Prospective, Multicenter Study of the Efficacy and Tolerance of Tacrolimus on Refractory Nephrotic Syndrome (RNS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects of either sex, 14-65 years of age;
- Diagnosis of Nephrotic syndrome with hypoalbuminemia (<3.0g/dl) and heavy proteinuria (> 3.5g/24hr);
- Provision of written informed consent by subject or guardian;
- Refractory nephrotic syndrome:
Steroid resistant: Persistence of proteinuria despite prednisone therapy 1mg/kg/d for 16 weeks; Steroid dependent: NS recurs when steroid dosage decease.Twice within 6 months, and 3 times within 1 year.
Exclusion Criteria:
- Inability or unwillingness to provide written informed consent ;
- Known hypersensitivity or contraindication to tacrolimus, cyclophosphamide, azathioprine, corticosteroids;
- Usage of immunosuppression therapy (MMF, CTX, CysA, MTX ect) for more than 1 week within 1 month prior to first randomization;
- Pregnancy, nursing or use of a non-reliable method of contraception;
- Continuous dialysis starting more than 2 weeks before randomization into the induction phase and/or continuous dialysis with an anticipated duration of more than 8 weeks;
- Previous kidney transplant or planted transplant;
- Scr > 4mg/dl (353umol/L);
- Active hepatitis, with liver dysfunction;
- Diagnosed DM;
- Participation in another clinic trial and/or receipt of investigational drugs within 4 weeks prior to screening .
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: tacrolimus(fk506) treatment
|
Started: 0.05-0.1mg/kg/d,divided
into two daily dose at 12hr; the blood level:5-10ng/ml in induction phase;and 4-6ng/ml in maintenance phase;
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Remission rate
Time Frame: 2006-2008
|
2006-2008
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Renal function, proteinuria, relapse
Time Frame: 2006-2008
|
2006-2008
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Xueqing Yu, MD, Department of Nephrology, 1st Affiliated Hospital, Sun Yat-Sen University
- Principal Investigator: Junzhou Fu, MD, Department of Nephrology,1st People's Hospital of Guangzhou
- Principal Investigator: Ping Fu, MD, Department of Nephrology, West China Hospital of Sichuan University
- Principal Investigator: Jin li Zhang, MD, Department of nephrology, People's Hospital of Yunnan Province
- Principal Investigator: Jian Chen, MD, Department of Nephrology, Fuzhou Military General Hospital
- Principal Investigator: Wei Shi, MD, Department of Nephrology, People's Hospital Guangdong Provincial
- Principal Investigator: Yunhua Liao, MD, Department of Nephrology, 1st Affiliated Hospital of Guangxi Medical University
- Principal Investigator: Tanqi Lou, MD, Department of Nephrology, 3rd Affiliated Hospital of Sun Yet-Sen University
- Principal Investigator: Yaozhong Kong, MD, Department of Nephrology, 1st People's Hospital of Foshan
- Principal Investigator: Zhengrong Liu, MD, Department of Nephrology, Nanfang Hospital of Southern Medical University
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SYSU-PRGNS-001
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