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NCT00104299 · OUTCOME

Rate of Selected Adverse Events Experienced by Participants Receiving Rituximab Versus Those Receiving Conventional Therapy

Rituximab for the Treatment of Wegener's Granulomatosis and Microscopic Polyangiitis · Source last updated 2017-04-21

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
participants
Interval / dispersion
Not reported
Time frame
Through common close-out (defined as 18 months after the last participant is enrolled in the trial)

What was measured

The adverse event rate for the following events considered related to vasculitis: Death; Grade 2 or higher leukopenia or thrombocytopenia; Grade 3 or higher infections; Hemorrhagic cystitis (grade 2 or lower needs confirmation by cytoscopy); Malignancy; Venous thromboembolic event (deep venous thrombosis or pulmonary embolism); Hospitalization resulting either from the disease or from a complication due to study treatment; Infusion reactions (within 24 hours of infusion) that result in the cessation of further infusions (including cytokine release allergic reaction); Cerebrovascular accident

Analysis population: Safety Sample

Groups in this outcome

Rituximab

Participants received intravenous rituximab (Rituxan, Genentech) (at a dose of 375 mg per square meter of body-surface area once weekly for 4 weeks) plus daily placebo-cyclophosphamide. Refer to section titled "Detailed Description" for additional treatment information.

Control Group

Participants received placebo-rituximab infusions plus daily cyclophosphamide (2 mg per kilogram of body weight, adjusted for renal insufficiency). Refer to section titled "Detailed Description" for additional treatment information.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Rituximab99
Control Group98

Reported measurements

Death
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab2Not reportedNot reportedNot reportedNot reported
Control Group2Not reportedNot reportedNot reportedNot reported
Grade 2 or Higher Leukopenia
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab7Not reportedNot reportedNot reportedNot reported
Control Group23Not reportedNot reportedNot reportedNot reported
Grade 2 or Higher Thrombocytopenia
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab4Not reportedNot reportedNot reportedNot reported
Control Group1Not reportedNot reportedNot reportedNot reported
Grade 3 or Higher Infections
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab18Not reportedNot reportedNot reportedNot reported
Control Group16Not reportedNot reportedNot reportedNot reported
Hemorrhagic Cystitis (Grade 2 or Lower)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab2Not reportedNot reportedNot reportedNot reported
Control Group1Not reportedNot reportedNot reportedNot reported
Malignancy
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab5Not reportedNot reportedNot reportedNot reported
Control Group2Not reportedNot reportedNot reportedNot reported
Venous Thromboembolic Event
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab6Not reportedNot reportedNot reportedNot reported
Control Group8Not reportedNot reportedNot reportedNot reported
Hospitalization Resulting from the Disease
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab16Not reportedNot reportedNot reportedNot reported
Control Group7Not reportedNot reportedNot reportedNot reported
Cerebrovascular Accident (CVA)
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab1Not reportedNot reportedNot reportedNot reported
Control Group1Not reportedNot reportedNot reportedNot reported
Infusion Reactions Leading to Infusion Disc.
Values in participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Rituximab1Not reportedNot reportedNot reportedNot reported
Control Group0Not reportedNot reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. group Description
    Participant-months are defined as duration in months from the first study drug dosing date to the last date of the participant in the protocol. The rate of selected AEs is defined as the total number of selected AEs divided by total participant-months, and indicates the number of events per participant per month on average. Participants are grouped according to their originally received treatment.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.927
    p Value Comment
    P-value is from the Poisson regression model adjusting for clinical study site and ANCA type. The natural logarithm of participant-months is used as an offset in this model
    statistical Method
    Poisson regression model
Complete source fields
analyses
  1. group Description
    Participant-months are defined as duration in months from the first study drug dosing date to the last date of the participant in the protocol. The rate of selected AEs is defined as the total number of selected AEs divided by total participant-months, and indicates the number of events per participant per month on average. Participants are grouped according to their originally received treatment.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER
    p Value
    0.927
    p Value Comment
    P-value is from the Poisson regression model adjusting for clinical study site and ANCA type. The natural logarithm of participant-months is used as an offset in this model
    statistical Method
    Poisson regression model
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        2
    title
    Death
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        23
    title
    Grade 2 or Higher Leukopenia
  3. categories
    1. measurements
      1. group Id
        OG000
        value
        4
      2. group Id
        OG001
        value
        1
    title
    Grade 2 or Higher Thrombocytopenia
  4. categories
    1. measurements
      1. group Id
        OG000
        value
        18
      2. group Id
        OG001
        value
        16
    title
    Grade 3 or Higher Infections
  5. categories
    1. measurements
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        1
    title
    Hemorrhagic Cystitis (Grade 2 or Lower)
  6. categories
    1. measurements
      1. group Id
        OG000
        value
        5
      2. group Id
        OG001
        value
        2
    title
    Malignancy
  7. categories
    1. measurements
      1. group Id
        OG000
        value
        6
      2. group Id
        OG001
        value
        8
    title
    Venous Thromboembolic Event
  8. categories
    1. measurements
      1. group Id
        OG000
        value
        16
      2. group Id
        OG001
        value
        7
    title
    Hospitalization Resulting from the Disease
  9. categories
    1. measurements
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        1
    title
    Cerebrovascular Accident (CVA)
  10. categories
    1. measurements
      1. group Id
        OG000
        value
        1
      2. group Id
        OG001
        value
        0
    title
    Infusion Reactions Leading to Infusion Disc.
denoms
  1. counts
    1. group Id
      OG000
      value
      99
    2. group Id
      OG001
      value
      98
    units
    Participants
description
The adverse event rate for the following events considered related to vasculitis: Death; Grade 2 or higher leukopenia or thrombocytopenia; Grade 3 or higher infections; Hemorrhagic cystitis (grade 2 or lower needs confirmation by cytoscopy); Malignancy; Venous thromboembolic event (deep venous thrombosis or pulmonary embolism); Hospitalization resulting either from the disease or from a complication due to study treatment; Infusion reactions (within 24 hours of infusion) that result in the cessation of further infusions (including cytokine release allergic reaction); Cerebrovascular accident
groups
  1. description
    Participants received intravenous rituximab (Rituxan, Genentech) (at a dose of 375 mg per square meter of body-surface area once weekly for 4 weeks) plus daily placebo-cyclophosphamide. Refer to section titled "Detailed Description" for additional treatment information.
    id
    OG000
    title
    Rituximab
  2. description
    Participants received placebo-rituximab infusions plus daily cyclophosphamide (2 mg per kilogram of body weight, adjusted for renal insufficiency). Refer to section titled "Detailed Description" for additional treatment information.
    id
    OG001
    title
    Control Group
param Type
NUMBER
population Description
Safety Sample
reporting Status
POSTED
time Frame
Through common close-out (defined as 18 months after the last participant is enrolled in the trial)
title
Rate of Selected Adverse Events Experienced by Participants Receiving Rituximab Versus Those Receiving Conventional Therapy
type
SECONDARY
unit Of Measure
participants

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Preserved source evidence · Not medical advice