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NCT01613599 · CITED IN SOURCE DOCUMENTS

An Observational Study of The Safety of MabThera/Rituxan (Rituximab) in Participants With Granulomatosis With Polyangiitis (Wegener's) or Microscopic Polyangiitis

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
Not reported
Status at capture
COMPLETED
Registry last update
2018-07-26

This prospective observational study will evaluate the long-term safety of MabThera/Rituxan (rituximab) in participants with granulomatosis with polyangiitis (Wegener's) or microscopic polyangiitis. Data will be collected for a maximum of 4 years from participants initiated on MabThera/Rituxan therapy by their physician according to prescribing information.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: * Adult participants, \>/= 18 years of age * Granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA), according to Chapel Hill Consensus Conference Definitions for MPA and American College of Rheumatology (ACR) Criteria for the Classification of GPA * Disease severity requiring rituximab treatment per the investigator's assessment Exclusion Criteria: * Prior use of rituximab (except if received within 4 weeks of screening) * Known hypersensitivity to rituximab, to any component of the product, or to murine proteins * Pregnant or breastfeeding women * Diagnosis of Churg-Strauss syndrome
healthy Volunteers
false
minimum Age
18 Years
sampling Method
NON_PROBABILITY_SAMPLE
sex
ALL
std Ages
  1. ADULT
  2. OLDER_ADULT
study Population
Participants with granulomatosis with polyangiitis or microscopic polyangiitis treated with MabThera/Rituxan
Treatment arms and interventions
arm Groups
  1. description
    Participants with granulomatosis with polyangiitis (GPA) (Wegener's granulomatosis) or microscopic polyangiitis (MPA) who received rituximab as per investigator's discretion were followed for a maximum of 4 years.
    intervention Names
    1. Drug: Rituximab
    label
    Rituximab
interventions
  1. arm Group Labels
    1. Rituximab
    description
    Participants received rituximab at the discretion of their treating physicians.
    name
    Rituximab
    other Names
    1. Rituxan
    type
    DRUG
Study design
observational Model
COHORT
time Perspective
PROSPECTIVE
Enrollment
count
100
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    A serious infection was defined as an infection that was a serious adverse event (SAE) or a non-SAE infection that required treatment with intravenous antimicrobials. A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Serious Infections
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
secondary Outcomes
  1. description
    A serious infusion-related reaction was defined as a SAE during or within 24 hours after any rituximab infusion and considered infusion related by the Principal Investigator. A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above.
    measure
    Percentage of Participants With a Serious Infusion-related Reaction
    time Frame
    From the start of an infusion up to 24 hours following infusion completion (Up to 4.32 years)
  2. description
    A serious cardiac adverse event was defined as a SAE that was coded to the Medical Dictionary for Regulatory Activities (MedDRA) cardiac system organ class. A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Serious Cardiac Adverse Events
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
  3. description
    A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above.
    measure
    Percentage of Participants With Any Serious Adverse Events During or Within 24 Hours After Any Rituximab Infusion
    time Frame
    From the start of an infusion up to 24 hours following infusion completion (Up to 4.32 years)
  4. description
    A serious vascular adverse event was defined as a SAE coded to the MedDRA vascular system organ class. A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Serious Vascular Adverse Events
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
  5. description
    Malignancies were clinical findings of cancer and excluded non-melanoma skin cancer. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Malignancy, Excluding Non-melanoma Skin Cancer
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
  6. description
    A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Serious Adverse Events
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
  7. description
    Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Adverse Events With Fatal Outcomes
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
  8. description
    A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Serious Adverse Events in Participants Who Received Re-treatment With MabThera/Rituximab
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
  9. description
    A serious infection was defined as an infection that was a serious adverse event (SAE) or a non-SAE infection that required treatment with intravenous antimicrobials. A SAE was defined as any adverse event that fulfilled at least one of the following criteria: •Was fatal (results in death) •Was life-threatening •Required in-patient hospitalization or prolongation of existing hospitalization •Resulted in persistent or significant disability/incapacity •Was a congenital anomaly/birth defect •Was medically significant or required intervention to prevent one or other of the outcomes listed above. Multiple events reported in the same participant were counted multiple times in the calculation of incidence. Incidence rate is defined as events per 100 patient years.
    measure
    Incidence Rate of Serious Infections in Participants Who Received Re-treatment With MabThera/Rituximab
    time Frame
    From first dose until participant withdrawal or the date of last participant, last visit (up to 4.32 years)
Full study description
brief Summary
This prospective observational study will evaluate the long-term safety of MabThera/Rituxan (rituximab) in participants with granulomatosis with polyangiitis (Wegener's) or microscopic polyangiitis. Data will be collected for a maximum of 4 years from participants initiated on MabThera/Rituxan therapy by their physician according to prescribing information.
Source references
references
  1. citation
    Merkel PA, Niles JL, Mertz LE, Lehane PB, Pordeli P, Erblang F. Long-Term Safety of Rituximab in Granulomatosis With Polyangiitis and in Microscopic Polyangiitis. Arthritis Care Res (Hoboken). 2021 Sep;73(9):1372-1378. doi: 10.1002/acr.24332. Epub 2021 Aug 13.
    pmid
    32475029
    type
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    4. release id
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      requested nct id
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      primary nct id
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      source kind
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      source url
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      source file sha256
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      payload sha256
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      link basis
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      occurrences
      1. context exact
        mild or moderate bronchitis. Long-term, Observational Study with RITUXAN in Patients with GPA/MPA (GPA/MPA Study 3) In a long-term observational safety study (NCT01613599), 97 patients with GPA or MPA received treatment with RITUXAN (mean of 8 infusions [range 1-28]) for up to 4 years, according to physician standard practice an
        end
        30634
        exact text
        NCT01613599
        start
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      source string basis
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      source string sha256
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      source url
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      spl effective time
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      spl set id
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    Preserved source evidence · Not medical advice