CClinicalTrials.gg
Status unknownNCT05057481Updated Oct 27, 2021

Reappraisal of the Therapies of Refractory Autoimmune Hemolytic Anemia in Systemic Lupus Erythematosus

A Phase 3 interventional study of Mycophenolate Mofetil 500mg and Rituximab in Autoimmune Hemolytic Anemia and Systemic Lupus Erythematosus, sponsored by Assiut University. Status unknown at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-10-27.

Sponsored by Assiut University · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

There is a deficiency in guidelines about the treatment of autoimmune hemolytic anemia in systemic lupus erythematosus (SLE), especially in refractory cases. Mycophenolate mofetil (MMF) showed promising results in those patients but still, the data available are in form of case reports. So, investigators will investigate the efficiency of MMF against a well-established treatment Rituximab in the treatment of refractory autoimmune hemolytic anemia in SLE patients.

Read the detailed description

There is a deficiency in guidelines about the treatment of autoimmune hemolytic anemia in systemic lupus erythematosus (SLE), especially in refractory cases. Mycophenolate mofetil (MMF) showed promising results in those patients but still, the data available are in form of case reports. So, the investigators will investigate the efficiency of MMF against a well-established treatment Rituximab in the treatment of refractory autoimmune hemolytic anemia in SLE patients.

02

Conditions studied

  • Autoimmune Hemolytic Anemia
  • Systemic Lupus Erythematosus

Keywords

  • autoimmune hemolytic anemia
  • systemic lupus erythematosus
  • mycophenolate mofetil
03

In context

Anemia

1,733 studies on the registry are indexed under Anemia; 246 are open to participants now.

This study's planned enrollment of 30 is below the median of 94 across 1,291 interventional studies indexed under Anemia.

Browse Anemia studies →

Lead sponsor

Assiut University is the lead sponsor of 4,901 studies on the registry; 2,098 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

Inclusion criteria

  • diagnosis of erythematosus (SLE) according to The American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) guidelines.
  • secondary autoimmune hemolytic anemia (AIHA) that does not respond properly to corticosteroid or when the patients are intolerant to treatment, or refuse standard treatment.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women.
  • any contraindication of the used drugs.
  • any known hypersensitivity of the used drugs.
  • congenital hemolytic anemia.
  • chronic renal failure.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    MMF arm

    Drug: Mycophenolate Mofetil 500mg

  • Active comparator
    Rituximab arm

    Drug: Rituximab

Interventions

  • DrugMycophenolate Mofetil 500mg

    MMF 2gram/day orally for 12 weeks

  • DrugRituximab

    375 mg/m2 of rituximab given intravenously weekly for 4 weeks.

06

What researchers measure

Primary outcomes

  1. complete response (CR) proportion

    CR defined as hemoglobin \> 12 g/dL not attributed to transfusion effect and the normalization of hemolytic markers.

    Time frame: 12 weeks

  2. partial response (PR) proportion

    PR defined as hemoglobin 10-12 g/dL or at least ≥ 2 g/dL increase from baseline not attributed to transfusion effect and the normalization of hemolytic markers.

    Time frame: 12 weeks

  3. rate of Adverse events

    rate of occurrence of adverse events of the both drugs

    Time frame: 12 weeks

Secondary outcomes

  1. Functional Assessment of Chronic Illness

    Change from baseline in Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) sub-scale questionnaire

    Time frame: 12 weeks

07

Study locations

1 site
  • faculty of medicine, Assiut university
    Assiut, 17111, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05057481
Lead sponsor
Assiut University
Responsible party
Eman Mohammed Ibrahem Kamel (lecturer in internal medicine department of faculty of medicine,Assiut university, Assiut University) — Principal investigator
First posted
Sep 27, 2021
Start date
Sep 15, 2021
Primary completion
Dec 31, 2022 (estimated)
Completion
Jan 15, 2023 (estimated)
Last update
Oct 27, 2021

Oversight

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 Oct 2021. You cannot join it, but the record below documents what was studied.

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