Rituximab in Patients With Acute Rheumatic Fever

Sponsor
African Academy of Methodology and Statistics
Study ID
NCT05682196
Phase
PHASE2
Status
Suspended

Conditions

  • Rheumatic Heart Disease in Children

Eligibility Criteria

Sex
ALL
Age
5 Years - 17 Years
Healthy Volunteers
Not accepted

Interventions

Study Details

Acute Rheumatic Fever is an autoimmune inflammatory post-infectious syndrome, mainly caused by type A streptococcus. It is characterized as an inadequate immune response. It may provoke carditis, combined with articular, skin and neurologic signs. Only carditis, prevalent in 60% of acute rheumatic diseases, may provoke valvular sequels, which define rheumatic cardiopathy. Antibiotherapy based on penicillin is the standard treatment of both acute rheumatic fever and its prevention. Although no anti-inflammatory treatment has proved its efficacy, with or without steroids anti-inflammatory treatments are administered in acute episode of ARF. Up to date, only prevention strategies have shown efficacy.

Key Dates

Start date
Jan 5, 2023
Status verified
Jun 2024
Primary completion
Sep 30, 2024
Completion
Feb 1, 2025

Study Design

Enrollment
234 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Rituximab plus standard of care (RTX)
    Rituximab i.v of two perfusions (375 mg/m²) administered in a 14 day-interval added to a standard of care treatment
  • Active Comparator: Standard of care treatment (Control)
    Standard of care treatment

Primary Outcome Measure

Rheumatic valvular lesions rate [ Time Frame: 6 months post randomization ]