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Trial ยท NCT02383589

A Study to Evaluate the Efficacy and Safety of Rituximab Versus Mycophenolate Mofetil (MMF) in Participants With Pemphigus Vulgaris (PV)

NCT02383589, Phase 3, Completed, Hoffmann-La Roche; results first posted 2020-01-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy and Safety of Rituximab Versus Mycophenolate Mofetil (MMF) in Participants With Pemphigus Vulgaris (PV). Trials, record NCT02383589. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02383589

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Efficacy and Safety of Rituximab Versus Mycophenolate Mofetil (MMF) in Participants With Pemphigus Vulgaris (PV)
NCT number
NCT02383589
Status
Completed
Phases
Phase 3
Enrollment
135 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Pemphigus Vulgaris
Interventions
Mycophenolate Mofetil Placebo, Mycophenolate Mofetil, Rituximab, Rituximab Placebo
First posted
2015-03-09
Last updated
2020-11-10
Other registries' IDs
eudract:2014-000382-41
Results first posted
2020-01-18

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants (Excluding Telemedicine [TM] Participants) Who Achieved Sustained Complete Remission, Evaluated by the Pemphigus Disease Area Index (PDAI) Activity ScoreFrom Baseline up to 52 Weeks (up to clinical cut-off date (CCOD) of 28 November 2018)
SecondaryCumulative Oral Corticosteroid DoseFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
SecondaryTotal Number of Protocol Defined Disease FlaresFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
Disease flare is defined as appearance of three or more new lesions a month that do not heal spontaneously within 1 week, or by the extension of established lesions, in a participant who has achieved disease control.
SecondaryTime to Initial Sustained Complete RemissionFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
SecondaryTime to Protocol Defined Disease FlareFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
Disease flare is defined as the appearance of three or more new lesions a month that do not heal spontaneously within 1 week or by the extension of established lesions in a participant who has achieved disease control.
SecondaryChange in Health-Related Quality of Life (HRQoL), as Measured by the Dermatology Life Quality Index (DLQI) ScoreFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
Total DLQI scores range from 0 to 30 with higher DLQI scores reflecting greater impairment in a participant's health-related quality of life. The DLQI score is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. The measure type mean is the estimated mean from adjusted MMRM.
SecondaryPercentage of Participants With Adverse Events, Serious Adverse Events, and Corticosteroid-Related Adverse EventsBaseline up to 52 Weeks (up to CCOD of 28 November 2018)
An adverse event is any untoward medical occurrence in a participant to whom a medicinal product is administered and which does not necessarily have a causal relationship with this treatment. A serious adverse event is an adverse event that results in death or is life-threatening or requires/prolongs hospitalization or results in persistent/significant disability/incapacity or congenital abnormality/birth defect. Adverse events of Grade 3 of higher are severe and life-threatening adverse events CS-related adverse events - causality as determined by the investigator.
SecondaryPercentage of Participants With Anti-Drug Antibodies (ADA)Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
Participants with treatment-induced and treatment-enhanced anti-drug antibodies. The clinical relevance of anti-rituximab antibody formation in RITUXAN treated pemphigus vulgaris (PV) participants is unclear.
SecondaryPercentage of Participants With Immunoglobulin (Ig) Levels Below Lower Limit of Normal (LLN)Baseline; Weeks 16, 24, 40 and 52; (end of treatment: up to Week 52) (up to CCOD of 28 November 2018)

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants (Excluding Telemedicine [TM] Participants) Who Achieved Sustained Complete Remission, Evaluated by the Pemphigus Disease Area Index (PDAI) Activity ScoreFrom Baseline up to 52 Weeks (up to clinical cut-off date (CCOD) of 28 November 2018)
The modified intent-to-treat (mITT) population included participants in the ITT population (all randomized participants who received any part of an infusion of study drug or oral administration of study drug), excluding the 10 telemedicine (TM) participants. This population was used in the analyses of efficacy outcomes.
Percentage of ParticipantsNUMBER
SECONDARYCumulative Oral Corticosteroid DoseFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
The mITT population included participants in the ITT population (all randomized participants who received any part of an infusion of study drug or oral administration of study drug), excluding the 10 TM participants. This population was used in the analyses of efficacy outcomes.
milligram (mg)MEDIAN
SECONDARYTotal Number of Protocol Defined Disease FlaresFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
The mITT population included participants in the ITT population (all randomized participants who received any part of an infusion of study drug or oral administration of study drug), excluding the 10 TM participants. This population was used in the analyses of efficacy outcomes.
Number of FlaresNUMBER
SECONDARYTime to Initial Sustained Complete RemissionFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
The mITT population included participants in the ITT population (all randomized participants who received any part of an infusion of study drug or oral administration of study drug), excluding the 10 TM participants. This population was used in the analyses of efficacy outcomes.
WeeksMEDIAN
SECONDARYTime to Protocol Defined Disease FlareFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
The mITT population included participants in the ITT population (all randomized participants who received any part of an infusion of study drug or oral administration of study drug), excluding the 10 TM participants. This population was used in the analyses of efficacy outcomes.
WeeksMEDIAN
SECONDARYChange in Health-Related Quality of Life (HRQoL), as Measured by the Dermatology Life Quality Index (DLQI) ScoreFrom Baseline up to 52 Weeks (up to CCOD of 28 November 2018)
The mITT population included participants in the ITT population (all randomized participants who received any part of an infusion of study drug or oral administration of study drug), excluding the 10 TM participants. This population was used in the analyses of efficacy outcomes. Only participants for whom data were collected are included in the analysis.
Scores on a ScaleMEAN
SECONDARYPercentage of Participants With Adverse Events, Serious Adverse Events, and Corticosteroid-Related Adverse EventsBaseline up to 52 Weeks (up to CCOD of 28 November 2018)The safety population included all participants who were randomized and received any part of an infusion of study drug or oral administration of study drug.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Anti-Drug Antibodies (ADA)Baseline up to 52 Weeks (up to CCOD of 28 November 2018)The safety population (all participants who were randomized and received any part of an infusion of study drug), only participants for whom data were collected are included in the analysis.Percentage of ParticipantsNUMBER
SECONDARYPercentage of Participants With Immunoglobulin (Ig) Levels Below Lower Limit of Normal (LLN)Baseline; Weeks 16, 24, 40 and 52; (end of treatment: up to Week 52) (up to CCOD of 28 November 2018)The safety population included all participants who were randomized and received any part of an infusion of study drug or oral administration of study drug.Percentage of ParticipantsNUMBER

Results by group53

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants (Excluding Telemedicine [TM] Participants) Who Achieved Sustained Complete Remission, Evaluated by the Pemphigus Disease Area Index (PDAI) Activity ScoreRituximab (RTX)40.3Percentage of Participants
Percentage of Participants (Excluding Telemedicine [TM] Participants) Who Achieved Sustained Complete Remission, Evaluated by the Pemphigus Disease Area Index (PDAI) Activity ScoreMycophenolate Mofetil (MMF)9.5Percentage of Participants
Cumulative Oral Corticosteroid DoseRituximab (RTX)2775.00Inter-Quartile Range 2146.88 to 3610.00milligram (mg)
Cumulative Oral Corticosteroid DoseMycophenolate Mofetil (MMF)4005.00Inter-Quartile Range 2662.50 to 5815.00milligram (mg)
Total Number of Protocol Defined Disease FlaresRituximab (RTX)6Number of Flares
Total Number of Protocol Defined Disease FlaresMycophenolate Mofetil (MMF)44Number of Flares
Time to Initial Sustained Complete RemissionRituximab (RTX)NA95% Confidence Interval 32.1 to NAWeeks
Time to Initial Sustained Complete RemissionMycophenolate Mofetil (MMF)NA95% Confidence Interval NA to NAWeeks
Time to Protocol Defined Disease FlareRituximab (RTX)NA95% Confidence Interval NA to NAWeeks
Time to Protocol Defined Disease FlareMycophenolate Mofetil (MMF)NA95% Confidence Interval 36.9 to NAWeeks

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Treatment PeriodSTARTEDRituximab (RTX)67
Treatment PeriodSTARTEDMycophenolate Mofetil (MMF)68
Treatment PeriodCOMPLETEDRituximab (RTX)66
Treatment PeriodCOMPLETEDMycophenolate Mofetil (MMF)58
Treatment PeriodNOT COMPLETEDRituximab (RTX)1
Treatment PeriodNOT COMPLETEDMycophenolate Mofetil (MMF)10
Safety Follow-up (SFU)STARTEDRituximab (RTX)66
Safety Follow-up (SFU)STARTEDMycophenolate Mofetil (MMF)58
Safety Follow-up (SFU)COMPLETEDRituximab (RTX)59
Safety Follow-up (SFU)COMPLETEDMycophenolate Mofetil (MMF)53

Adverse events216

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherLYMPHOPENIABlood and lymphatic system disordersRituximab (RTX)86714
otherLYMPHOPENIABlood and lymphatic system disordersMycophenolate Mofetil (MMF)1681
otherLYMPHOPENIABlood and lymphatic system disordersRTX Safety Follow-up0660
otherLYMPHOPENIABlood and lymphatic system disordersMMF Safety Follow-up0580
otherDIARRHOEAGastrointestinal disordersRituximab (RTX)3675
otherDIARRHOEAGastrointestinal disordersMycophenolate Mofetil (MMF)106811
otherDIARRHOEAGastrointestinal disordersRTX Safety Follow-up0660
otherDIARRHOEAGastrointestinal disordersMMF Safety Follow-up0580
otherNAUSEAGastrointestinal disordersRituximab (RTX)2674
otherNAUSEAGastrointestinal disordersMycophenolate Mofetil (MMF)4684

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRituximab (RTX)067
Total, all-cause mortalityMycophenolate Mofetil (MMF)168
Total, all-cause mortalityRTX Safety Follow-up066
Total, all-cause mortalityMMF Safety Follow-up058
Total, other adverse eventsRituximab (RTX)4267
Total, other adverse eventsMycophenolate Mofetil (MMF)4168
Total, other adverse eventsRTX Safety Follow-up266
Total, other adverse eventsMMF Safety Follow-up358
Total, serious adverse eventsRituximab (RTX)1567
Total, serious adverse eventsMycophenolate Mofetil (MMF)1068

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
34097368DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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