Research Institute of Nephrology, Jinling Hospital,
Overview
- Phase
- Not Applicable
- Intervention
- Multi-target therapy
- Conditions
- Lupus Nephritis
- Sponsor
- Zhi-Hong Liu, M.D.
- Enrollment
- 206
- Locations
- 1
- Primary Endpoint
- To compare the efficacy and safety of multi-target therapy as maintenance treatment for lupus nephritis with Aza.
- Status
- Completed
- Last Updated
- 10 years ago
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.
Investigators
Zhi-Hong Liu, M.D.
professor
Nanjing University School of Medicine
Eligibility Criteria
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
(Tarcrolimus+mycophenolate mofetil)
Intervention: Multi-target therapy
Azathioprine
Aza
Intervention: Azathioprine
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