Low Dose Rituximab as a First Line Biologic Therapy for the Treatment of DMARD Resistant Patients With Rheumatoid Arthritis

NCT ID: NCT01593332

Last Updated: 2012-05-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2011-10-31

Brief Summary

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In this project the investigators decide to evaluate the efficacy and safety of half dose mabthera (it means 500 mg infusion two weeks apart) in conventional drug resistant cases of rheumatoid arthritis. The investigators choose this drug because the use of anti-TNF drugs limited in the investigators refractory patients as the first line drugs because of its cost.

Detailed Description

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Conditions

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DMARD Resistant Rheumatoid Arthritis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type DRUG

two 500 mg rituximab infusions 2 weeks apart

Rituximab

Intervention Type DRUG

500mg,two times with two weeks interval

Methotrexate

Group Type ACTIVE_COMPARATOR

Rituximab

Intervention Type DRUG

two 500 mg rituximab infusions 2 weeks apart

Rituximab

Intervention Type DRUG

500mg,two times with two weeks interval

Interventions

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Rituximab

two 500 mg rituximab infusions 2 weeks apart

Intervention Type DRUG

Rituximab

500mg,two times with two weeks interval

Intervention Type DRUG

Other Intervention Names

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Mabthera Mabthera

Eligibility Criteria

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Inclusion Criteria

* 1987 ACR criteria for classification of RA
* Positive for rheumatoid factor(RF)
* Active RA despite therapy with conventional for at least 3 months as evidenced by DAS 28 \> 3/2
* Patients with active, resistant RA who didn't receive anti TNF agents.

Exclusion Criteria

* Patient with hypogammaglobulinemia
* Patient with congestive heart failure (classIV)
* Active current bacterial,viral,fungal,myocardial or other infections
* Chronic hepatitis B or hepatitis C carriers
* History of severe allergic reaction to human,humanized or murine monoclonal antibodies
* History of malignancies
* Pregnant women or lactating mothers 8) Patients with Chronic renal failure and hepatic disease.
Minimum Eligible Age

19 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roche Pharma AG

INDUSTRY

Sponsor Role collaborator

Mashhad University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Kamila Hashemzadeh

assisstant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rheumatic Diseases Research Center, Mashhad University of Medical Sciences

Mashhad, Khorasan Razavi, Iran

Site Status

Countries

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Iran

Other Identifiers

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87549

Identifier Type: OTHER

Identifier Source: secondary_id

87549

Identifier Type: -

Identifier Source: org_study_id

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