Could an extra year of Low-Dose steroids keep vasculitis at bay?
NCT ID NCT03290456
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looks at whether continuing a low dose of prednisone (5 mg/day) for an extra 12 months can help people with a type of blood vessel inflammation called ANCA-associated vasculitis stay in remission. About 146 adults who are already in remission and receiving rituximab will be randomly assigned to either extended prednisone or a placebo. The goal is to see if the extended treatment reduces the chance of a relapse over 30 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Prednisone (a corticosteroid drug)
- What this could lead to
- If it works, this could show that longer low-dose prednisone use reduces relapse risk in people with vasculitis who are already on rituximab maintenance therapy.
- What could go wrong
- This is a Phase NA trial with only 146 participants, so results may not apply to everyone. Prednisone has known side effects like weight gain, high blood sugar, and infection risk.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 146 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2019
- Expected to finish
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Oct 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients with a diagnosis of MPA or GPA independently of ANCA status, * Patient aged of 18 years or older, * Patients with newly-diagnosed disease or relapsing disease at the time of screening, with an inactive disease defined as a BVAS = 0, * Patients receiving maintenance infusion of rituximab 500 mg at 6 and 12 months after the start of vasculitis induction * Patients receiving 5-10 mg/day of prednisone at screening, * Patient able to give written informed consent prior to participation in the study. * At Inclusion visit day, patient must be between 5 and 10 mg/day prednisone and at randomization visit day (D1), patient must be at 5 mg/day prednisone Exclusion Criteria: * Patients with EGPA, or other vasculitides, defined by the ACR criteria and/or the Chapel Hill Consensus Conference, * Patients with vasculitis with active disease defined as a BVAS \>0, * Patients with acute infections or chronic active infections (including HIV, HBV or HCV), * Patients with active cancer or recent cancer (\<5 years), except basocellular carcinoma and prostatic cancer of low activity controlled by hormonal treatment, * Pregnant women and lactation. Patients with childbearing potential should have reliable contraception for the all duration of the study, * Patients with other uncontrolled diseases, including drug or alcohol abuse, severe psychiatric diseases, that could interfere with participation in the trial according to the protocol, * Patients included in other investigational therapeutic study within the previous 3 months, * Patients suspected not to be observant to the proposed treatments, * Patients who have white blood cell count ≤4,000/mm3, * Patients who have platelet count ≤100,000/mm3, * Patients who have ALT or AST level greater than 3 times the upper limit of normal that cannot be attributed to underlying MPA-GPA disease, * Patients unable to give written informed consent prior to participation in the study. * Patients with contraindication to use rituximab,
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
45 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CH Bretagne Atlantique
RECRUITINGVannes, 56017, France
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CH Lyon Sud
RECRUITINGPierre-Bénite, 69495, France
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CH Lyon Sud
RECRUITINGPierre-Bénite, 69495, France
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CH Valenciennes
RECRUITINGValenciennes, 59322, France
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CH de Troyes
RECRUITINGTroyes, 10003, France
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CH de Verdun
NOT_YET_RECRUITINGVerdun, 55100, France
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CHIC Créteil
NOT_YET_RECRUITINGCréteil, 94010, France
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CHRU Bretonneau
NOT_YET_RECRUITINGTours, 37044, France
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CHRU François Mitterrand
NOT_YET_RECRUITINGDijon, 21000, France
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CHRU François Mitterrand
NOT_YET_RECRUITINGDijon, 21000, France
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CHRU Hautepierre
NOT_YET_RECRUITINGStrasbourg, 67098, France
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CHRU Lille - Hôpital Claude Huriez
NOT_YET_RECRUITINGLille, 59037, France
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CHRU Rennes - Hôpital Sud
RECRUITINGRennes, 35200, France
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CHU Amiens-Hôpital Nord
RECRUITINGAmiens, 80054, France
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CHU Angers
RECRUITINGAngers, 49933, France
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CHU Estaing
RECRUITINGClermont-Ferrand, 63003, France
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CHU Gabriel Montpied
RECRUITINGClermont-Ferrand, 63003, France
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CHU Nantes - Hôtel Dieu
RECRUITINGNantes, 44093, France
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CHU Strasbourg
NOT_YET_RECRUITINGStrasbourg, 67000, France
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CHU de Caen - Cote de Nacre
RECRUITINGCaen, 14033, France
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CHU de Nice - Hôpital Pasteur 2
RECRUITINGNice, 06001, France
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CHU de Poitiers
NOT_YET_RECRUITINGPoitiers, 86021, France
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Centre Hospitalier Croix Rousse
RECRUITINGLyon, 69004, France
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Centre Hospitalier Lyon Sud
RECRUITINGPierre-Bénite, 69310, France
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Clinique Rhône-Durance
NOT_YET_RECRUITINGAvignon, 84000, France
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HP Site Belle Isle
NOT_YET_RECRUITINGMetz, 57045, France
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Hopitaux Universaitaire de Strasbourg Hopitaux
RECRUITINGStrasbourg, France
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Hôpital Avicenne
NOT_YET_RECRUITINGBobigny, 93009, France
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Hôpital Charles Nicolle
RECRUITINGRouen, 76031, France
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Hôpital Cochin
RECRUITINGParis, 75014, France
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Hôpital Edouard Herriot
RECRUITINGLyon, 69137, France
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Hôpital Edouard Herriot
NOT_YET_RECRUITINGLyon, 69137, France
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Hôpital Européen G. Pompidou
NOT_YET_RECRUITINGParis, 75015, France
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Hôpital Foch
NOT_YET_RECRUITINGSuresnes, 92150, France
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Hôpital Haut Lévêque
NOT_YET_RECRUITINGPessac, 33600, France
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Hôpital Jeanne d'Arc
NOT_YET_RECRUITINGBar-le-Duc, 55000, France
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Hôpital La Cavale Blanche
RECRUITINGBrest, 29200, France
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Hôpital La Timone
NOT_YET_RECRUITINGMarseille, 13385, France
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Hôpital Louis Pasteur
NOT_YET_RECRUITINGChartres, 28018, France
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Hôpital Louis Pradel
RECRUITINGBron, 69500, France
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Hôpital Saint Louis
NOT_YET_RECRUITINGParis, 75475, France
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Hôpital de la Conception
NOT_YET_RECRUITINGMarseille, 13005, France
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Hôpital de la Conception
NOT_YET_RECRUITINGMarseille, 13005, France
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Hôpital la Pitié Salpêtrière
RECRUITINGParis, 75013, France
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Hôpitaux de Brabois
NOT_YET_RECRUITINGVandœuvre-lès-Nancy, 54511, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a diabetes drug shield kidneys from autoimmune attack?
- Promising vasculitis drug trial halted early
- Experimental liquid drug tested in ventilator patients with rare lung bleeding disease
- Hydroxychloroquine trial for rare vasculitis halted early
- Scientists build tissue bank to unlock vasculitis mysteries
- DNA hunt for vasculitis genes opens new doors