a new drug which reduces B-lymphocytes. This study will test the safety and efficacy of rituximab in the treatment of patients with anti-MAG polyneuropathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Apr 2006
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 29, 2005
CompletedFirst Posted
Study publicly available on registry
December 1, 2005
CompletedStudy Start
First participant enrolled
April 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedMay 6, 2011
March 1, 2007
3.8 years
November 29, 2005
May 5, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
INCAT sensory score at 1 year
INCAT sensory score at 1 year
during de study
Secondary Outcomes (4)
Functional scales, MRC score
during the study
Quality of life (SF 36)
during the study
Serum lymphocytes count, IgM level, anti-MAG antibody titers
during the study
Electrophysiological parameters
during the study
Study Arms (1)
1
EXPERIMENTALRituximab
Interventions
Eligibility Criteria
You may qualify if:
- IgM monoclonal gammopathy
- Anti-MAG antibody titers \> 1.1000 BTU (ELISA)
- Worsening polyneuropathy with INCAT score \> 4
- Informed consent
You may not qualify if:
- Severe comorbidity
- Other concurrent causes of polyneuropathy
- Concurrent immunosuppressive therapies (wash-out \> 3 months)
- Previous treatment with rituximab
- Lymphoproliferative disease indicating other immunosuppressive treatment
- Unability to follow-up
- Previous documented side-effects with components involved in the tested drug
- White cell count \< 1500/mm3 or platelet count \< 75.000/mm3
- Patient under law
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Assistance Publique - Hôpitaux de Parislead
- Groupe Hospitalier Pitie-Salpetrierecollaborator
- University Hospital, Bordeauxcollaborator
- University Hospital, Limogescollaborator
- Henri Mondor University Hospitalcollaborator
- University Hospital, Marseillecollaborator
- Hospices Civils de Lyoncollaborator
- University Hospital, Basel, Switzerlandcollaborator
Study Sites (1)
Groupe Hospitalier Pitié-Salpétrière, Consultation de Pathologie Neuromusculaire, Bâtiment Babinski
Paris, 75015, France
Related Publications (1)
Leger JM. A review of the medical management of chronic inflammatory demyelinating polyradiculoneuropathy. Expert Opin Pharmacother. 2005 Apr;6(4):569-82. doi: 10.1517/14656566.6.4.569.
PMID: 15934883BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Marc LEGER, MD
Assistance Publique - Hôpitaux de Paris
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 29, 2005
First Posted
December 1, 2005
Study Start
April 1, 2006
Primary Completion
January 1, 2010
Study Completion
January 1, 2010
Last Updated
May 6, 2011
Record last verified: 2007-03