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Study comparing two medications, namely injection rituximab and oral tablets of mycophenolate mofetil, in controlling the disease in patients with steroid resistant nephrotic syndrome who have had a relapsing illness during therapy with calcineurin inhibitors for more than two years

Phase 4
Conditions
Health Condition 1: N041- Nephrotic syndrome with focal andsegmental glomerular lesionsHealth Condition 2: N040- Nephrotic syndrome with minor glomerular abnormality
Registration Number
CTRI/2022/10/046890
Lead Sponsor
AIIMS New Delhi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

(1) Age 5 - 18 years

(2) Idiopathic steroid resistant NS, initial or late resistance

(3) Minimal change disease or focal segmental glomerulosclerosis

(4) Therapy with either calcineurin inhibitor (CNI, cyclosporine or tacrolimus) for two years or longer

(5) Complete or partial remission during therapy with CNI

(6) Infrequent or frequent steroid sensitive relapses during therapy with CNI

Exclusion Criteria

(1) Nephrotic syndrome secondary to systemic disease or infection

(2) Therapy with rituximab or mycophenolate mofetil in the last two years

(3) Inability to swallow tablets or capsules of mycophenolate mofetil

(4) Chronic infection with hepatitis B or C or human immunodeficiency virus

(5) Impaired renal function, as indicated by eGFR <60 mL/min per 1.73 square meter

(6) Leukopenia, neutropenia, thrombocytopenia, elevated hepatic transaminases or hypogammaglobulinemia

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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