Pilot Study of Rituximab Therapy for Systemic Lupus Erythematosus (SLE) and Vasculitis
Study Details
Study Description
Brief Summary
Lupus and vasculitis are autoimmune conditions which can be life threatening. In order to treat these conditions toxic therapies such as cyclophosphamide and steroids are often required. These standard treatments are associated with significant side effects. Furthermore a proportion of patient do not respond to these conventional therapies. Newer safer therapies are being sought. Rituximab is a drug that eliminates B cell from the blood. B cells are one part of the human immune system that helps prevent infections. Abnormal activity of the immune system is responsible for autoimmune disease although the exact mechanisms in lupus and vasculitis are not yet established. Rituximab is liscenced as a treatment for a form of B cell cancer called non-Hodgkins Lymphoma and has a good safety track record when used in this context. It has recently been used to treat some autoimmune conditions with positive results. In this pilot study we wish to assess the effectiveness and safety of rituximab in patients with lupus and vascultis that are resistant to conventional therpies.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- 1. Clinical remission at 6 or 12 months []
- 2. Absence of a severe life threatening adverse event []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosis of SLE or ANCA associated vasculitis
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Active disease refractory to 6 months conventional therapy with cyclophosphamide, prednisolone and at least one other immunosupressive agent ( or a lesser period if this therapy cannot be tolerated)
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Age 18-70
Exclusion Criteria:
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HbeAg or HCV Ab positive or known HIV positivity ( HIV testing not necessary for this study)
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Pregnancy, inadequate contraception or lactation
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Malignancy
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Current enrolment in pother clinicla trials -
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Addenbrooke's Hospital | Cambridge | Cambridgeshire | United Kingdom | CB2 2QQ |
Sponsors and Collaborators
- Cambridge University Hospitals NHS Foundation Trust
- Roche Pharma AG
Investigators
- Principal Investigator: Ken Smith, Cambridge Institute for Medical Research, Addenbrooke's Hospital
- Principal Investigator: David Jayne, Lupus and Vasculitis Service, Addenbrooke's Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Pilot study of Rituximab