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Completed

NCT Number: NCT01613599

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

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.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Rituximab

Drug

Participants received rituximab at the discretion of their treating physicians.

Other names: Rituxan

Primary outcomes

  1. 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)

    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.

Secondary outcomes

  1. 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)

    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.

  2. 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)

    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.

  3. 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)

    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.

  4. 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)

    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.

  5. 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)

    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.

  6. 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)

    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.

  7. 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)

    Incidence rate is defined as events per 100 patient years.

  8. 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)

    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.

  9. 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)

    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.

Sponsors and collaborators

Lead sponsor

Genentech, Inc.

Industry

Registry information

Official study title

Prospective, Observational Safety Study of Patients With Granulomatosis With Polyangiitis (Wegener's) or Microscopic Polyangiitis Treated With Rituximab

Important dates

Study start
2012
Primary completion
2015
Study completion
2017
First posted
Jun 7, 2012
Registry last updated
Jul 26, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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