- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04623866
Study on the Treatment of Children With Purpura Nephritis With Huaiqihuang Granules
November 5, 2020 updated by: Mao Jianhua, The Children's Hospital of Zhejiang University School of Medicine
A Single Center Randomized Controlled Clinical Study on the Treatment of Children With Purpura Nephritis With Huaiqihuang Granules
About 20% children with allergic purpura develop nephritis syndrome or nephrotic syndrome, 1% to 7% to kidney failure or end-stage renal disease.
Children with serious damage to health, significantly reduced quality of life and caused heavy economic burden to the family .
As the pathogenesis of HSPN is complex, it is difficult to formulate an exact individualized treatment plan.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
Children of Purpura nephritis with moderate protenuria(24 hours urinary protein quantitative 0.5 ~ 1.0 1.73 g/m2 and 24 hours urinary protein amount of not more than 1.0 g) in this study was choosed as participatant, plan randomly into the group of 10 cases, treated with huaiqihuang particles and valsartan for 24 weeks to analyze the curative effect and clinical value of single drug therapy for children with purpura nephritis in reducing proteinuria, protecting renal function and promoting rehabilitation.
Study Type
Interventional
Enrollment (Anticipated)
10
Phase
- Early Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Mao Jianhua
- Phone Number: 13516819071
- Email: maojh88@zju.edu.cn
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310006
- The Children Hospital of Zhejiang University School of Medicine
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Hangzhou, Zhejiang, China
- Children's Hospital, Zhejiang University School of Medicine
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 years to 14 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- For children diagnosed with purpura nephritis, the diagnostic criteria for purpura nephritis shall refer to the 2016 edition of Evidence-based Guideline for diagnosis and Treatment of Purpura Nephritis published by the Nephrology Group of The Chinese Medical Association Pediatrics Branch, specifically as follows: Hematuria and/or proteinuria occur within 6 months of the course of allergic purpura. The diagnostic criteria for hematuria and proteinuria are as follows: A. Hematuria: gross hematuria or ≥3 RBC/high-power field (HP) under 3 times of microscope within 1 week. B. Proteinuria: if meeting any of the following conditions: 3 routine urine tests within 1 week qualitatively indicate positive urine protein; 24h quantitative urine protein >150 mg or urine protein/creatinine (mg/mg)>0.2; Urinary microalbumin was higher than normal for 3 times within 1 week. Very few children in the acute course of allergic purpura 6 months later, recurrent purpura, hematuria and/or proteinuria for the first time, should be sought for renal biopsy, such as IgA mesangial mesangial proliferative glomerulonephritis, can still be diagnosed as purpura nephritis.
- 24-hour urinary protein quantification of 0.5 to 1.0g/1.73m2, and the total amount does not exceed 1.0g (to be quantified in non-infectious conditions);
- Age: 6-14 years old;
- Normal renal function: eGFR≥90ml/min/1.73m2;
- Other manifestations of allergic purpura: skin purpura, abdominal pain, blood stool and joint swelling and pain have been relieved, and the use of hormone or immunosuppressive agents has been stopped for 2 weeks.
Exclusion Criteria:
- Abnormal ophthalmic examination (fundus, visual field, photosensitivity);
- Combined with gross hematuria;
- Serious diseases of the heart, liver and other important organs, as well as diseases of the blood and endocrine system;
- Patients who are known to be allergic to any component of Locust and wolfberry yellow or ACEI/ARB;
- Patients who have participated in other clinical trials within three months before enrollment;
- The investigator judged that the patient was not fit to participate in the study;(7) renal purpura nephritis wear results indicate Ⅲ magnitude or hints chronic purpura nephritis.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Huaiqihuang Group
Huaiqihuang granules 60g/1.73m2
bid 24 weeks
|
Huaiqihuang granules are composed of Huaier fungus, Fructus lycii and Huangjing.
Studies have shown that huaiqihuang treatment can reduce cytokines in children with purpura nephritis interleukins IL - 4, IL - 10 and the tumor necrosis factor alpha (TNF alpha) expression level, prompt huaiqihuang granule treating children allergic purpura nephritis can significantly improve the clinical curative effect, improve the level of cytokines and the patient's immune function, and does not increase the incidence of adverse reactions.
Other Names:
|
Active Comparator: Valsartan group
Valsartan granules 80mg/1.73m2
based qd 24 weeks
|
Valsartan granules 80mg/1.73m2
based qd 24 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change of urinary protein
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
24-hour urinary protein quantitative, urinary microprotein
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
Change in renal function of the patients
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
blood chemistry
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
change of lymphocyte subsets
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
including Th1 cells, Th2 cells, Th17 cells, cytokines (IL-16, IL-10, IL-17, etc.)
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
change of immunoglobulin + complement
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
immunoglobulin + complement
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
change of urine red blood cells
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
red blood cells routine urine
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of blood pressure
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
blood pressure
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
change of BMI(Body Mass Index)
Time Frame: before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
calculated by dividing weight in kilograms by height in meters squared( kg/m^2)
|
before Clinical trials; 1 month, 2 months, 3 months, 6 months after randomization
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Chair: Mao Jianhua, Children's Hospital, Zhejiang University School of Medicine
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
November 1, 2020
Primary Completion (Anticipated)
August 1, 2021
Study Completion (Anticipated)
August 30, 2021
Study Registration Dates
First Submitted
October 25, 2020
First Submitted That Met QC Criteria
November 5, 2020
First Posted (Actual)
November 10, 2020
Study Record Updates
Last Update Posted (Actual)
November 10, 2020
Last Update Submitted That Met QC Criteria
November 5, 2020
Last Verified
November 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Kidney Diseases
- Urologic Diseases
- Hematologic Diseases
- Hemorrhage
- Hemorrhagic Disorders
- Hemostatic Disorders
- Vasculitis
- Hypersensitivity
- Blood Coagulation Disorders
- Skin Manifestations
- Immune Complex Diseases
- Purpura
- Nephritis
- Purpura, Schoenlein-Henoch
- Molecular Mechanisms of Pharmacological Action
- Antihypertensive Agents
- Angiotensin II Type 1 Receptor Blockers
- Angiotensin Receptor Antagonists
- Valsartan
Other Study ID Numbers
- CXPJJH12000003-202017
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
We could not share data without patients' agreement
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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