Safety and Efficacy of Cladribine Therapy After Anti CD20 Therapy
NCT04640818 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 45
Last updated 2022-03-23
Summary
Prolonged anti CD20 therapy for the treatment of active multiple sclerosis leading to continuous B cell depletion is associated with hypogammaglobulinemia predisposing to a potentially increased risk of serious infections, particularly in the more disabled and aged patients. No data have been published on the sequential use of anti CD20 therapies and cladribine, that is thought to act as an immune reconstitution agent. his study aims at investigating IgG and IgM serum concentration changes at 6 and 12 months after switching to cladribine in patients previously treated with anti CD20 therapies (ie, ocrelizumab ≥1.8 gr or rituximab 3.0 gr) for ≥18 months, as compared to continued anti CD20 therapies.
Conditions
Interventions
- DRUG
-
Cladribine Oral Tablet
Treatment according to the label and medical prescription
- DRUG
-
Treatment according to the label and medical prescription
- DRUG
-
Ocrelizumab
Treatment according to the label and medical prescription
Sponsors & Collaborators
-
Merck AG Switzerland
collaborator UNKNOWN -
Claudio Gobbi
lead OTHER_GOV
Principal Investigators
-
Claudio Gobbi, MD · Ospedale Regionale di Lugano, Neurocentro della Svizzera italiana, Centro Sclerosi multipla
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-12-17
- Primary Completion
- 2022-10-31
- Completion
- 2022-10-31
Countries
- Switzerland
Study Locations
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