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TerminatedNCT02474888MONITUXUpdated Nov 16, 2020

Pharmacokinetic Study of Rituximab Induction Regimen in ANCA-associated Vasculitis

An observational study in Granulomatosis, Wegener's and Microscopic Polyangiitis, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Terminated at 4 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-11-16.

Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Observational

Why this study was terminated
failure of recruit
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
28
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the investigators' study is to evaluate whether monitoring serum rituximab levels could be an interesting tool in the follow-up of ANCA-associated vasculitis patients.

All consecutive patients, hospitalized for a new diagnosis of ANCA-associated vasculitis or the relapse of a known ANCA-associated vasculitis, in which the decision to start an induction regimen with rituximab has been taken, will be included.

Serum rituximab levels (along with serum anti-rituximab antibodies levels) will be determined (at M+1 and M+3) and the correlation with clinical outcome at M+6 will be analyzed.

02

Conditions studied

  • Granulomatosis, Wegener's
  • Microscopic Polyangiitis
03

In context

Granulomatosis with Polyangiitis

104 studies on the registry are indexed under Granulomatosis with Polyangiitis; 16 are open to participants now.

This study's enrollment of 28 is below the median of 100 across 32 observational studies indexed under Granulomatosis with Polyangiitis.

Browse Granulomatosis with Polyangiitis studies →

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne is the lead sponsor of 597 studies on the registry; 127 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Granulomatosis with polyangiitis or microscopic polyangiitis (according to Chapel Hill criterions), with or without detectable ANCA

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age > 18 years
  • Granulomatosis with polyangiitis or microscopic polyangiitis (according to Chapel Hill criterions), with or without detectable ANCA
  • Decision taken to start an induction regimen with rituximab
  • Informed and having signed the study consent form
  • If of , female patients will have use an effective method of during RTX (rituximab) treatment and in the 12 months following RTX treatment stop
  • no-breast-feeding during RTX treatment and in the 12 months following RTX treatment stop

Exclusion criteria

Exclusion Criteria:

  • Other primary or secondary systemic vasculitis
  • Incapacity or refusal to sign the form
  • Incapacity or refusal to adhere to treatment or perform the follow-up examinations required by the study
  • Allergy, documented or to the medications used in the present study (, rituximab)
  • severe active infection
  • Patient with severe heart failure (stage IV) or any other unstable heart disease Pregnancy, except for cases where the expected benefit oj treatment seems to surpass the potential risks
  • Patients with active
  • Any within four weeks prior to the first infusion of RTX
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
28 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Rituximab

    a classical induction regimen with rituximab (decision taken before inclusion), implying an infusion of 375mg/m² per week, for 4 consecutive weeks (from week -3 until week 0) with blood specimen.

    Other: blood specimen

Interventions

  • Otherblood specimen

    blood specimen for serum rituximab level and serum anti-rituximab level at M1 and M3 after stop of induction rituximab treatment

06

What researchers measure

Primary outcomes

  1. serum rituximab levels

    rituximab level comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0, 6 months after stop of induction regimen

    Time frame: 1 month after stop of rituximab induction regimen

Secondary outcomes

  1. serum rituximab levels

    rituximab level comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 3 months after stop of rituximab induction regimen

  2. serum rituximab levels

    rituximab level comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 6 months after stop of rituximab induction regimen

  3. serum anti-rituximab antibodies

    serum anti-rituximab antibodies level comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 1 month after stop of rituximab induction regimen

  4. serum anti-rituximab antibodies

    serum anti-rituximab antibodies level comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 3 months after stop of rituximab induction regimen

  5. serum anti-rituximab antibodies

    serum anti-rituximab antibodies level comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 6 months after stop of rituximab induction regimen

  6. Serum B lymphocytes (CD19+ cells) levels

    Serum B lymphocytes (CD19+ cells) levels comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 1 month after stop of rituximab induction regimen

  7. Serum B lymphocytes (CD19+ cells) levels

    Serum B lymphocytes (CD19+ cells) levels comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 3 months after stop of rituximab induction regimen

  8. Serum B lymphocytes (CD19+ cells) levels

    Serum B lymphocytes (CD19+ cells) levels comparison between number of non-responders and number of responders after rituximab induction regimen. The number of non-responders is defined by a Birmingham Vascularitis Activity score \> 0 six months after stop of induction regimen

    Time frame: 6 months after stop of rituximab induction regimen

  9. patient number with adverse event

    frequency and nature of rituximab-attributed adverse events

    Time frame: from start of induction rituximab regimen until six monthes after stop of induction regimen

07

Study locations

4 sites
  • Hôpital Edouard Herriot
    Lyon, 69003, France
  • Hôpital de la Croix Rousse
    Lyon, 69317, France
  • CH Lyon Sud
    Pierre-Bénite, 69495, France
  • CHU Saint-Etienne
    Saint-Etienne, 42055, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02474888
Collaborators
Theradiag
Responsible party
Sponsor
First posted
Jun 18, 2015
Start date
Sep 15, 2015
Primary completion
Jun 12, 2020
Completion
Jun 12, 2020
Last update
Nov 16, 2020

Study contacts

Pascal CATHEBRAS, PHD
principal investigator · CHU Saint-Etienne

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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