Rituximab2: Efficiency and Tolerance of Rituximab (mabthéra) in Bullous Pemphigoid
Study Details
Study Description
Brief Summary
The aim of the study is to assess that it will be possible to control with a single cycle of rituximab patient with bullous pemphigoid.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 3 |
Detailed Description
The objective of this study is to assess the efficacy and tolerance of a single cycle of rituximab in control of bullous pemphigoid.
the main objects are :
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to assess that a single cycle of rituximab is able to control patient with corticosteroid-dependent bullous pemphigoid,
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to avoid the use of corticosteroid in long time,
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to evaluate duration of control disease and side effect with a single cycle of rituximab.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Rituximab Treatment consists of two slow intravenous infusions of rituximab 1000mg to 15 days apart with local corticosteroid . |
Drug: Mabthera
Two IV perfusions of 1000mg at 15 days intervals
|
Outcome Measures
Primary Outcome Measures
- Clinical and biological controls of bullous pemphigoid were estimated every seven days during a period of 1 month and every month during a period of 2 years. [2 years]
Secondary Outcome Measures
- Adverse reactions will be estimated during all the period of this clinical trial [3 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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age >= 18 and < 80
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karnofsky >= 50%
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bullous pemphigoid clinical indication
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cortico-dependent bullous pemphigoid in relapse for the second time
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contraception used in female patient
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consent obtained from patient
Exclusion Criteria:
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localized bullous pemphigoid in relapse (<400cm2)
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pemphigoid of pregnancy
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dermatosis with IgA
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pemphigoid with mucous damage
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pregnant woman or nursing mother
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woman able to have a baby and without contraception during the clinical trial period
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age < 18 or > 80
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karnovsky < 50%
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significant disease or uncontrolled disease
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serious antecedents of allergy or anaphylactic reaction with human monoclonal antibody
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patient with depletion lymphocytic treatment or with initial rituximab treatment
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unstable angina or ischemic heart disease
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cardiac insufficiency
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cardiac rhythm trouble uncontrolled
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evolutive infection
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immunodepression
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neutrophil polynuclear in blood < 1.5 G/l and /or platelet blood concentration < 75G/l
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positive HIV serology
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positive hepatitis B and / or C serology
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concomitant immunodepressor treatment able to induce depletion lymphocytic treatment
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no consentment
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antecedent of serious chronic or recurrent infection or other underlying pathology able to induce serious infection
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antecedent of deep tissue infection occurred the previous year of inclusion
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Rouen University Hospital, Direction de la Recherche et de l'Innovation, | Rouen | France | 76031 |
Sponsors and Collaborators
- University Hospital, Rouen
Investigators
- Principal Investigator: Pascal JOLY, MD-PHD, Clinique Dermatologique - Hôpital Charles Nicolle
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2006/101/HP