About this trial
The purpose of this study is to determine if obinutuzumab is effective in systemic sclerosis
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patient (>/= 18 years old),
Patient with a diagnosis of SSc, as defined by the American College of Rheumatology / EULAR 2013 criteria,
Patient with a diffuse SSc, as defined according to Leroy et al.
Patient with a SSc disease duration of less than 8 years (defined as time from first non-Raynaud phenomenon manifestation) or with an active SSc disease, as defined by EUSTAR disease activity score,
Disqualifiers
Any B-cell depleting (e.g., anti-CD20, anti-CD19) or anti-plasma cell therapy such as, but not limited to, obinutuzumab, rituximab, ocrelizumab, ofatumumab, or bortezomib less than 9 months prior to screening or during screening. If anti-CD20 or anti-CD19 therapy has been received between 9 and 12 months prior to screening, the peripheral CD19+ B-cell count must be over 25 cells/μL
Cyclophosphamide, tacrolimus, ciclosporin, or voclosporin during the 2 months prior to screening or during screening
Any biologic therapy (other than anti-CD20, anti-CD19, or anti-plasma cell) such as, but not limited to, belimumab, ustekinumab, anifrolumab, secukinumab, or atacicept during the 2 months prior to screening or during screening
Inhibitors of Janus-associated kinase (JAK), Bruton's tyrosine kinase (BTK), or tyrosine kinase 2 (TYK2), including baricitinib, tofacitinib, upadacitinib, filgotinib, ibrutinib, or fenebrutinib or any investigational agent during the 2 months prior to screening or during screening
Trial design
Parallel
Treatments tested in this trial
Obinutuzumab
Drug1000mg of i.v obinutuzumab at D1, D15 and D180
Placebo
Drug1000mg of i.v placebo at D1, D15 and D180
Treatment groups
Trial outcomes
Primary outcomes
the percentage of patients achieving a 20% CRISS improvement from baseline in at least 3 of the 5-core set second step leasures if the Revised CRISS at 360 days.
Secondary outcomes
Mortality up to 360 days
Occurrence of Adverse Events up to 360 days
Occurrence of Severe Adverse Events up to 360 days
Occurrence of AE of specific interest previously mentioned
The number of adverse events, expressed according to the Common Terminology Criteria for Adverse Events (CTCAE): CTCAE toxicity grading system per patient-year at days 180 and 360 for the following adverse events combined: death (all causes), grade 2 or higher leukopenia or thrombocytopenia, grade 3 or higher infections, hospitalization resulting either from the disease or from a complication due to the study treatment. \- Gammaglobulin and CD19 levels at 90, 180, 270 and 360 days
Sponsors and contacts
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Assistance Publique - Hôpitaux de Paris
Lead sponsor
URC-CIC Paris Descartes Necker Cochin
Collaborator
This trial is not recruiting at the moment. You can still explore other options: