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临床试验/ITMCTR2200005596
ITMCTR2200005596尚未招募4 期

Efficacy and Safety of Tripterygium hypoglaucum Root Tablet combined with Tacrolimus Therapy in primary membranous nephropathy with moderate risk : a double-blind, randomised, controlled trial

The First Affiliated Hospital, College of Medicine, Zhejiang University0 个研究点开始时间: 待定最近更新:
适应症

试验速览

阶段
4 期
状态
尚未招募
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional study

入排标准

年龄范围
45 至 75(—)
性别
All

入选标准

  • 1.Age 45-75 years old;
  • 2.Those whose clinical manifestation and renal biopsy pathologic diagnosis are PMN with secondary membranous nephropathy excluded;
  • 3.Those who take a stable dose of ACEi and/or ARB and/or statins and/or diuretics in accordance with the maximum dose or maximum tolerated dose recommended by the guidelines for at least 8 weeks, which is defined as a dose change of <25% within 8 weeks;
  • 4.Urinary protein =3.5g/day and <8g/day;
  • 5.Estimated GFR = 60 ml/min/1.73m2;
  • 6.Patients who have signed the informed consent forms.

排除标准

  • 1.Those who are secondary cause of MN (eg. hepatitis B, lupus erythematosus, drugs, malignant tumors, etc.);
  • 2.PLA2R antibody > 150 RU/ml;
  • 3.Those whose weight >90KG;
  • 4.Those who have fertility needs;
  • 5.Those who have used immunosuppression in the past 3 months or used CD20 monoclonal antibody treatment within 1 year;
  • 6.Those whose eGFR decrease with unexplained reasons in by 20% within 6 months (The decrease is not caused by PMN);
  • 7.Those who has serious, disabling or life-threatening complications related to PMN;
  • 8.Serum albumin level <20g/L;
  • 9.Those with kidney transplantation;
  • 10.Those who are or plan to become pregnant or breastfeeding;
  • 11.Those who infected by active systemic bacterial, virus (including COVID-19) or fungal infection or suspected infection within 14 days, or history of severe recurrent bacterial infection; or fever = 38° within 7 days; or history of human immunodeficiency virus (HIV) infection; or chronic hepatitis B (HBV) or hepatitis C (HCV) with a clear diagnosis;
  • 12.Those who have obvious liver disease, such as ALT greater than 2 times the upper limit, or total bilirubin greater than 1.5 times the upper limit;
  • 13.Those whose have malignant or uncontrolled hypertension (systolic blood pressure >160mmHg or diastolic blood pressure >110mmHg);
  • 14.Those whose have white blood cell count <3.0×109/L, or hemoglobin <80g/L, or platelets <80×109/L, or other blood system diseases;
  • 15.Those who have a history of diabetes;
  • 16.Those with heart failure (NYHA III-IV grade);
  • 17.Those with severe arrhythmia;
  • 18.Those with stroke, TIA, acute myocardial infarction, unstable angina, or cardiogenic or unexplained syncope occurred;
  • 19.Those with a history of malignant tumors;
  • 20.Those with a history of active peptic ulcer or gastrointestinal bleeding;
  • 21.Those who cannot comply with the research protocol by research sponsor;
  • 22.For security reasons, the research sponsor proposed to stop the study.

研究者

发起方
The First Affiliated Hospital, College of Medicine, Zhejiang University

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