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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 4 April 2022
Main ID:  EUCTR2005-005918-20-FR
Date of registration: 23/10/2008
Prospective Registration: Yes
Primary sponsor: Rikshospitalet
Public title: Rituximab as second line treatment for ITP: A Multicentre, Randomized, Double blind, Placebo-controlled, Phase III study. “The RITP study” - RITP study
Scientific title: Rituximab as second line treatment for ITP: A Multicentre, Randomized, Double blind, Placebo-controlled, Phase III study. “The RITP study” - RITP study
Date of first enrolment: 23/12/2008
Target sample size: 110
Recruitment status: Not Recruiting
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2005-005918-20
Study type:  Interventional clinical trial of medicinal product
Study design:  Controlled: yes Randomised: yes Open: no Single blind: no Double blind: yes Parallel group: yes Cross over: no Other: no If controlled, specify comparator, Other Medicinial Product: no Placebo: yes Other: no  
Phase:  Human pharmacology (Phase I): no Therapeutic exploratory (Phase II): no Therapeutic confirmatory - (Phase III): yes Therapeutic use (Phase IV): no
Countries of recruitment
France Sweden United Kingdom
Contacts
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Key inclusion & exclusion criteria
Inclusion criteria:
Inclusion criteria (for randomisation):
1. ITP with platelet count <30 x 10e9 /l or 30-50 x 10e9 /l if a higher platelet count is considered necessary because of any of the following:
a. Concomitant medical illness predisposing to bleeding (gastric ulcer, bleeding diathesis, previous history of bleeding).
b. Concomitant medical condition requiring aspirin and/or clopidogrel intake or anticoagulation.
c. Persistent bleeding manifestations despite platelets > 30 x 10e9 /l.
d. Other patient related factors necessitating higher platelet count as occupation, hobby, psychological intolerability.
e. Age >75 years.
2. Previous treatment with corticosteroids for a minimum duration of 2 weeks as recommended by the protocol (prednisone or prednisolone 1-2 mg/kg/day) with either no response (i.e. failed to achieve an initial increase in Platelet count >30 x 10e9 /l) or relapse (Platelet count falls to < 30 x 10e9 /l) during the dose tapering period or after discontinuation of corticosteroids.
3. Subject is > or equal = 18 years.
4. Subject has signed and dated written informed consent.
5. Subject is able to understand and comply with protocol requirements and instructions, and intends to complete the study as planned.
6. Females in child-bearing age should accept to use of contraceptive means for at least 6 months following the administration of the study drugs.

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion criteria:
Exclusion criteria:
1. Previous splenectomy, chemotherapy, treatment with anti-D Ig, rituximab, or immune-suppressive treatments other than corticosteroids, Dapsone or Danazol.
2. Underlying malignancy or previous history of malignancy in the past 5 years (except skin carcinoma).
3. Pregnancy and lactation.
4. Not willing to participate in the study.
5. Expected survival of < 2 years.
6. Known intolerance to murine antibodies.
7. Females in child-bearing age not willing to use contraception for 6 months.
8. HIV/AIDS-, Hepatitis -B virus antigen positive- or Hepatitis -C virus antibodies positive- patients.
9. Patients with Systemic Lupus Erythematosus (SLE) (> or = 4 of the American College of Rheumatology Criteria) (Tan et al, 1982;Hochberg, 1997).
10. Patients currently involved in another clinical trial with evaluation of drug treatment



Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
Immune thrombocytopenic purpura (ITP)
MedDRA version: 9.1 Level: LLT Classification code 10021245 Term: Idiopathic thrombocytopenic purpura
Intervention(s)

Trade Name: MabThera
Product Name: MabThera
Pharmaceutical Form: Concentrate for solution for infusion
Other descriptive name: RITUXIMAB
Concentration unit: mg/ml milligram(s)/millilitre
Concentration type: equal
Concentration number: 10-
Pharmaceutical form of the placebo: Solution for infusion
Route of administration of the placebo: Intravenous use

Primary Outcome(s)
Main Objective: Primary objective: To assess in both treatment arms the rate of splenectomy at 1.5 years.
Primary end point(s): Primary endpoint: Splenectomy during the follow-up period after randomisation.
Secondary Objective: Secondary objectives:
1. Response rates.
2. Relapse rate and duration of response.
3. Mortality rate.
4. Complications` rate: bleeding, infection and thromboembolic events.
5. Cost-effectiveness analysis.
6. Consumption of corticosteriods and IVIG in both arms.
7. Immune-reconstruction at 1.5 years.
Secondary Outcome(s)
Secondary ID(s)
ITP001
Source(s) of Monetary Support
Secondary Sponsor(s)
Ethics review
Status: Approved
Approval date: 23/12/2008
Contact:
Results
Results available: Yes
Date Posted: 19/12/2021
Date Completed: 15/01/2013
URL: https://www.clinicaltrialsregister.eu/ctr-search/trial/2005-005918-20/results
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