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Monoclonal Antibodies

Belimumab + Rituximab for Systemic Sclerosis

Phase 2
Recruiting
Led By Robert Spiera, MD
Research Sponsored by Hospital for Special Surgery, New York
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Diagnosis of dcSSc, as defined by LeRoy and Medsger
Disease duration of less than or equal to 3 years as defined by the date of onset of the first non-Raynaud's symptom
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through study completion, an average of 1 year
Awards & highlights

Study Summary

This trial will test whether a combination of Belimumab & Rituximab, given on top of standard Mycophenolate Mofetil therapy, can improve fibrosis in early diffuse cutaneous systemic sclerosis (dcSSc) patients.

Who is the study for?
This trial is for adults aged 18-80 with early diffuse cutaneous systemic sclerosis (dcSSc), diagnosed within the last 3 years, and a modified Rodnan Skin Score over 14. Participants must not have used certain drugs like Belimumab or Rituximab before, be free from severe infections or lung disease, and agree to use effective contraception.Check my eligibility
What is being tested?
The study tests if combining Belimumab and Rituximab improves skin fibrosis in dcSSc patients compared to placebo. All participants will continue their Mycophenolate Mofetil (MMF) treatment. The active drugs or placebos are given via subcutaneous injections and intravenous infusions over a year.See study design
What are the potential side effects?
Potential side effects include allergic reactions to the medication components, infusion-related reactions such as fever or chills, possible increased risk of infections due to immune system suppression, fatigue, digestive issues, and blood disorders.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been diagnosed with diffuse cutaneous systemic sclerosis.
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My first non-Raynaud's symptom appeared less than 3 years ago.
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I am between 18 and 80 years old.
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My condition is officially diagnosed as systemic sclerosis.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through study completion, an average of 1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and through study completion, an average of 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Primary Efficacy Outcome: Change in the ACR Revised CRISS at 12 months
Primary Safety Outcome: The proportion of participants who experience at least one Grade 3 or higher adverse event at or before 12 months
Secondary outcome measures
Change in Clinical Disease Activity Index (CDAI): Measures joint tenderness and swelling
Change in Disease Activity Score 28 (DAS-28)
Change in FVC and DLCO
+15 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: MMF + Rituximab + BelimumabExperimental Treatment3 Interventions
Two infusions of 1000 mg of Rituximab, two weeks apart, weekly subcutaneous injections of 200 mg of Belimumab, and background MMF, 1000 -1500 mg twice daily for 48 weeks.
Group II: MMF + Placebo + PlaceboPlacebo Group3 Interventions
Two placebo infusions of normal saline, two weeks apart, weekly saline placebo subcutaneous injections, and background MMF, 1000 -1500 mg twice daily for 48 weeks.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
MMF
2012
Completed Phase 4
~1580
Belimumab
2013
Completed Phase 4
~1840
Rituximab
1999
Completed Phase 4
~1880

Find a Location

Who is running the clinical trial?

Hospital for Special Surgery, New YorkLead Sponsor
243 Previous Clinical Trials
59,334 Total Patients Enrolled
GlaxoSmithKlineIndustry Sponsor
4,753 Previous Clinical Trials
8,069,658 Total Patients Enrolled
Robert Spiera, MDPrincipal InvestigatorHospital for Special Surgery, New York
4 Previous Clinical Trials
425 Total Patients Enrolled

Media Library

Belimumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT03844061 — Phase 2
Systemic Sclerosis Research Study Groups: MMF + Rituximab + Belimumab, MMF + Placebo + Placebo
Systemic Sclerosis Clinical Trial 2023: Belimumab Highlights & Side Effects. Trial Name: NCT03844061 — Phase 2
Belimumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03844061 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is enrollment still available for this clinical trial?

"Indeed, clinicaltrials.gov attests to this trial's active recruitment status. This medical experiment was initially posted on July 29th 2019 and subsequently revised on September 8th 2022. A total of 30 patients are needed across a single site for the completion of this research effort."

Answered by AI

Does this research endeavor include participants above the age of twenty?

"This medical trial is accepting individuals who are of legal age and not older than 80 years old."

Answered by AI

Has the FDA issued a sanction for Rituximab's utilization?

"Due to the fact that Rituximab is in its second stage of clinical trials, our team has allocated a score of 2 which denotes some data backing safety yet no proof for efficacy."

Answered by AI

What objectives are researchers hoping to fulfill through this experiment?

"This 12 month clinical trial will measure the proportion of participants who experience at least one Grade 3 or higher adverse event. Additionally, it will consider injection site reactions, infusion reactions, and any untoward medical occurrences that occur in a patient while using the medication as part of this experiment."

Answered by AI

Could you enumerate other experiments conducted using Rituximab?

"Presently, 535 research projects on Rituximab are underway with 105 trials in the final phase. Philadelphia pa is the epicentre of many of these studies but other sites across 14931 locations are actively conducting investigations into Rituximab."

Answered by AI

Is it feasible for me to participate in this experiment?

"In order to meet the criteria for entry into this trial, individuals must be between 18 and 80 years of age with a diagnosis of scleroderma diffuse. So far, 30 participants have been accepted."

Answered by AI

What is the utmost number of individuals involved in this research?

"Indeed, clinicaltrials.gov attests to the ongoing recruitment of this medical trial which was initially posted on July 29th 2019 and recently updated on September 8th 2022. The study is expecting 30 patients from a single center."

Answered by AI

What medical conditions are commonly treated through the use of Rituximab?

"Rituximab is commonly used to treat diffuse large b-cell lymphoma (DLBCL) and can also be a viable solution for other conditions, namely B-cell lymphomas, polyangiitis, rejection of organ transplantation, and liver disorders."

Answered by AI
~6 spots leftby Jun 2025