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Sponsors and Collaborators: |
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Genentech Biogen Idec |
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Information provided by: | National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) |
ClinicalTrials.gov Identifier: | NCT00106184 |
Rituximab is a man-made antibody used to treat certain types of cancer. This study will determine whether rituximab is an effective treatment for adult and pediatric patients with dermatomyositis or polymyositis.
Study hypotheses: 1) The time to improvement in Group A patients (receiving rituximab first) will occur significantly earlier than in Group B patients (receiving rituximab later). 2) The proportion of patients improved at Week 8 of the treatment phase will be significantly greater in Group A compared with Group B.
Condition | Intervention | Phase |
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Myositis Dermatomyositis Polymyositis Juvenile Dermatomyositis |
Drug: Rituximab Drug: Placebo |
Phase II |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study |
Official Title: | Rituximab Therapy in Refractory Adult and Juvenile Idiopathic Inflammatory Myopathy (IIM) |
Estimated Enrollment: | 202 |
Study Start Date: | March 2006 |
Estimated Study Completion Date: | September 2011 |
Estimated Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Adult Study Group 1: Experimental
Refractory adult polymyositis patients who will receive rituximab at Weeks 0 and 1 followed by placebo at Weeks 8 and 9 (Treatment Group A)
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Drug: Rituximab
Treatment Group A - intravenous rituximab 750mg/m2 BSA up to a maximum dose of 1 gram at Weeks 0 and 1 Group B - intravenous rituximab 750mg/m2 BSA up to a maximum does of 1 gram at Weeks 8 and 9
Drug: Placebo
Treatment Group A: placebo infusion at Weeks 8 and 9 Treatment Group B: placebo infusion at Weeks 0 and 1 |
Adult Study Group 2: Experimental
Refractory adult polymyositis patients who will receive placebo at Weeks 0 and 1 followed by rituximab at Weeks 8 and 9 (Treatment Group B)
|
Drug: Rituximab
Treatment Group A - intravenous rituximab 750mg/m2 BSA up to a maximum dose of 1 gram at Weeks 0 and 1 Group B - intravenous rituximab 750mg/m2 BSA up to a maximum does of 1 gram at Weeks 8 and 9
Drug: Placebo
Treatment Group A: placebo infusion at Weeks 8 and 9 Treatment Group B: placebo infusion at Weeks 0 and 1 |
Adult Study Group 3: Experimental
Adult dermatomyositis patients who will receive rituximab at Weeks 0 and 1 followed by placebo at Weeks 8 and 9 (Treatment Group A)
|
Drug: Rituximab
Treatment Group A - intravenous rituximab 750mg/m2 BSA up to a maximum dose of 1 gram at Weeks 0 and 1 Group B - intravenous rituximab 750mg/m2 BSA up to a maximum does of 1 gram at Weeks 8 and 9
Drug: Placebo
Treatment Group A: placebo infusion at Weeks 8 and 9 Treatment Group B: placebo infusion at Weeks 0 and 1 |
Adult Study Group 4: Experimental
Adult dermatomyositis patients who will receive placebo at Weeks 0 and 1 followed by rituximab at Weeks 8 and 9 (Treatment Group B)
|
Drug: Rituximab
Treatment Group A - intravenous rituximab 750mg/m2 BSA up to a maximum dose of 1 gram at Weeks 0 and 1 Group B - intravenous rituximab 750mg/m2 BSA up to a maximum does of 1 gram at Weeks 8 and 9
Drug: Placebo
Treatment Group A: placebo infusion at Weeks 8 and 9 Treatment Group B: placebo infusion at Weeks 0 and 1 |
JDM Study Group 1: Experimental
Refractory juvenile dermatomyositis patients who will receive rituximab at Weeks 0 and 1 followed by placebo at Weeks 8 and 9 (Treatment Group A)
|
Drug: Rituximab
Treatment Group A - intravenous rituximab 750mg/m2 BSA up to a maximum dose of 1 gram at Weeks 0 and 1 Group B - intravenous rituximab 750mg/m2 BSA up to a maximum does of 1 gram at Weeks 8 and 9
Drug: Placebo
Treatment Group A: placebo infusion at Weeks 8 and 9 Treatment Group B: placebo infusion at Weeks 0 and 1 |
JDM Study Group 2: Experimental
Refractory juvenile dermatomyositis patients who will receive placebo at Weeks 0 and 1 followed by rituximab at Weeks 8 and 9 (Treatment Group B)
|
Drug: Rituximab
Treatment Group A - intravenous rituximab 750mg/m2 BSA up to a maximum dose of 1 gram at Weeks 0 and 1 Group B - intravenous rituximab 750mg/m2 BSA up to a maximum does of 1 gram at Weeks 8 and 9
Drug: Placebo
Treatment Group A: placebo infusion at Weeks 8 and 9 Treatment Group B: placebo infusion at Weeks 0 and 1 |
Ages Eligible for Study: | 5 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Subjects with a diagnosis of Juvenile Dermatomyositis (JDM) must meet either of the following criteria:
An MMT-8 score that is no greater than 125/150 in conjunction with 2 other abnormal core set measures.
OR
If MMT score is greater than 125/150 the patient MUST meet at least 3 abnormal core set measures.
Exclusion Criteria:
Contact: Diane C. Koontz | 412-383-8674 | dik4@pitt.edu |
Contact: Kelly A. Reckley | 412-647-5337 | kar100@pitt.edu |
Principal Investigator: | Chester V. Oddis, MD | University of Pittsburgh |
Principal Investigator: | Ann M. Reed, MD | Mayo Clinic |
Responsible Party: | University of Pittsburgh, Division of Rheumatology and Clinical Immunology ( Chester V. Oddis, Professor of Medicine ) |
Study ID Numbers: | N01 AR42273, HHSN26420042273C |
Study First Received: | March 21, 2005 |
Last Updated: | October 3, 2008 |
ClinicalTrials.gov Identifier: | NCT00106184 |
Health Authority: | United States: Food and Drug Administration |
rituximab myositis dermatomyositis |
polymyositis refractory Juvenile Dermatomyositis |
Myositis Juvenile dermatomyositis Dermatomyositis Muscular Diseases Skin Diseases Neuromuscular Diseases |
Musculoskeletal Diseases Rituximab Connective Tissue Diseases Polymyositis Idiopathic myopathy |
Immunologic Factors Antineoplastic Agents Therapeutic Uses Physiological Effects of Drugs |
Nervous System Diseases Antirheumatic Agents Pharmacologic Actions |