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A clinical trial to study the effect and safety of intravenous cyclophosphamide and tacrolimus in children with steroid resistant nephrotic syndrome

Phase 4
Registration Number
CTRI/2008/091/000215
Lead Sponsor
il
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
130
Inclusion Criteria

Newly diagnosed patients with idiopathic steroid resistant nephrotic syndrome

(initial or late resistance), 1 to 16 years old , shall be studied . Standard definitions will be used for defining the course of nephrotic syndrome

Exclusion Criteria

Patients with impaired renal functions (GFR<60ml/mt/sqm , serum creatinine > 1.2 mg/dl or urea > 45 mg/dl, confirmed once over a period of 2 weeks).
Patients who have received immunosuppressive medications, other than oral prednisolone, in the preceding 6 months.
Patients staying more than 200 km from the Institute or those who not willing to come for monthly visits.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of remission (complete or partial) at six months in patients receiving intravenous cyclophosphamide and alternate day prednisolone versus those receiving tacrolimus and alternate day prednisolone.Timepoint: 6 months
Secondary Outcome Measures
NameTimeMethod
Proportion in sustained remission and with steroid sensitive relapses at one-year follow up <br/ ><br>Frequency and type of side effects in both the groups during one year follow up <br/ ><br> <br/ ><br>Number of life- threatening infection associated events in both the groups <br/ ><br> <br/ ><br>Timepoint: 12 months
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