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Clinical Trials/NCT01056237
NCT01056237CompletedNot Applicable

Research Institute of Nephrology, Jinling Hospital,

Zhi-Hong Liu, M.D.1 site in 1 country206 target enrollmentStarted: February 2010Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
206
Locations
1
Primary Endpoint
To compare the efficacy and safety of multi-target therapy as maintenance treatment for lupus nephritis with Aza.

Study Overview

Brief Summary

An multi-site, randomized, prospective study to compare the efficacy and safety of multi-target therapy as continuous induction and maintenance treatment versus CTX- Aza therapy.

Detailed Description

Azathioprine (AZA) has been used for maintenance therapy of lupus nephritis for many years. We compare the efficacy and safety of multi-target therapy as continuous induction and maintenance treatment vs CTX-Aza.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 65 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients who signed written informed consent form
  • SLE patient, aged between 18-65 years, female or male;
  • Patients diagnosed lupus nephritis according to ISN/RPS 2003 classification criteria, class Ⅲ, Ⅳ,Ⅳ+Ⅴ, Ⅲ+Ⅴ or Ⅴ LN by renal biopsy
  • All patients had received induction therapy for 6 months with multi-therapy (FK506 + MMF) or intravenous CTX pulses.
  • Patients were recruited when received partial remission or complete remission after 6 months induction therapy.
  • Complete remission: proteinuria <0.4 g/24h, negative urine sediment, serum albumin >35 g/L, elevated scr <0.3mg/dl, no extra-renal complications; Partial remission: proteinuria <1.0 g/24h, urine RBC <50X104/ml without casts, serum albumin > 30 g/L, elevated Scr <0.3mg/dl,no extra-renal complications.

Exclusion Criteria

  • Patients who didn't sign written informed consent form or could not obey the protocol.
  • Patients who didn't received the CR or PR criterion.
  • Patients who have impaired liver function, with ALT/GPT or AST/GOT twice more than the normal upper limit or who have active hepatitis.
  • WBC <3000/mm3 in peripheral blood .
  • Patients with central nervous system symptoms. -

Arms & Interventions

Multi-target therapy

Experimental

(Tarcrolimus+mycophenolate mofetil)

Intervention: Multi-target therapy (Drug)

Azathioprine

Active Comparator

Aza

Intervention: Azathioprine (Drug)

Outcomes

Primary Outcomes

To compare the efficacy and safety of multi-target therapy as maintenance treatment for lupus nephritis with Aza.

Time Frame: 18 months

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
Zhi-Hong Liu, M.D.
Sponsor Class
Other
Responsible Party
Sponsor Investigator
Principal Investigator

Zhi-Hong Liu, M.D.

professor

Nanjing University School of Medicine

Study Sites (1)

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