UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000639
Receipt number R000000775
Scientific Title A Randomized, Double-blind, Placebo-controlled, Multicenter, Phase II/III study of Rituximab in Patients with Systemic Lupus Erythematosus
Date of disclosure of the study information 2007/03/16
Last modified on 2010/12/06 09:08:51

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Basic information

Public title

A Randomized, Double-blind, Placebo-controlled, Multicenter, Phase II/III study of Rituximab in Patients with Systemic Lupus Erythematosus

Acronym

Rituximab clinical Investigation in Systemic lupus Erythematosus (RISE study)

Scientific Title

A Randomized, Double-blind, Placebo-controlled, Multicenter, Phase II/III study of Rituximab in Patients with Systemic Lupus Erythematosus

Scientific Title:Acronym

Rituximab clinical Investigation in Systemic lupus Erythematosus (RISE study)

Region

Japan


Condition

Condition

Systemic lupus erythematosus

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate efficacy and safety of IDEC-C2B8 in patients with moderate to severe systemic lupus erythematosus showing inadequate response to conventional steroidal therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of overall response rate between IDEC-C2B8 and placebo.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

IDEC-C2B8 plus oral prednisolone(tapering)
1000 mg of IDEC-C2B8 on days 1 and 15.Repeated at an interval of 6 months (Days 169 and 183).

Interventions/Control_2

Placebo plus oral prednisolone(tapering)
1000 mg of placebo day 1 and 15.Repeated at an interval of 6 months (Days 169 and 183).

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients who meet all of the following criteria will be enrolled in this study:
1)Patients with SLE diagnosed according to the criteria of the American College of Rheumatology (ACR) (revised version, 1997) and with positive antinuclear antibody
2)Patients who develop moderate or severe flares (one or more BILAG category A, or two or more BILAG category B) in spite of 2 weeks or longer therapy with corticosteroids.
3) As for patients receiving immunosuppressant, the immunosuppressant should be limited to only one, and be limited to azathioprine, 6-mercaptopurine (6-MP), mycophenolate mofetil (MMF) or methotrexate (MTX); and the dosage should not be changed within 4 weeks prior to screening.
4)Sixteen to 75 years of age at the time of signing an informed consent form.
5)Patients who agreed to practice an appropriate contraception during the study period and until recovery of CD20 positive cell.

Key exclusion criteria

1.SLE exclusion
1)Unstable patients with thrombocytopenia
2)Proteinuria>1.0g/24hr
3)Retinitis, unfavorably controlled seizure disorder, confusional state, myelitis, stroke syndrome, cerebellar ataxia, or dementia that is associated with SLE
4)APS complication
2.General health exclusion
1)Pregnant women or lactating mothers
2)History of severe allergic or anaphylactic reactions to humanized antibodies, murine antibodies or murine-derived products
3)Uncontrolled medical disease in any organ system not related to SLE
4)Require treatments with systemic corticosteroid within one year
5)Active infection
6)Some infection requiring hospitalization, or therapy with intravenous antibiotics within 8 weeks, or therapy with oral antibiotics within 2 weeks
7)Deep-seated infection within one year
8)Serious recurrent or chronic infection
9)History of any malignancy
10)Active alcohol or drug abuse or history of alcohol or drug abuse
11)Major surgery within 4 weeks
3.Medication exclusion
1)Treated with any B-cell targeted therapy
2)Received other investigational drug within 6 months, or participating another clinical investigation
3)Received a vaccine within 4 weeks
4)Severe allergic or anaphylactic reactions to acetaminophen and d-chlorpheniramine maleate, and patients have not tolerability or contraindication for steroid therapy with intravenous and oral
5)Treated with <0.75 mg/kg/day of prednisolone for 7 days or more within 4 weeks
6)Treated with new immunosuppressant(s) within 12 weeks; or whom dosage of a immunosuppressant have been changed within 4 weeks
7)Treated with cyclophosphamide, calcineurin inhibitors such as cyclosporine and tacrolimus within 12 weeks
8)Treated with whole blood or blood component transfusion, immune adsorption, hemodialysis within 4 weeks
4.Laboratory exclusion
1)AST, ALT>Nu x 2.5
2)serum creatinine>2.5mg/dL
3)neutrophil<1500/uL
4)Hb<7.0g/dL
5)Thrombocyte<10000/uL
6)Positive HIV, HCV, HBs, Hbc

Target sample size

150


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshiya Tanaka

Organization

School of Medicine, University of Occupational and Environmental Health, Japan

Division name

First Department of Internal Medicine

Zip code


Address

1-1, Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka, 807-8555, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Zenyaku Kogyo Co., Ltd.

Division name

License-in Product Development Section

Zip code


Address


TEL

03-3946-1113

Homepage URL


Email



Sponsor or person

Institute

Zenyaku Kogyo Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Zenyaku Kogyo Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 03 Month 16 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2007 Year 01 Month 19 Day

Date of IRB


Anticipated trial start date

2007 Year 03 Month 01 Day

Last follow-up date

2011 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2007 Year 03 Month 16 Day

Last modified on

2010 Year 12 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000775


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name