A Trial to Assess the Efficacy and Safety of Obinutuzumab in Treating Adults With Minimal Change Disease (MCD) (OBELIX-NS)
A Randomized Controlled, Two-arm (1:1 Ratio) Phase IIa Trial to Assess the Efficacy and Safety of Obinutuzumab in Treating Adults With de Novo Minimal Change Disease
OBELIX-NEPHROSIS (NS)
The goal of this clinical trial is to learn if obinutuzumab works to treat minimal change disease in adults. It will also learn about the safety of drug obinutuzumab. The main questions it aims to answer are:
Is obinutuzumab non-inferior to glucocorticoids at inducing remission? Does obinutuzumab provide superiority in terms of relapse-free survival after 52 weeks? What medical problems do participants have when receiving obinutuzumab? Researchers will compare drug obinutuzumab to glucocorticoids and aim to phenotype participants with minimal change disease.
Participants will:
Take the drug obinutuzumab (2 doses) or glucocorticoids Visit the clinic for 8 visits over a period of 52 weeks, plus additional controls when disease relapses occur
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Andreas Kronbichler, M.D. Ph.D.
- Telefonnummer: 004351250425855
- E-mail: andreas.kronbichler@i-med.ac.at
Undersøgelse Kontakt Backup
- Navn: Philipp Gauckler, M.D.
- E-mail: philipp.gauckler@i-med.ac.at
Studiesteder
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Nice, Frankrig, 06003
- Ikke rekrutterer endnu
- Laboratory of Immunology, Nice University Hospital (CHU de Nice), Côte d'Azur University
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Kontakt:
- Barbara Seitz-Polski, M.D. Ph.D.
- Telefonnummer: 0033492037917
- E-mail: seitz-polski.b@chu-nice.fr
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Kontakt:
- Celine Fernandez, M.D.
- E-mail: fernandez.c3@chu-nice.fr
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Paris, Frankrig, 94000
- Ikke rekrutterer endnu
- Hôpital Henri-Mondor
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Kontakt:
- Vincent Audard, M.D.
- Telefonnummer: 0033149812457
- E-mail: vincent.audard@aphp.fr
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Stuttgart, Tyskland
- Ikke rekrutterer endnu
- Robert Bosch Krankenhaus, Department of General Internal Medicine and Nephrology
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Kontakt:
- Jörg Latus, M.D.
- Telefonnummer: +49 711 8101-3496
- E-mail: Joerg.Latus@rbk.de
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Kontakt:
- Moritz Schanz, M.D.
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Graz, Østrig, 8036
- Rekruttering
- Division of Nephrology, Department of Internal Medicine, Medical University of Graz
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Kontakt:
- Max Schuller, M.D. Ph.D.
- Telefonnummer: 004331638512170
- E-mail: max.schuller@medunigraz.at
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Kontakt:
- Kathrin Eller, M.D. Ph.D.
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Innsbruck, Østrig, 6020
- Rekruttering
- Department of Internal Medicine IV, Nephrology and Hypertension
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Kontakt:
- Andreas Kronbichler, M.D. Ph.D.
- Telefonnummer: 004351250425855
- E-mail: andreas.kronbichler@i-med.ac.at
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Kontakt:
- Philipp Gauckler, M.D.
- E-mail: philipp.gauckler@i-med.ac.at
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Ledende efterforsker:
- Andreas Kronbichler, M.D. Ph.D.
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Vienna, Østrig, 1160
- Ikke rekrutterer endnu
- 6. Medizinische Abteilung mit Nephrologie & Dialyse, Klinik Ottakring
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Kontakt:
- Sara Ksiazek, M.D.
- Telefonnummer: 00431491502610
- E-mail: sara.ksiazek@hotmail.com
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Kontakt:
- Marcus Säemann, M.D.
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Understands and agrees to comply with the study procedures and provides informed consent as documented by signature
- Male or female patients aged 18 years or older at the time of consent
- Confirmed first episode of nephrotic syndrome at trial enrolment (serum albumin <30g/l and UPCR >3g/g creatinine (>300 mg/mmol) secondary to de novo MCD
- Histologically confirmed MCD (latest before randomization to Arm A or B)
Only applies to women of childbearing potential (WOCBP):
- Has a high sensitivity negative urine/serum pregnancy test at screening
- Agrees to follow contraceptive guidance until 18 months after 2nd obinutuzumab treatment (if randomized to Arm B)
- Only applies to trial sites in France: Patients affiliated with the French health care system
Exclusion Criteria:
- MCD due to secondary causes, including malignancy of a type likely to be associated with MCD (i.e., lymphoproliferative disorders), or potentially related to treatment known to be associated with MCD occurrence (lithium, interferon, non-steroidal anti-inflammatory drugs)
- Family history of MCD or in a first degree relative unless previously shown to be steroid-responsive
- Previous B cell depletion, independent of the agent and treatment target (i.e., CD20, CD38, etc.), within 18 months preceding baseline of the trial, or 12 months if there is evidence of B cell return in peripheral lymphocyte subsets
- Previous cyclophosphamide within 6 months preceding baseline of the trial
- Treatment with Predniso(lo)ne within screening phase (before randomization)
- Evidence of current or past infection with Hepatitis B, C or Human Immunodeficiency Virus (HIV) (unless appropriate prophylaxis is given and no replicating virus is detected)
- Evidence of active severe infection requiring systemic antibacterial, antifungal or antiviral therapy within 14 days prior to first dose of study drug
- Severe heart failure or severe, uncontrolled cardiac disease (NYHA class III or IV)
- Patient with a history of prior malignancy within 5 years before the first dose of study drug. Exceptions may apply for the following: malignancies with a negligible risk of metastasis or death such as adequately treated carcinoma in situ of the cervix, nonmelanoma skin carcinoma, ductal carcinoma in situ, or Stage I uterine cancer
- Pregnant or breast-feeding women
- Live vaccine administration in the four weeks prior to screening and during the study duration of 52 weeks
- Previous/known hypersensitivity to predniso(lo)ne or obinutuzumab or to any of the excipients to be in accordance with the SmPC of Gazyvaro
- Co-enrolment in another clinical trial of an investigational medicinal product
- Any other reason which, in the opinion of the Principal Investigator (PI), renders the patient unsuitable for the trial.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Obinutuzumab
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Obinutuzumab (2-times, 1 g each) will be administered
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Aktiv komparator: Glucocorticoids
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Predniso(lo)ne will be used as the active comparator, with a planned withdrawal after 6 months
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Non-inferiority of obinutuzumab to SoC predniso(lo)ne taper: Proportions of patients achieving remission (complete or partial) of MCD at 8 weeks
Tidsramme: From enrollment to the end of treatment at 8 weeks
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From enrollment to the end of treatment at 8 weeks
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Superiority of obinutuzumab to SoC predniso(lo)ne taper: Proportions of patients sustaining remission (complete or partial)/prevent relapses of MCD during the study period of 52 weeks
Tidsramme: From enrollment to the end of treatment at 52 weeks
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From enrollment to the end of treatment at 52 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 7174124
- PIN7174124 (Andet bevillings-/finansieringsnummer: FWF)
- 2025-520641-69 (EudraCT nummer)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
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