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NCT03072199: RITA-MI

Rituximab in Patients With Acute ST-elevation Myocardial Infarction Study

Completed Phase 1, PHASE2 Last updated 14 September 2021
What this trial tests

Phase 1, PHASE2 trial testing RiTUXimab Injection in Ischemic Heart Disease in 24 participants. Completed in 1 May 2021.

Timeline
1 June 2017
Primary endpoint
1 March 2019
1 May 2021

Quick facts

Lead sponsorPapworth Hospital NHS Foundation Trust
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment24
Start date1 June 2017
Primary completion1 March 2019
Estimated completion1 May 2021
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Papworth Hospital NHS Foundation Trust

Who can join

Adults 18 to 75, any sex, with Ischemic Heart Disease or Myocardial Infarction. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

RITA-MI aims to develop of a novel therapeutic concept to target the immune response in patients with acute myocardial infarction (MI) by depleting B-cells with a single injection of Rituximab which is approved for clinical use in cancer, autoimmune disease and inflammatory conditions. The goal is to re-purpose the drug, and translate the discovery into benefit for patients at high risk of cardiovascular events. Rituximab is expected to limit infarction size and improve the healing process, as complementary to other therapeutic strategies. The applicants intend to perform a clinical study in patients with acute myocardial infarction (MI). The objective is to find the optimal dose (lowest dose with highest biological efficacy and best safety profile) for peripheral blood B cell depletion during the first 6 days after injection, and selective molecular signatures associated with improved heart function through analysis of peripheral blood samples. The study rationale is to decrease the inflammatory reaction upon tissue necrosis following heart muscle ischemia.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Myeloid cell contributions to cardiovascular health and disease.
    Nahrendorf M. · · 2018 · cited 217× · PMID 29867229 · DOI 10.1038/s41591-018-0064-0
  2. Inflammatory and Molecular Pathways in Heart Failure-Ischemia, HFpEF and Transthyretin Cardiac Amyloidosis.
    Michels da Silva D, Langer H, Graf T. · · 2019 · cited 56× · PMID 31083399 · DOI 10.3390/ijms20092322
  3. Rituximab in patients with acute ST-elevation myocardial infarction: an experimental medicine safety study.
    Zhao TX, Aetesam-Ur-Rahman M, Sage AP, Victor S, et al · · 2022 · cited 50× · PMID 33783498 · DOI 10.1093/cvr/cvab113
  4. Immune and Inflammatory Networks in Myocardial Infarction: Current Research and Its Potential Implications for the Clinic.
    Anzai A, Ko S, Fukuda K. · · 2022 · cited 44× · PMID 35563605 · DOI 10.3390/ijms23095214
  5. Considering Cause and Effect of Immune Cell Aging on Cardiac Repair after Myocardial Infarction.
    Tobin SW, Alibhai FJ, Weisel RD, Li RK. · · 2020 · cited 22× · PMID 32823583 · DOI 10.3390/cells9081894
  6. Imaging as a surrogate marker of drug efficacy in cardiovascular disease.
    Tarkin JM, Dweck MR, Rudd JHF. · · 2019 · cited 10× · PMID 30381320 · DOI 10.1136/heartjnl-2017-311213
  7. Immunomodulatory Treatment Strategies Targeting B Cells for Heart Failure.
    Zhang X, Sun Y, Wang N, Zhang Y, et al · · 2022 · cited 6× · PMID 35350762 · DOI 10.3389/fphar.2022.854592
  8. At the Intersection of Cardiology and Oncology: TGFβ as a Clinically Translatable Therapy for TNBC Treatment and as a Major Regulator of Post-Chemotherapy Cardiomyopathy.
    Sulaiman A, Chambers J, Chilumula SC, Vinod V, et al · · 2022 · cited 4× · PMID 35326728 · DOI 10.3390/cancers14061577

Verify or expand the search:

Other trials of RiTUXimab Injection

Trials testing the same drug.

Other recruiting trials for Ischemic Heart Disease

Currently open trials in the same condition.

Other Papworth Hospital NHS Foundation Trust trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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