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Endogenous steroid suppression in children and adolescents with nephrotic syndrome treated with steroids

Not Applicable
Conditions
Health Condition 1: E273- Drug-induced adrenocortical insufficiency
Registration Number
CTRI/2021/06/034046
Lead Sponsor
Maulana Azad Medical College and associated Lok Nayak Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Children and adolescents with steroid sensitive or steroid resistant nephrotic syndrome in the age group of 1-18 years, presently in remission (partial or complete) and

1. Who received daily prednisolone in any dosage for >= 2 weeks in the last 1 year and they are now off steroids or

2. Are presently receiving low dose alternate day prednisolone therapy ( <1 mg/kg/day) for atleast 8 weeks.

Exclusion Criteria

1.Children with nephrotic syndrome who received daily corticosteroid therapy in any dosages in the last 8 weeks.

2.Children with nephrotic syndrome having serious bacterial infections like pneumonia, cellulitis, sepsis, meningitis etc or are hospitalised for any reason.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of patients having adrenocortical insufficiency defined as serum cortisol 18 ug/dL by a low dose ACTH stimulation test. <br/ ><br>Timepoint: From OPD visit to individual patient samples will be analysed within five days. <br/ ><br>Thesis will be done in a year for the suggested sample size.
Secondary Outcome Measures
NameTimeMethod
Disease type, duration, cumulative steroid doses, correlation of steroid doses to baseline and stimulated serum cortisol values. <br/ ><br>Timepoint: From OPD visit to individual patient samples will be analysed within five days. <br/ ><br>Thesis will be done in a year for the suggested sample size.
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