ClinicalTrials.gg
Status unknownNCT03332888ICFEr-RITU2Updated Aug 5, 2020

Safety of HMA-CD20 in Patients With HFrEF

A Phase 2 interventional study of Rituximab in Heart Failure With Reduced Ejection Fraction, sponsored by Instituto de Cardiología y Medicina Vascular Hospital Zambrano-Hellion Tec Salud. Status unknown. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2020-08-05.

Sponsored by Instituto de Cardiología y Medicina Vascular Hospital Zambrano-Hellion Tec Salud · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
40 Years to 60 Years
Sex
All
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Study summary

The study is a phase II single-centered, single group, prospective clinical trial to evaluate the safety of HMA-CD20 doses among stable patients with class III/IV according to the NYHA classification with HFrEF receiving standard of care therapy. The index qualifying HFrEF must have EF \< 40% based on echocardiographic or cardiac MRI techniques, heart failure class III/IV according to the NYHA classification,aged 40-60 years, being diagnosed less than 12 months before enrollment of study, following the standard heart failure treatment regimen.

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Conditions studied

  • Heart Failure With Reduced Ejection Fraction

Browse trials for

03

In context

Heart Failure

6,331 studies on the registry are indexed under Heart Failure; 1,396 are open to participants now.

This study's planned enrollment of 10 is below the median of 76 across 4,049 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Instituto de Cardiología y Medicina Vascular Hospital Zambrano-Hellion Tec Salud is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Men and women (women not pregnant neither in lactation period) between ≥ 40 to 60 years-old.
  2. Diagnosis of HFrEF and functional class III-IV.
  3. EF ≤ 40% evaluated by MRI and or transthoracic echocardiography, with validity of twelve months.
  4. Inadequate response to standard treatment.
  5. Urgent medical attention or hospitalization due to worsening of HF or MI in the last 12 months.
  6. Diagnosis of ischemic or non ischemic dilated cardiomyopathy.
  7. of at least six months, in investigator opinion.
  8. Participants should sign an ( form) ICF form personally.

Exclusion criteria

4.2 Exclusion criteria

  1. Severe primary valvular cardiopathy or valvular prosthesis (mechanical or bio-valve).
  2. History of heart transplant surgery, cardiomyoplasty, left ventricular reduction surgery, valvuloplasty, implantation of a ventricle assist device (VAD) and surgical cardiac congenital defect correction.
  3. Uncontrolled atrial fibrillation (HR > 100 bpm), atrial flutter, sustained atrial fibrillation and / or significant arrhythmias such as sustained or unsustained ventricular tachychardia, bigeminy or trigeminy evidenced by Holter during the prescreening period.
  4. Implantable cardioverter defibrillator (ICD) within the last three months.
  5. Acute coronary syndromes that required pharmacological or mechanical reperfusion or medical treatment, within 30 days before selection.
  6. Percutaneous coronary intervention within 30 days prior to selection.
  7. Treatment with inotropic agents (dobutamine, milrinone, levosimendan), I.V. diuretics or vasodilators within 30 days of selection.
  8. Pregnant women or breast feeding period without adequate prenatal care.
  9. Untreated thyroid disease.
  10. Patients with \<30mL/min based on the cockcroft-gualt formula
  11. Rapidly progressive glomerulonephritis, seizures or psychosis, progressive neuropathy or myopathy.
  12. : \< 8.5 mg/dL.
  13. WBC count less than 5000/mm3
  14. : \<100,000/mm, or ALT >2.5 × (ULN) unless related to primary disease.
  15. Positive or C serology (Hep B Surface antigen and Hep C antibody).
  16. History of positive .
  17. Treatment with any agent within 4 weeks of screening or 5 half-lives of the investigational drug (whichever is longer).
  18. Recipients of an available attenuated vaccine within four weeks prior to randomization.
  19. Previous treatment with HMA-CD20 or any immunotherapy.
  20. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies.
  21. Known active bacterial, viral, fungal (excluding fungal infections of nail beds/onychomycosis), mycobacterial, or other infection (including tuberculosis or atypical mycobacterial disease) or any major episode of infection requiring hospitalization or treatment with I.V. antibiotics within four weeks of screening, or oral antibiotics within two weeks before screening.
  22. Consistent administration within the past four weeks.
  23. Lack of peripheral venous access.
  24. Concomitant or previous , except curatively resected non-melanoma skin carcinomas or carcinoma in situ of the cervix.
  25. History of psychiatric disorder that would interfere with participation in this protocol, such as depression, bipolar syndrome, schizophrenia.
  26. Patients with concomitant severe or emphysema.
  27. Any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the patient at high risk from treatment complications.
  28. Female participants without adequate method of
  29. Inability to comply/assist with study and follow-up procedures.

4.3 Elimination criteria

  1. Progression of functional class since the initiation of the study.
  2. BNP or troponin I elevation
  3. New onset of pulmonary infection due to opportunistic virulent antigens (N. Jirovecci, A. Baumanni, MRSA, VRSA).
  4. Any serious adverse event (SAE) indicative of fatal or nonfatal hepatitis, liver failure or its complications.
  5. ALT or AST >3x normal values with a total ≥ 2x normal value.
  6. WBC count \< 3000/mm3
  7. Anaphylactic or life-threatening reactions
Terms in these criteria, in plain language(17)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Interventional Group

    For this trial, HMA-CD20 will be given as an intravenous infusion of 1000 mg I.V twice in a month separating them by fourteen days starting at the baseline visit. The dose for both HMA-CD20 dosages willbe identical at the screening visit after the participant's eligibility has been established, and it will remain thesame for both infusions. The standard dose for HMA-CD20 is 1,000 mg per intravenous infusion on day 1 and day 15.

    Drug: Rituximab

Interventions

  • Rituximab will be studied in patients with HFrEF, and verify the patients safety.

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What researchers measure

Primary outcomes

  1. Incidence of Rituximab Emergent Cardiovascular Adverse Events

    The investigators analyze the safety of rituximab based on the occurrence of cardiovascular adverse events such as arrhythmia, worsening of symptoms and acute coronary syndromes.

    Time frame: 6 months

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Sanchez-Trujillo L, Jerjes-Sanchez C, Rodriguez D, Panneflek J, Ortiz-Ledesma C, Garcia-Rivas G, Torre-Amione G. Phase II clinical trial testing the safety of a humanised monoclonal antibody anti-CD20 in patients with heart failure with reduced ejection fraction, ICFEr-RITU2: study protocol. BMJ Open. 2019 Mar 27;9(3):e022826. doi: 10.1136/bmjopen-2018-022826. PubMed 30918029 ↗

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2021; primary completion for Apr 2021, 3 months later.

Of 111 non-industry phase 2 interventional studies under Heart Failure, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 66. This study's planned 3 months is below that.

Counting every sponsor, half of 184 studies reached it within 29 months; a quarter within 17 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2017
First posted
Nov 6, 2017
StartEst.
Jan 1, 2021
Primary completionEst.
Apr 16, 2021
CompletionEst.
Jul 15, 2021
Last update
Aug 5, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03332888
Lead sponsor
Instituto de Cardiología y Medicina Vascular Hospital Zambrano-Hellion Tec Salud
Responsible party
David Rodriguez (MD, Instituto de Cardiología y Medicina Vascular Hospital Zambrano-Hellion Tec Salud) — Principal investigator
First posted
Nov 6, 2017
Start date
Jan 1, 2021 (estimated)
Primary completion
Apr 16, 2021 (estimated)
Completion
Jul 15, 2021 (estimated)
Last update
Aug 5, 2020

Study contacts

Carlos Jerjes Sanchez Diaz, MD
Contact
carlos.jerjes@udicem.org
+518188880464
Luis Adolfo Sanchez-Trujillo, MD
Contact
alfalui02@hotmail.com
+518188880464

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 status unknown, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Rituximab

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