- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07719140
Childhood-onset Lupus Nephritis Initial Glucocorticoid-dose Harmonization Trial (LIGHT Trial) (LIGHT)
Low- Versus High-Dose Initial Glucocorticoid Therapy for Childhood-Onset Proliferative Lupus Nephritis: a Multicenter Open-Label Noninferiority Randomized Controlled Trial
Childhood-onset systemic lupus erythematosus (cSLE) is a severe chronic autoimmune disease with a high burden of major-organ involvement. Lupus nephritis (LN) affects more than half of children with SLE, and proliferative LN-including class III, IV, III+V, and IV+V disease-is associated with acute kidney injury, progression to end-stage kidney disease, and poor long-term outcomes.
Glucocorticoids remain a cornerstone of induction therapy for proliferative LN. However, the optimal initial dose in children is uncertain. Although recent adult SLE and LN guidelines increasingly recommend lower-dose glucocorticoid regimens with rapid tapering, pediatric guidelines still commonly recommend high initial prednisone doses of 1.5-2.0 mg/kg/day. Adult trials and comparative observational studies suggest that lower-dose glucocorticoid regimens may preserve efficacy while reducing treatment-related toxicity.
Because cumulative glucocorticoid exposure in children may impair growth, development, psychosocial well-being, and medication adherence, this trial will compare low-dose versus high-dose initial glucocorticoid regimens for induction treatment of pediatric proliferative LN. The objective is to determine whether a lower-dose regimen is non-inferior in efficacy while reducing glucocorticoid-related adverse effects and improving quality of life.
Przegląd badań
Status
Interwencja / Leczenie
Typ studiów
Zapisy (Szacowany)
Faza
- Faza 4
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Sihao Gao, MD, PhD
- Numer telefonu: 86-10-69155727
- E-mail: sihao.gao@gmail.com
Lokalizacje studiów
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, Chiny, 100730
- Rekrutacyjny
- Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
-
Kontakt:
- Sihao Gao, MD, PhD
- Numer telefonu: 86-10-69155727
- E-mail: sihao.gao@gmail.com
-
Główny śledczy:
- Hongmei Song, MD, PhD
-
Beijing, Beijing Municipality, Chiny
- Rekrutacyjny
- Beijing Children's Hospital, Capital Medical University
-
Kontakt:
- Huawei Mao, MD, PhD
- Numer telefonu: 86-10-59616318
- E-mail: maohwei@qq.com
-
Główny śledczy:
- Huawei Mao, MD, PhD
-
-
Chongqing Municipality
-
Chongqing, Chongqing Municipality, Chiny
- Jeszcze nie rekrutacja
- Chidren's Hospital of Chongqing Medical University
-
Kontakt:
- Xuemei Tang, MD
- Numer telefonu: 86-23-63630957
- E-mail: tangxuemei2008@163.com
-
Główny śledczy:
- Xuemei Tang, MD
-
-
Guangdong
-
Shenzhen, Guangdong, Chiny
- Jeszcze nie rekrutacja
- Shenzhen Children's Hospital
-
Kontakt:
- Jun Yang, MD
- Numer telefonu: 86-75-58395620
- E-mail: rogasansz@163.com
-
Główny śledczy:
- Jun Yang, MD
-
-
Hunan
-
Changsha, Hunan, Chiny
- Jeszcze nie rekrutacja
- The Second Xiangya Hospital of Central South University
-
Kontakt:
- Xiaochuan Wu, MD
- Numer telefonu: 86-731-85295259
- E-mail: wuxiaochuan@sina.com
-
Główny śledczy:
- Xiaochuan Wu, MD
-
-
Jiangsu
-
Nanjing, Jiangsu, Chiny
- Jeszcze nie rekrutacja
- Children's Hospital of Nanjing Medical University
-
Kontakt:
- Haiguo Yu, MD
- Numer telefonu: 86-25-83117830
- E-mail: yuhaiguo73@126.com
-
Główny śledczy:
- Haiguo Yu, MD
-
-
Jilin
-
Changchun, Jilin, Chiny
- Jeszcze nie rekrutacja
- Jilin University
-
Kontakt:
- Sirui Yang, MD
- Numer telefonu: 86-431-88783761
- E-mail: sryang@jlu.edu.cn
-
Główny śledczy:
- Sirui Yang, MD
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, Chiny
- Jeszcze nie rekrutacja
- Children's Hospital of Fudan University
-
Główny śledczy:
- Li SUN, MD
-
Kontakt:
- Li Sun, MD
- Numer telefonu: 86-21-64932829
- E-mail: lillysun@263.net
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dziecko
- Dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- Age ≥6 years and <18 years, with body weight ≥20 kg
- Meets the 2019 European League Against Rheumatism (EULAR) and American College of Rheumatology (ACR) classification criteria for Systemic Lupus Erythematosus (SLE)
- Renal biopsy confirming Lupus Nephritis class III, IV, III+V, or IV+V according to the International Society of Nephrology / Renal Pathology Society (ISN/RPS) classification
- At screening: 24-hour urinary protein ≥1.0 g (or ≥25 mg/kg), or urine protein-to-creatinine ratio (UPCR) ≥1.0 g/g
- White blood cell count ≥3.0 × 10⁹/L and lymphocyte count ≥1.0 × 10⁹/L
- No prior intravenous methylprednisolone pulse therapy before enrollment, and glucocorticoid exposure ≤2 weeks before enrollment, with a maximum prednisone-equivalent dose ≤30 mg/day (or ≤1 mg/kg/day)
- Written informed consent obtained and good treatment compliance expected
Exclusion Criteria:
- Uncertain diagnosis of SLE, genetically confirmed monogenic lupus, or a history of immunodeficiency
- Severe infection, including hepatitis C, active hepatitis B, HIV infection, tuberculosis infection, severe fungal infection, etc.
- Severe neuropsychiatric lupus
- Peripheral blood hemoglobin <60 g/L, platelet count <10 × 10⁹/L, or concomitant aplastic anemia
- Severe cardiac insufficiency (NYHA functional class ≥ II)
- Severe pulmonary involvement, including pulmonary hemorrhage, respiratory failure, pulmonary embolism, or other conditions requiring respiratory support
- Estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m²
- Severe gastrointestinal bleeding, pancreatitis, or hepatic lesions
- Patients deemed by the investigator to be unsuitable for participation in this trial
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Aktywny komparator: Control group (High-dose group)
Standard high-dose glucocorticoid therapy
|
All participants will receive two courses of intravenous methylprednisolone pulse therapy (10-30 mg/kg/day for 3 consecutive days per course; maximum 500 mg/day). Participants will then be randomized in a 1:1 ratio to the two treatment groups. In the standard-dose (control) group, oral prednisone will be initiated at 1.4-1.6 mg/kg/day (maximum 60 mg/day), followed by gradual tapering according to the predefined schedule. For participants weighing <40 kg, doses will be adjusted in proportion to body weight using the following formula: Individual dose = standard dose × body weight (kg) × 0.025. All participants will receive background therapy with oral hydroxychloroquine, mycophenolate mofetil, and intravenous belimumab at standard doses. |
|
Eksperymentalny: Intervention group (Low-dose group)
Low-dose glucocorticoid therapy
|
All participants will receive two courses of intravenous methylprednisolone pulse therapy (10-30 mg/kg/day for 3 consecutive days per course; maximum 500 mg/day). Participants will then be randomized in a 1:1 ratio to the two treatment groups. Participants in the intervention group will receive oral prednisone at an initial dose of 0.6-0.8 mg/kg/day, with a maximum dose of 30 mg/day, followed by gradual tapering according to the predefined schedule. For participants weighing <40 kg, doses will be adjusted in proportion to body weight using the following formula: Individual dose = standard dose × body weight (kg) × 0.025. The estimated cumulative prednisone dose over 24 weeks will be approximately 50% of that in the control group. All participants will receive background therapy with oral hydroxychloroquine, mycophenolate mofetil, and intravenous belimumab at standard doses. |
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Total Renal Response at Week 24
Ramy czasowe: Week 24
|
Total renal response (TRR) is defined as achievement of complete renal response (CRR), primary efficacy renal response (PERR), or partial renal response (PRR). Complete renal response (CRR) is defined as meeting both of the following criteria:
Primary efficacy renal response (PERR) is defined as meeting both of the following criteria:
Partial renal response (PRR) is defined as meeting both of the following criteria:
|
Week 24
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Complete Renal Response at Week 12 and 24
Ramy czasowe: Week 12, 24
|
CRR is defined as meeting both of the following criteria: (1) Urine protein <0.5 g/1.73 m², or 24-hour urine protein <300 mg/m², or urine protein-to-creatinine ratio (UPCR) <0.5 g/g; AND (2) Estimated glomerular filtration rate (eGFR) within the normal range; or eGFR at least 85% of baseline; or normal serum creatinine with an increase of no more than 25% from baseline.
|
Week 12, 24
|
|
Primary Efficacy Renal Response at Week 12 and 24
Ramy czasowe: Week 12, 24
|
PERR is defined as meeting both of the following criteria: (1) UPCR <0.7 g/g; AND (2) eGFR at least 80% of baseline or eGFR ≥60 mL/min/1.73
m².
|
Week 12, 24
|
|
Partial Renal Response at Week 12 and 24
Ramy czasowe: Week 12, 24
|
PRR is defined as meeting both of the following criteria: (1) Urine protein reduced by ≥50% from baseline and UPCR <3 g/g; AND (2) eGFR at least 85% of baseline.
|
Week 12, 24
|
|
Time to TRR
Ramy czasowe: Week 0-24
|
Total renal response (TRR) is defined as achievement of complete renal response (CRR), primary efficacy renal response (PERR), or partial renal response (PRR).
Complete renal response (CRR) is defined as meeting both of the following criteria: 1. Proteinuria <0.5 g/1.73 m², or 24-hour urinary protein excretion <300 mg/m², or urine protein-to-creatinine ratio (UPCR) <0.5 g/g; and 2. Estimated glomerular filtration rate (eGFR) within the normal range, or eGFR ≥85% of baseline, or a normal serum creatinine level with an increase of no more than 25% from baseline.
Primary efficacy renal response (PERR) is defined as meeting both of the following criteria: 1. UPCR <0.7 g/g; and 2. eGFR ≥80% of baseline or eGFR ≥60 mL/min/1.73
m².
Partial renal response (PRR) is defined as meeting both of the following criteria: 1.
A ≥50% reduction in proteinuria from baseline and UPCR <3 g/g; and 2. eGFR ≥85% of baseline.
|
Week 0-24
|
|
Time to CRR
Ramy czasowe: Week 0-24
|
Complete renal response (CRR) is defined as meeting both of the following criteria: (1) Urine protein <0.5 g/1.73 m², or 24-hour urine protein <300 mg/m², or urine protein-to-creatinine ratio (UPCR) <0.5 g/g; (2) Estimated glomerular filtration rate (eGFR) within the normal range; or eGFR at least 85% of baseline; or normal serum creatinine with an increase of no more than 25% from baseline.
|
Week 0-24
|
|
Time to PERR
Ramy czasowe: Week 0-24
|
Primary efficacy renal response (PERR) is defined as meeting both of the following criteria: (1) UPCR <0.7 g/g; (2) eGFR at least 80% of baseline or eGFR ≥60 mL/min/1.73
m².
|
Week 0-24
|
|
Time to PRR
Ramy czasowe: Week 0-24
|
Partial renal response (PRR) is defined as meeting both of the following criteria: (1) Urine protein reduced by ≥50% from baseline and UPCR <3 g/g; (2) eGFR at least 85% of baseline.
|
Week 0-24
|
|
Change of C3 from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To assess the improvement of SLE serum activity
|
Week 0, 24
|
|
Changes of C4 from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To assess the improvement of SLE serum activity
|
Week 0, 24
|
|
Change of anti-dsDNA titer from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To assess the improvement of SLE disease activity
|
Week 0, 24
|
|
Change of anti-dsDNA value from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To assess the improvement of SLE disease activity
|
Week 0, 24
|
|
Change of SLEDAI-2K from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To assess the level of disease activity improvement by Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score.
|
Week 0, 24
|
|
Change of PGA from baseline to Week 24
Ramy czasowe: Week 0, 24
|
Physician Global Assessment (PGA) is a clinical tool utilizing a 0 to 3 visual analogue scale to measure overall disease activity by experienced rheumatologists.
|
Week 0, 24
|
|
Change of ParentGA from baseline to Week 24
Ramy czasowe: Week 0, 24
|
Parental Global Assessment (ParentGA) is a parent-reported outcome measure used to quantify a caregiver's perception of their child's overall disease impact and well-being.
ParentGA consists of a horizontal line containing 21 circles numbered from 0 to 10.
The scale moves in 0.5 increments.
The score of 0 indicates "very well" (best possible health status/disease activity) and 10 indicates "very poor" (worst possible health status/disease activity).
|
Week 0, 24
|
|
Change of PedsQL from baseline to Week 24
Ramy czasowe: Week 0, 24
|
The Pediatric Quality of Life Inventory (PedsQL) is a modular assessment tool used to measure health-related quality of life in children, evaluating physical, emotional, social, and school functioning to generate an overall health score.
|
Week 0, 24
|
|
Change of serum creatinine from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To measure renal function levels
|
Week 0, 24
|
|
Change of eGFR from baseline to Week 24
Ramy czasowe: Week 0, 24
|
eGFR (estimated Glomerular Filtration Rate) is a calculated value used to assess kidney filtration function. Pediatric eGFR [mL/(min·1.73m2)] = K × 88.4 × Height (cm)/Serum Creatinine (μmol/L). When serum creatinine is measured using the Jaffe method, the K coefficient is proportional to an individual's muscle mass and varies with age. In adolescents, it varies according to sex: Children and adolescent females: K = 0.55; Adolescent males: K = 0.77. When creatinine is measured using an enzymatic assay: K = 0.413 |
Week 0, 24
|
|
Change of 24-hour urine protein from baseline to Week 24
Ramy czasowe: Week 0, 24
|
A 24-hour urine protein test measures kidney function by quantifying how much protein the body excretes in a full day.
|
Week 0, 24
|
|
Changes of UPCR from baseline to Week 24
Ramy czasowe: Week 0, 24
|
A UPCR (Urine Protein Creatinine Ratio) test measures the amount of protein relative to creatinine in a single urine sample.
It is a highly accurate, convenient alternative to 24-hour urine test.
|
Week 0, 24
|
|
Rate of LN treatment failure at Week 24
Ramy czasowe: Week 24
|
LN treatment failure is defined as the occurrence of any of the following:
|
Week 24
|
|
Rate of renal flare at Week 24
Ramy czasowe: Week 24
|
Renal flare, defined by either (a) or (b):
|
Week 24
|
|
Rate of SLE flare at Week 24
Ramy czasowe: Week 24
|
SLE flare is defined according to SELENA-SLEDAI definitions:
|
Week 24
|
|
Rate of LLDAS at Week 24
Ramy czasowe: Week 24
|
LLDAS was defined as meeting all of the following criteria:
|
Week 24
|
|
Rate of DORIS remission at Week 24
Ramy czasowe: Week 24
|
DORIS remission is defined as meeting all of the following criteria:
|
Week 24
|
|
PRINTO/ACR cSLE response rate at Week 24
Ramy czasowe: Week 24
|
Response was defined as improvement of at least 50% from baseline in any two of the five core outcome measures, with no more than one of the remaining measures worsening by more than 30%. The five core outcome measures were Physician Global Assessment of overall disease activity (PGA), Parent Global Assessment of disease activity (ParentGA), proteinuria, the SLE Disease Activity Index 2000 (SLEDAI-2K), and the physical functioning domain of the Pediatric Quality of Life Inventory (PedsQL). |
Week 24
|
|
Changes of Childhood Lupus Improvement Index (CHILI) from baseline to Week 24
Ramy czasowe: Week 0, 24
|
The Childhood Lupus Improvement Index (CHILI) is a validated measure of treatment response in childhood-onset SLE that primarily captures clinically meaningful improvement.
The score is calculated using five core outcome measures: Physician Global Assessment of overall disease activity (PGA), Parent Global Assessment of disease activity (ParentGA), proteinuria assessed by the urine protein-to-creatinine ratio (UPCR) or 24-hour urinary protein excretion, the SLE Disease Activity Index 2000 (SLEDAI-2K), and the physical functioning domain of the Pediatric Quality of Life Inventory (PedsQL).
(PMID: 30680946)
|
Week 0, 24
|
|
Rate of clinical, minor, moderate and major improvement in cSLE at Week 24
Ramy czasowe: Week 0, 24
|
Using the CHILI absolute-change definition, clinical improvement is defined as a CHILI score ≥54; minor improvement as CHILI ≥15; moderate improvement as CHILI ≥68; and major improvement as CHILI ≥92.
|
Week 0, 24
|
|
Scores and changes of pGTI from baseline to Week 12 and 24
Ramy czasowe: Week 0, 12, 24
|
The pediatric glucocorticoid toxicity index (pGTI) is a composite index including 10 glucocorticoid toxicity domains: body mass index, growth and development, glucose tolerance, lipid metabolism, systolic blood pressure, bone mineral density, glucocorticoid-induced myopathy, skin toxicity, neuropsychiatric effects, and infection. (PMID: 35917759) |
Week 0, 12, 24
|
|
SLICC/ACR Damage Index at Week 24
Ramy czasowe: Week 24
|
The Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SLICC/ACR Damage Index, SDI) is designed to assess cumulative, irreversible organ damage occurring since the onset of SLE.
It encompasses 39 types of chronic, irreversible damage across 12 organ systems, irrespective of ongoing inflammatory disease activity.
(PMID: 8607884)
|
Week 24
|
|
Category, incidence and severity of adverse events
Ramy czasowe: Week 0-24
|
Adverse events should be assessed at each study visit, including the event name, timing, management, severity, and outcome. Adverse event grading: Grade 1 (mild): Asymptomatic or mild symptoms; clinical or diagnostic findings only; no treatment required. Grade 2 (moderate): Requires minor or local treatment and limits instrumental activities of daily living. Grade 3 (severe): Medically significant but not immediately life-threatening; hospitalization may be required; limits self-care activities of daily living. Grade 4 (life-threatening): Requires urgent intervention. Grade 5 (death): Death related to the adverse event. |
Week 0-24
|
|
Change of blood pressure from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To measure improvement of kidney function, and monitor the side effect by glucocorticoids.
|
Week 0, 24
|
|
Change of fasting blood glucose from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To evaluate adverse events of glucocorticoids
|
Week 0, 24
|
|
Changes of serum triglycerides from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To monitor adverse effects of glucocorticoids
|
Week 0, 24
|
|
Changes of height from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To measure the growth velocity of children, and monitor the adverse events of glucocorticoids
|
Week 0, 24
|
|
Changes of bone marrow density from baseline to Week 24
Ramy czasowe: Week 0, 24
|
To monitor the side effects of glucocorticoids, bone mineral density (BMD) is measured by dual-energy X-ray absorptiometry (DXA) at the lumbar spine.
|
Week 0, 24
|
Współpracownicy i badacze
Współpracownicy
Śledczy
- Główny śledczy: Hongmei Song, MD, PhD, Peking Union Medical College
Publikacje i pomocne linki
Publikacje ogólne
- Varni JW, Seid M, Rode CA. The PedsQL: measurement model for the pediatric quality of life inventory. Med Care. 1999 Feb;37(2):126-39. doi: 10.1097/00005650-199902000-00003.
- Dooley MA, Jayne D, Ginzler EM, Isenberg D, Olsen NJ, Wofsy D, Eitner F, Appel GB, Contreras G, Lisk L, Solomons N; ALMS Group. Mycophenolate versus azathioprine as maintenance therapy for lupus nephritis. N Engl J Med. 2011 Nov 17;365(20):1886-95. doi: 10.1056/NEJMoa1014460.
- Brunner HI, Abud-Mendoza C, Viola DO, Calvo Penades I, Levy D, Anton J, Calderon JE, Chasnyk VG, Ferrandiz MA, Keltsev V, Paz Gastanaga ME, Shishov M, Boteanu AL, Henrickson M, Bass D, Clark K, Hammer A, Ji BN, Nino A, Roth DA, Struemper H, Wang ML, Martini A, Lovell D, Ruperto N; Paediatric Rheumatology International Trials Organisation (PRINTO) and the Pediatric Rheumatology Collaborative Study Group (PRCSG). Safety and efficacy of intravenous belimumab in children with systemic lupus erythematosus: results from a randomised, placebo-controlled trial. Ann Rheum Dis. 2020 Oct;79(10):1340-1348. doi: 10.1136/annrheumdis-2020-217101. Epub 2020 Jul 22.
- Kidney Disease: Improving Global Outcomes (KDIGO) Lupus Nephritis Work Group. KDIGO 2024 Clinical Practice Guideline for the management of LUPUS NEPHRITIS. Kidney Int. 2024 Jan;105(1S):S1-S69. doi: 10.1016/j.kint.2023.09.002. No abstract available.
- Fanouriakis A, Kostopoulou M, Andersen J, Aringer M, Arnaud L, Bae SC, Boletis J, Bruce IN, Cervera R, Doria A, Dorner T, Furie RA, Gladman DD, Houssiau FA, Ines LS, Jayne D, Kouloumas M, Kovacs L, Mok CC, Morand EF, Moroni G, Mosca M, Mucke J, Mukhtyar CB, Nagy G, Navarra S, Parodis I, Pego-Reigosa JM, Petri M, Pons-Estel BA, Schneider M, Smolen JS, Svenungsson E, Tanaka Y, Tektonidou MG, Teng YO, Tincani A, Vital EM, van Vollenhoven RF, Wincup C, Bertsias G, Boumpas DT. EULAR recommendations for the management of systemic lupus erythematosus: 2023 update. Ann Rheum Dis. 2024 Jan 2;83(1):15-29. doi: 10.1136/ard-2023-224762.
- Wang Y, Li X, Jian S, Li J, Yan J, Sun S, Yang Z, Zheng W, Li Q, Zheng Q, Lu M, Wang M, Yang Q, Mao H, Han T, Lin Y, Zhang Q, Du Y, Tang Y, Cai Y, Sun L, Zhang J, Liu J, Rong Z, Jiang L, Bai H, Chen Y, Yang J, Wang L, Zhang W, Wei X, Zhu Y, Li X, Xie X, Zhou D, Li Y, Cao Y, Shen T, Liu Q, Song H, Wu X; Chinese Alliance of Pediatric Rheumatic and Immunologic Diseases. Mycophenolate Mofetil versus Cyclophosphamide for Initial Therapy in Childhood-Onset Proliferative Lupus Nephritis: A Prospective, Multicenter, Randomized Trial. J Am Soc Nephrol. 2026 Mar 1;37(3):560-568. doi: 10.1681/ASN.0000000866. Epub 2025 Sep 12.
- Gong Y, Liu S, Liu H, Shi Y, Li Y, Guan W, Zeng Q, Lv Q, Zhang X, Wei Q, Chen J, Shen Q, Xu H, Sun L. Efficacy of initial combination with belimumab in newly diagnosed childhood-onset lupus nephritis: a single-centre historical control study. Lupus Sci Med. 2024 Dec 15;11(2):e001350. doi: 10.1136/lupus-2024-001350.
- Brogan P, Naden R, Ardoin SP, Cooper JC, De Benedetti F, Dicaire JF, Eleftheriou D, Feldman B, Goldin J, Karol SE, Price-Kuehne F, Skuse D, Stratakis CA, Webb N, Stone JH. The pediatric glucocorticoid toxicity index. Semin Arthritis Rheum. 2022 Oct;56:152068. doi: 10.1016/j.semarthrit.2022.152068. Epub 2022 Jul 14.
- Brunner HI, Holland MJ, Beresford MW, Ardoin SP, Appenzeller S, Silva CA, Flores F, Goilav B, Avar Aydin PO, Wenderfer SE, Levy DM, Ravelli A, Khubchandani R, Avcin T, Klein-Gitelman MS, Ruperto N, Feldman BM, Ying J; Paediatric Rheumatology International Trial Organisation and Pediatric Rheumatology Collaborative Study Group. American College of Rheumatology Provisional Criteria for Clinically Relevant Improvement in Children and Adolescents With Childhood-Onset Systemic Lupus Erythematosus. Arthritis Care Res (Hoboken). 2019 May;71(5):579-590. doi: 10.1002/acr.23834.
- Brunner HI, Higgins GC, Wiers K, Lapidus SK, Olson JC, Onel K, Punaro M, Ying J, Klein-Gitelman MS, Giannini EH. Prospective validation of the provisional criteria for the evaluation of response to therapy in childhood-onset systemic lupus erythematosus. Arthritis Care Res (Hoboken). 2010 Mar;62(3):335-44. doi: 10.1002/acr.20103.
- Filocamo G, Davi S, Pistorio A, Bertamino M, Ruperto N, Lattanzi B, Consolaro A, Magni-Manzoni S, Galasso R, Varnier GC, Martini A, Ravelli A. Evaluation of 21-numbered circle and 10-centimeter horizontal line visual analog scales for physician and parent subjective ratings in juvenile idiopathic arthritis. J Rheumatol. 2010 Jul;37(7):1534-41. doi: 10.3899/jrheum.091474. Epub 2010 Jun 15.
- Pierrat A, Gravier E, Saunders C, Caira MV, Ait-Djafer Z, Legras B, Mallie JP. Predicting GFR in children and adults: a comparison of the Cockcroft-Gault, Schwartz, and modification of diet in renal disease formulas. Kidney Int. 2003 Oct;64(4):1425-36. doi: 10.1046/j.1523-1755.2003.00208.x.
- Mina R, von Scheven E, Ardoin SP, Eberhard BA, Punaro M, Ilowite N, Hsu J, Klein-Gitelman M, Moorthy LN, Muscal E, Radhakrishna SM, Wagner-Weiner L, Adams M, Blier P, Buckley L, Chalom E, Chedeville G, Eichenfield A, Fish N, Henrickson M, Hersh AO, Hollister R, Jones O, Jung L, Levy D, Lopez-Benitez J, McCurdy D, Miettunen PM, Quintero-del Rio AI, Rothman D, Rullo O, Ruth N, Schanberg LE, Silverman E, Singer NG, Soep J, Syed R, Vogler LB, Yalcindag A, Yildirim-Toruner C, Wallace CA, Brunner HI; Carra SLE Subcommittee. Consensus treatment plans for induction therapy of newly diagnosed proliferative lupus nephritis in juvenile systemic lupus erythematosus. Arthritis Care Res (Hoboken). 2012 Mar;64(3):375-83. doi: 10.1002/acr.21558.
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Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
- Choroby układu moczowo-płciowego
- Choroby układu moczowo-płciowego u mężczyzn
- Choroby nerek
- Choroby Urologiczne
- Choroby układu moczowo-płciowego kobiet
- Choroby układu moczowo-płciowego kobiet i powikłania ciąży
- Choroby tkanki łącznej
- Choroby Autoimmunologiczne
- Choroby układu odpornościowego
- Kłębuszkowe zapalenie nerek
- Zapalenie nerek
- Choroby skóry i tkanki łącznej
- Toczeń rumieniowaty układowy
- Toczniowe zapalenie nerek
- Związki policykliczne
- Ciąży
- Ciężarne
- Steroidy
- Związki sterownika
- Ciąży
- Prednizon
Inne numery identyfikacyjne badania
- K10405
- 2025-PUMCH-C-047 (Inny numer grantu/finansowania: National High Level Hospital Clinical Research Funding)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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