Status:

RECRUITING

Evaluation of 200 mg of Rituximab Every 6 Months as Maintenance Treatment of Rituximab-treated Patients With Rheumatoid Arthritis

Lead Sponsor:

University Hospital, Strasbourg, France

Conditions:

Rheumatoid Arthritis (RA)

Rituximab (RTx)

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting joints and causing progressive disability. Current treatment strategies involve conventional disease-modifying anti-rheumatic drug...

Detailed Description

Rheumatoid arthritis (RA) is the most prevalent chronic inflammatory rheumatic disease in Europe, affecting 0.3%-0.5% of the population. Treatment follows a Treat-to-Target (T2T) approach, where patie...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Diagnosis of rheumatoid arthritis (RA) according to EULAR/ACR 2010 classification criteria
  • DAS28 ≤ 5.1
  • Current maintenance treatment with Rituximab regardless of dose and/or duration of Rituximab treatment and with at least first cycle of Rituximab ended (2 initial infusions)
  • Last Rituximab infusion between 6 and 18 months prior to inclusion
  • Corticosteroids ≤10 mg/day within 4 weeks prior to inclusion
  • Affiliation to a social insurance system or beneficiary
  • Written informed consent to participate in the study, dated and signed before starting the trial
  • Effective method of birth control during the study

Exclusion

  • Rheumatic autoimmune disease other than RA (except associated Sjogren's disease, which is allowed)
  • Concurrent treatment with any other targeted therapy than Rituximab
  • Any contraindication to Rituximab or to NaCl 0.9%
  • Significant uncontrolled associated disease or comorbidity
  • Known active infection or history of serious recurrent or chronic infection
  • Laboratory findings: active or untreated latent tuberculosis, hepatitis B positive, hepatitis C positive, haemoglobin \<8 g/dL, neutropenia \< 1.5G/L, IgM \<0.4 g/L and/or IgG \<5 g/L
  • Pregnancy, breastfeeding, or planned pregnancy during the study (on subject declaration)
  • Drug addiction, alcohol addiction
  • Patients who cannot be followed for the 12 month-duration
  • Patients over the age of legal majority who are protected, or deprived of liberty by judicial or administrative decision
  • Subject in exclusion period (determined by a previous or ongoing study)
  • Patients unable to give informed consent (e.g., patients in a situation of medical emergency, patients who have difficulty comprehending the essential details of the trial...)
  • Patients who have difficulty reading or understanding French, or who have an inability to understand the delivered information

Key Trial Info

Start Date :

July 11 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2026

Estimated Enrollment :

260 Patients enrolled

Trial Details

Trial ID

NCT06906549

Start Date

July 11 2025

End Date

July 1 2026

Last Update

July 23 2025

Active Locations (1)

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1

Hôpitaux Universitaires de Strasbourg

Strasbourg, France, 67098