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临床试验/NCT01172002
NCT01172002Unknown不适用

A Randomized Multicenter Trial Comparing Leflunomide and Azathioprine as Remission-Maintaining Treatment for Proliferative Lupus Glomerulonephritis.

RenJi Hospital1 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2010年3月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
入组人数
200
试验地点
1
主要终点
lupus nephritis flare

研究概览

简要总结

Leflunomide versus Azathioprine for Maintenance Therapy of Lupus Nephritis

详细描述

Proliferative glomerulonephritis is a common and severe manifestation of systemic lupus erythematosus (SLE) that usually requires intensive therapy with high doses of glucocorticosteroids and cytotoxic drugs, such as intravenous (IV) cyclophosphamide (CYC). The objective of this Trial is to compare leflunomide (LEF) and azathioprine (AZA), in terms of efficacy and toxicity, as remission-maintaining treatment of proliferative lupus glomerulonephritis, after a remission-inducing therapy with a short-course IV CYC regimen. The hypothesis of this trial is that LEF is non-inferior to AZA.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Aged 18 to 65 years
  • Biopsy-proven proliferative lupus nephritis
  • Disease activity, SLEDAI score ≥ 8 points
  • Persistent proteinuria (≥ 1g/24h), with or without microscopic hematuria;
  • Signed informed consent

排除标准

  • Allergy to the LEF, CTX, AZA
  • Recent treatment with high-dose glucocorticoids
  • Weight <45kg
  • Recent treatment with immunosuppressive drugs
  • CNS( Central Nerve System) Lupus patients
  • Hepatic failure patients
  • Severely abnormal renal function or end-stage renal failure
  • More exclusion criteria in the protocol

研究组 & 干预措施

leflunomide group

Experimental

干预措施: Leflunomide (Drug)

Azathioprine group

Active Comparator

干预措施: Azathioprine (Drug)

结局指标

主要结局

lupus nephritis flare

时间窗: two years

次要结局

  • 24-hour proteinuria over time(two years)
  • Serum albumin over time(two years)
  • Number of extra renal flare(two years)
  • Cumulated glucocorticoid intake(two years)

研究者

申办方类型
Other

研究点 (1)

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