A Study on The Safety of Administering Rituximab at A More Rapid Rate in Patients With Rheumatoid Arthritis

NCT ID: NCT01382940

Last Updated: 2017-08-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

351 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-26

Study Completion Date

2013-01-06

Brief Summary

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This study was designed to evaluate the safety of administering rituximab at a more rapid infusion rate in patients with moderate to severe rheumatoid arthritis who have had an inadequate response to biopharmaceuticals that treat diseases by interfering with tumor necrosis factor (anti-TNF therapies), and were receiving methotrexate therapy for more than eight weeks.

Detailed Description

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Conditions

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Rheumatoid Arthritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab

Rituximab intravenous (IV) infusions were administered over a 4.25-hour period on Day 1, and over a 2-hour period on Day 15 (first course) and on Days 168 and 182 (second course). All participants continued to receive methotrexate as prescribed by their treating physician. Premedication included methylprednisolone, an antihistamine and acetaminophen.

Group Type EXPERIMENTAL

rituximab

Intervention Type DRUG

1000 mg in 250 mL intravenous infusion

methotrexate

Intervention Type DRUG

10 to 25 mg/week (oral or parenteral)

methylprednisolone

Intervention Type DRUG

100 mg methylprednisolone administered by slow intravenous infusion at least 30 minutes prior to the start of each study drug infusion

acetaminophen

Intervention Type DRUG

1 gram acetaminophen administered orally 30 to 60 minutes prior to the start of each study drug infusion

antihistamine

Intervention Type DRUG

50 mg diphenhydramine hydrochloride or equivalent dose of alternate antihistamine administered orally 30 to 60 minutes prior to the start of each study drug infusion

Interventions

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rituximab

1000 mg in 250 mL intravenous infusion

Intervention Type DRUG

methotrexate

10 to 25 mg/week (oral or parenteral)

Intervention Type DRUG

methylprednisolone

100 mg methylprednisolone administered by slow intravenous infusion at least 30 minutes prior to the start of each study drug infusion

Intervention Type DRUG

acetaminophen

1 gram acetaminophen administered orally 30 to 60 minutes prior to the start of each study drug infusion

Intervention Type DRUG

antihistamine

50 mg diphenhydramine hydrochloride or equivalent dose of alternate antihistamine administered orally 30 to 60 minutes prior to the start of each study drug infusion

Intervention Type DRUG

Other Intervention Names

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Rituxan® MabThera®

Eligibility Criteria

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Inclusion Criteria

* Adult patients, ≥ 18 years of age
* Rheumatoid arthritis of ≥ 6 months duration, diagnosed according to the revised 1987 American College of Rheumatology criteria
* Inadequate response to at least one approved anti-TNF agent (adalimumab, etanercept, infliximab, golimumab, or certolizumab)
* Patients who have received 1 to 2 prior courses of rituximab (RTX) may be enrolled, provided their most recent course of RTX occurred over 6 months but no more than 9 months prior to baseline. The RTX dosage must have been two 1000 mg infusions per course administered at the standard approved rate
* Methotrexate treatment between 10 and 25 mg/week (oral or parenteral) for at least 8 weeks immediately prior to baseline

Exclusion Criteria

* Major surgery (including joint surgery) within 8 weeks prior to screening or planned surgery within 6 months following baseline
* Rheumatic autoimmune disease other than rheumatoid arthritis
* Functional class IV as defined by American College of Rheumatology (ACR) criteria
* Prior history of or current inflammatory joint disease other than rheumatoid arthritis
* History of severe allergic or anaphylactic reactions to human, humanized or murine monoclonal antibodies
* Previous serious infusion reaction to any prior biologic therapy
* Known active current or history of recurrent infection
* Evidence of chronic hepatitis B or C infection
* Pregnant or lactating women
* Body weight of \> 150 kg
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Uni Of Alabama,Birmingham; Medicine - Rheumatology

Birmingham, Alabama, United States

Site Status

Clnical & Translational Reseach Center for Alabama, PC

Tuscaloosa, Alabama, United States

Site Status

ArthroCare, Arthritis Care; and Research P.C.

Gilbert, Arizona, United States

Site Status

Valley Arthritis Care

Phoenix, Arizona, United States

Site Status

Catalina Pointe Rheumatology

Tucson, Arizona, United States

Site Status

Medvin Clinical Research

Covina, California, United States

Site Status

Triwest Research Associates

La Mesa, California, United States

Site Status

Medvin Clinical Research

Los Angeles, California, United States

Site Status

Brigid Freyne-Private Practice; Internal Medicine, Rheum

Murrieta, California, United States

Site Status

Desert Medical Advances; Rheumatology

Palm Desert, California, United States

Site Status

San Diego Arthritis Med Clnc

San Diego, California, United States

Site Status

Pacific Arthritis Ctr Med Grp

Santa Maria, California, United States

Site Status

Inland Rheumatology; Clinical Trials, Inc.

Upland, California, United States

Site Status

Medvin Clinical Research

Whittier, California, United States

Site Status

Arthritis Assoc & Osteoporosis; Ctr of Colorado Springs

Colorado Springs, Colorado, United States

Site Status

Denver Arthritis Clinic

Denver, Colorado, United States

Site Status

Rheum & Internal Med Assoc-Bri

Bridgeport, Connecticut, United States

Site Status

Arthritis & Osteoporosis Center Pc

Hamden, Connecticut, United States

Site Status

Rheumatolgy Consultants of Deleware

Lewes, Delaware, United States

Site Status

Javed Rheumatology Associates, Inc.

Newark, Delaware, United States

Site Status

Arthritis & Rheumatism; Disease Specialities

Aventura, Florida, United States

Site Status

Florida Arthritis Center, PI

Lake Mary, Florida, United States

Site Status

Omega ResearchConsultants LLC

Orlando, Florida, United States

Site Status

Millenium Research

Ormond Beach, Florida, United States

Site Status

Arthritis Center Palm Harbor

Palm Harbor, Florida, United States

Site Status

Arthritis Rsrch of Florida, Inc.

Palm Harbor, Florida, United States

Site Status

Center For Arthritis; Research Dept

South Miami, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Florida Medical Clinic; Clinical Research

Zephyrhills, Florida, United States

Site Status

Parris & Associates

Lawrenceville, Georgia, United States

Site Status

St. Luke's Intermountain Research Center

Boise, Idaho, United States

Site Status

Institute of Arthritis Research

Idaho Falls, Idaho, United States

Site Status

Quad City Rheumatology, Sc

Moline, Illinois, United States

Site Status

Physician'S Clinic of Iowa

Cedar Rapids, Iowa, United States

Site Status

Bluegrass Comm Research, Inc.

Lexington, Kentucky, United States

Site Status

Klein & Associates, M.D. P.A.

Cumberland, Maryland, United States

Site Status

Klein & Associates, M.D., P.A.

Hagerstown, Maryland, United States

Site Status

St. Luke's Hospital Association of Duluth

Duluth, Minnesota, United States

Site Status

Arthritis and Osteoporosis; Treatment and Research Center

Flowood, Mississippi, United States

Site Status

Jackson Arthritis Clinic

Flowood, Mississippi, United States

Site Status

North Mississippi Med Clinics, Inc.

Tupelo, Mississippi, United States

Site Status

David S Rosenberg

Florissant, Missouri, United States

Site Status

Arthritis Center of Reno

Reno, Nevada, United States

Site Status

Rheumatology Research Group

Lebanon, New Hampshire, United States

Site Status

Rheumatology Associates Of New Jersey

Teaneck, New Jersey, United States

Site Status

The Center for Rheumatology

Albany, New York, United States

Site Status

Arthritis & Osteoporosis Center

Brooklyn, New York, United States

Site Status

NYU Center for Musculoskeletal Care

New York, New York, United States

Site Status

Buffalo Rheumatology Associates

Orchard Park, New York, United States

Site Status

Office of Premier Chatpar Md

Plainview, New York, United States

Site Status

Aair Research Center

Rochester, New York, United States

Site Status

Rheumatology Associates of Long Island

Smithtown, New York, United States

Site Status

Arthritis Health Associates; Clinical Research

Syracuse, New York, United States

Site Status

Arth&OsteoConsof theCarolinas-Charlotte

Charlotte, North Carolina, United States

Site Status

Box Arthritis & Rheumatology

Charlotte, North Carolina, United States

Site Status

Carolina Bone & Joint P.A.

Charlotte, North Carolina, United States

Site Status

Physicians East Pa

Greenville, North Carolina, United States

Site Status

Shanahan Rheumatology & Immunology, PLLC

Raleigh, North Carolina, United States

Site Status

Crystal Arthritis Center, Inc.

Akron, Ohio, United States

Site Status

CarePoint East

Columbus, Ohio, United States

Site Status

Stat Research, Inc

Dayton, Ohio, United States

Site Status

Paramount Medical Research

Middleburg Heights, Ohio, United States

Site Status

LION Research

Norman, Oklahoma, United States

Site Status

Arthritis and Rheumatology; Center of Oklahoma PLLC

Oklahoma City, Oklahoma, United States

Site Status

East Penn Rheumatology Associates, Pc

Bethlehem, Pennsylvania, United States

Site Status

Altoona Center For Clinical Research

Duncansville, Pennsylvania, United States

Site Status

Pivotal Clinical Research, Llc

Perkasie, Pennsylvania, United States

Site Status

Arthritis Group

Philadelphia, Pennsylvania, United States

Site Status

Rheumatic Disease Associates; Clinical Research Unit

Willow Grove, Pennsylvania, United States

Site Status

Clinical Research Center of Reading

Wyomissing, Pennsylvania, United States

Site Status

Pennsylvania Regional Center for Arthritis and Osteoporosis Research

Wyomissing, Pennsylvania, United States

Site Status

Low Country Rheumatology, PA

Charleston, South Carolina, United States

Site Status

Rheumatology Associates

Charleston, South Carolina, United States

Site Status

West Tennessee Research Institute

Jackson, Tennessee, United States

Site Status

Ramesh Gupta - PP

Memphis, Tennessee, United States

Site Status

Amarillo Center For Clinical Research

Amarillo, Texas, United States

Site Status

Lovelace Scientific Resources Inc.

Austin, Texas, United States

Site Status

Adriana Pop-Moody MD Clinic PA

Corpus Christi, Texas, United States

Site Status

Arthritis Centers of Texas

Dallas, Texas, United States

Site Status

Southwest Rheumatology

Mesquite, Texas, United States

Site Status

Arthritis Clinic of Northern Virginia

Arlington, Virginia, United States

Site Status

Apex Clinical Research

Kennewick, Washington, United States

Site Status

Seattle Arthritis Clinic

Seattle, Washington, United States

Site Status

Arthritis Northwest, Spokane

Spokane, Washington, United States

Site Status

Cedar Medical Center

Tacoma, Washington, United States

Site Status

Rheumatic Disease Center

Glendale, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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ML25641

Identifier Type: -

Identifier Source: org_study_id

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