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Comparing the Efficacy of Tacrolimus and Mycophenolate Mofetil for the Initial Therapy of Active Lupus Nephritis

Phase 4
Completed
Conditions
Lupus Nephritis
Interventions
Registration Number
NCT00371319
Lead Sponsor
Tuen Mun Hospital
Brief Summary

The purpose of this study is comparing the efficacy of tacrolimus and mycophenolate mofetil for the initial therapy of active lupus glomerulonephritis.

Detailed Description

Patients with biopsy proven active lupus nephritis will be randomized to receive tacrolimus or mycophenolate mofetil, on top of corticosteroids, for initial treatment. Efficacy and adverse effects will be compared.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  1. Patients who fulfill at least 4 of the ACR criteria for SLE
  2. Age >= 18 years
  3. Biopsy proven active lupus glomerulonephritis (ISN/RPS class III/IV/V)
  4. Serum creatinine < 200 umol/L at the time of randomization
Exclusion Criteria
  1. Patients who refuse to be randomized for treatment
  2. Patients who prefer treatment with conventional agents such as oral or intravenous CYC for various reasons
  3. Serum creatinine >= 200 umol/L at the time of randomization
  4. Patients without renal biopsy or those who have lupus nephritis ISN/RPS class I,II,VI
  5. Patients who are pregnant or plan for pregnancy within 12 months after randomization

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TacrolimustacrolimusTacrolimus treatment
mycophenolate mofetilmycophenolate mofetilmycophenolate mofetil
Primary Outcome Measures
NameTimeMethod
remission ratemonth 6
Secondary Outcome Measures
NameTimeMethod
renal function deterioration, relapse and mortalitymonth 60

Trial Locations

Locations (1)

Tuen Mun Hospital

🇨🇳

Hong Kong, China

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