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Clinical Trials/NCT01288664
NCT01288664WithdrawnPhase 3

Efficacy and Safety of Tacrolimus Sustained-release Capsules in Induction Phase Treatment in Lupus Nephritis

Sun Yat-sen University1 site in 1 countryStarted: January 2011Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Withdrawn
Sponsor
Locations
1
Primary Endpoint
Remission rate (complete or partial remission)

Study Overview

Brief Summary

This is a pilot study to evaluate the efficacy and safety of Tacrolimus Sustained-release Capsules (ADVAGRAF) for the induction therapy of Lupus Nephritis (LN) (V, III +V, IV+V).

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

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

Inclusion Criteria

  • Subjects of either sex, 14-65 years of age;
  • Diagnosis of systemic lupus erythematosus (SLE) according to the albumin-creatinine ratio (ACR) criteria (1997);
  • Kidney biopsy within the 6 months prior to study with a histologic diagnosis (ISN/RPS 2003 classification of LN) class V, III +V, IV+V;
  • LN (Class IV+V): proteinuria > 1g/24hr or Scr > 1.3 mg/dl or active urinary sediment (erythrocyte cast, > 5 white blood cell count (WBC) /high power field (hpf)(excluding infection ), > 5 red blood cell count (RBC)/hpf;
  • LN (Class V or III +V ): proteinuria > 2g/24hr or Scr > 1.3 mg/dl;
  • Provision of written informed consent by subject or guardian

Exclusion Criteria

  • Inability or unwillingness to provide written informed consent
  • Usage of immunosuppression therapy (MMF, Cyclophosphamide (CTX), Cyclosporine A (CysA), methotrexate (MTX) ect) for more than 1 week within 1 month or Pulse intravenous MP treatment prior to recruitment
  • Scr > 4mg/dl (354umol/L)
  • Needing pulse intravenous Methylprednisolone (MP) or intravenous immunoglobulin
  • Lupus encephalopathy
  • Diagnosed diabetes mellitus (DM); Malignant tumors (except fully cured basal cell carcinoma)
  • History of significant gastrointestinal disorders (e.g. severe chronic diarrhea or active peptic ulcer disease) within 3 month prior to enter this study
  • Any Active systemic infection or history of serious infection within one month of entry
  • known infection with HIV, hepatitis B, or hepatitis C
  • Known hypersensitivity or contraindication to tacrolimus, corticosteroids
  • Participation in another clinic trial and/or receipt of investigational drugs within 4 weeks prior to screening
  • Pregnancy, nursing or use of a non-reliable method of contraception.

Arms & Interventions

ADVAGRAF

Experimental

Tacrolimus Sustained-release Capsules (ADVAGRAF) treatment in induction phase for 6 months

Intervention: ADVAGRAF (Drug)

Outcomes

Primary Outcomes

Remission rate (complete or partial remission)

Time Frame: 6 months

Secondary Outcomes

  • relapse(every 3 months, up to 6 months)
  • renal function(every 3 months, up to 6 months)
  • Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) scores(every 3 months, up to 6 months)
  • Number of participants with adverse events as a measure of safety and tolerability(every 3 months, up to 6 months)
  • proteinuria(every 3 months,up to 6 months)

Investigators

Sponsor
Sun Yat-sen University
Sponsor Class
Other

Study Sites (1)

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