Microscopic Polyangiitis Clinical Trial
— SCOUTOfficial title:
Short-Course Glucocorticoids and Rituximab in ANCA-Associated Vasculitis
Verified date | June 2021 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this pilot study is to test whether an 8-week course of glucocorticoids, combined with rituximab, is effective in treating ANCA-associated vasculitis.
Status | Completed |
Enrollment | 20 |
Est. completion date | November 1, 2017 |
Est. primary completion date | August 17, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 85 Years |
Eligibility | Inclusion Criteria: - Patients ages 18-85 years old - Diagnosis of GPA or MPA according to the definitions of the Chapel Hill Consensus Conference - New diagnosis or disease flare with a Birmingham Vasculitis Activity Score/Wegener's granulomatosis (BVAS/WG) of > 3 Exclusion Criteria: - Renal disease in patients with PR3-ANCA as defined by any of the following: - Urinary red blood cell casts - Biopsy-proven glomerulonephritis - Increase in serum creatinine of >30% over baseline - Severe renal disease in patients with MPO-ANCA as defined by both of the following: - Urinary red blood cell casts or biopsy-proven glomerulonephritis - Estimated glomerular filtration rate < 30 ml/min/1.73m2 - Diffuse alveolar hemorrhage requiring ventilatory support - GC treatment for longer than 14 days prior to enrollment unless patient has been on a stable maintenance dose of prednisone at the time of the flare - Daily oral cyclophosphamide within 1 month prior to enrollment - Completed a remission induction course of cyclophosphamide or rituximab within 4 months of enrollment - Hepatitis B infection - HIV infection - History of anti-GBM disease - Other uncontrolled disease, including drug and alcohol abuse, that may interfere with the study - Pregnancy or breastfeeding - History of severe allergic reactions to human or chimeric monoclonal antibodies |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | Genentech, Inc. |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Complete Remission | We examined whether an 8-week glucocorticoid course in combination with rituximab (RTX) would induce disease remission in patients with AAV. The primary outcome was disease remission off steroids at 6 months. | 6 months | |
Secondary | Disease Response | Number of patients achieving disease response defined as, no new disease manifestations; no worsening of existing disease; stable or improved BVAS/WG score at 4 weeks. | 4 weeks | |
Secondary | Partial Remission | Number of patients entering partial remission, defined as no new disease manifestations, no worsening of existing disease and BVAS/WG < 3. | 8 weeks | |
Secondary | Sustained Complete Remission | Number of patients entering sustained remission defined as BVAS/WG = 0, prednisone dose = 0 and no disease flares during the study period. | 6 months | |
Secondary | Limited Flares | Number of limited flares defined as a new occurrence or worsening of one or more minor BVAS/WG items and a total BVAS/WG = 3 | 6 months | |
Secondary | Severe Flares | Number of severe flares defined as flare with BVAS/WG > 3 or experiencing one of the major BVAS/WG items | 6 months | |
Secondary | Early Treatment Failures | Number of early treatment failures defined as patients who have new or worsening disease manifestations assessed at 4 weeks after study entry | 4 weeks | |
Secondary | Vasculitis Damage Index (VDI) | The Vasculitis Damage Index (VDI) is a single-page catalog of damage items separated into 11 groupings of items by organ system. There are a total of 60 items. Each item is recorded if it occurred since the onset of vasculitis, has been present for at least 3 months, or occurred at least 3 months ago. Each item of damage is scored as present (1) or absent (0), yielding a maximum score of 60. | 24 months |
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