At a glance
ClinicalIndex Comparison Record- ✓Diagnosis of Wegener's granulomatosis or microscopic polyangiitis per Chapel Hill Consensus Conference definitions
- ✓Newly diagnosed OR experiencing disease flare with BVAS/WG ≥3 or disease severe enough to require cyclophosphamide treatment
- ✓Positive for PR3-ANCA or MPO-ANCA at screening
- ✓Weight at least 88 pounds (40 kilograms)
- ✕Diagnosis of Churg-Strauss Syndrome
- ✕Limited disease that would not normally be treated with cyclophosphamide
- ✕Requires mechanical ventilation due to alveolar hemorrhage
- ✕History of severe allergic reactions to human or chimeric monoclonal antibodies
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Rituximab Therapy for the Induction of Remission and Tolerance in ANCA-Associated Vasculitis (ITN021AI)
In Brief
A Phase 3 clinical trial evaluating Rituximab plus cyclophosphamide placebo (rituximab group), Cyclophosphamide plus rituximab placebo (control group), and 3 other interventions for Vasculitis and 2 related conditions. Completed, enrolled 197 participants across 8 sites in 2 countries.
Detailed Summary
Antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis is the most common type of small blood vessel inflammation in adults. ANCA-associated vasculitis includes Wegener's granulomatosis (WG) and microscopic polyangiitis (MPA). Rituximab is a man-made antibody used to treat certain types of cancer. The purpose of this study is to determine the effectiveness of rituximab in treating patients with WG and MPA. Study hypothesis: Rituximab is not inferior to conventional therapy in its ability to induce disease remission by Month 6.
Study Details
Timeline
Interventions
375 mg/m\^2 infusions once weekly for 4 week
2 mg/kg/day orally for months 1-3
2 mg/kg/day orally for months 4-6
1 g/day intravenously for up to 3 days within 14 days prior to receiving rituximab
During the remission induction phase, all participants will receive oral prednisone daily (1 mg/kg/day, not to exceed 80 mg/day). Prednisone tapering will be completed by the Month 6 study visit.