NCT00615173
Completed
Phase 3
Prospective, Randomized, Multicenter, Control Study to Assess the Efficacy and Safety of Tacrolimus in Induction and Maintenance Phase Treatment in Lupus Nephritis
Sun Yat-sen University1 site in 1 country81 target enrollmentJuly 2006
Overview
- Phase
- Phase 3
- Intervention
- tacrolimus (FK506)
- Conditions
- Kidney Diseases
- Sponsor
- Sun Yat-sen University
- Enrollment
- 81
- Locations
- 1
- Primary Endpoint
- Remission rate
- Status
- Completed
- Last Updated
- 17 years ago
Overview
Brief Summary
The purpose of this study is to compare the efficacy and safety of tacrolimus vs intravenous cyclophosphamide pulses treatment for the induction therapy of LN(III,IV,V).
To compare the efficacy and safety of tacrolimus vs Azathioprine for the maintenance therapy of LN(III,IV,V).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects of either sex, 14-65 years of age;
- •Diagnosis of SLE according to the ACR criteria(1997);
- •Kidney biopsy within the 6 months prior to first randomization with a histologic diagnosis (ISN/RPS 2003 classification of LN) class III, IV, V;
- •Class IV LN: proteinuria \>1g/24hr or Scr\>115umol/L;
- •Class III or V LN: proteinuria \>2g/24hr or Scr\>115umol/L;
- •Provision of written informed consent by subject or guardian.
Exclusion Criteria
- •Inability or unwillingness to provide written informed consent ;
- •Known hypersensitivity or contraindication to tacrolimus, cyclophosphamide , azathioprine, corticosteroids;
- •Usage of immunosuppression therapy (MMF, CTX, CysA, MTX ect) for more than 1 week within 1 month prior to first randomization;
- •Pregnancy, nursing or use of a non-reliable method of contraception;
- •Continuous dialysis starting more than 2 weeks before randomization into the induction phase and/or continuous dialysis with an anticipated duration of more than 8 weeks;
- •Previous kidney transplant or planted transplant;
- •Scr \> 4mg/dl (353umol/L);
- •Active hepatitis, with liver dysfunction;
- •Diagnosed DM;
- •Participation in another clinic trial and/or receipt of investigational drugs within 4 weeks prior to screening .
Arms & Interventions
1
tacrolimus(fk506) treatment in induction and maintenance phase
Intervention: tacrolimus (FK506)
2
intravenous cyclophosphamide pulses treatment in induction phase; and Aza in the maintenance phase
Intervention: cyclophosphamide or azathioprine
Outcomes
Primary Outcomes
Remission rate
Time Frame: 2006-2008
Secondary Outcomes
- Renal function, proteinuria, relapse.(2006-2008)
Study Sites (1)
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