Determining the Responses and Impact of Rituximab-instigated Cell Depletion on T Cells in People With SLE
Rituximab in SLE: Understanding of Long-term Responses and the Impact of B Cell Depletion on T Cells
1 other identifier
interventional
N/A
1 country
2
Brief Summary
The purpose of this study is to determine how B cell subsets and autoantibodies are related to disease remission after rituximab treatment in subjects with Systemic Lupus Erythematosus (SLE).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
2 active sites
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
Study Start
First participant enrolled
September 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 3, 2012
CompletedFirst Posted
Study publicly available on registry
October 5, 2012
CompletedOctober 8, 2012
October 1, 2012
October 3, 2012
October 4, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Ratio of B and T cell subsets among those with and without a long-term response and those with and without baseline anti-RBP antibody
Day 0 through month 24
Secondary Outcomes (2)
Impact of prolonged B cell absence on the composition and activation status of helper T cell subsets and regulatory T cells
Day 0 through month 24
Effect of B cell depletion on interferon-alpha activity
Day 0 through month 24
Study Arms (1)
Rituximab
EXPERIMENTALParticipants will receive an intravenous infusion of rituximab on Days 0 and 14
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of SLE
- Positive ANA with a titer of at least 1:160
- Active disease (one or more modified BILAG A or B) or inability to lower steroids to leass than 20 mg/day. More information about this criterion can be found in the protocol.
- For females, must agree to use effective birth control methods for the duration of the study
You may not qualify if:
- Severe thrombocytopenia
- Active, moderate, or severe proliferative glomerulonephritis
- Active CNS manifestations due to lupus other than migraines, mild cognitive dysfunction, or mood disorders. More information about this criterion can be found in the protocol.
- Poorly controlled anti-phospholipid syndrom
- Significant organ dysfunction
- Conditions, other than SLE, that are likely to require prolonged systemic steroids
- Chronic infections. More information about this criterion can be found in the protocol.
- Hepatitis B infection
- Hepatitis C infection
- Deep space infection within two years of study entry
- Severe bacterial infection within three months of study entry
- More than one severe bacterial infection within two years of study entry
- Positive purified protein derivative tuberculin skin test
- History of cancer, not including basal cell carcinomas and carcinoma in situ of the cervix with documentation of successful treatment
- Alcohol or drug abuse
- +11 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
University of Rochester
Rochester, New York, 14642, United States
Related Publications (2)
Eisenberg R. Targeting B cells in SLE: the experience with rituximab treatment (anti-CD20). Endocr Metab Immune Disord Drug Targets. 2006 Dec;6(4):345-50. doi: 10.2174/187153006779025757.
PMID: 17214580BACKGROUNDPego-Reigosa JM, Isenberg DA. Systemic lupus erythematosus: pharmacological developments and recommendations for a therapeutic strategy. Expert Opin Investig Drugs. 2008 Jan;17(1):31-41. doi: 10.1517/13543784.17.1.31.
PMID: 18095917BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Ignacio Sanz, MD
University of Rochester
- STUDY CHAIR
John Looney, MD
University of Rochester
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 3, 2012
First Posted
October 5, 2012
Study Start
September 1, 2009
Last Updated
October 8, 2012
Record last verified: 2012-10