Trial Outcomes & Findings for Steroid Treatment for Kidney Disease (NCT NCT00065611)

NCT ID: NCT00065611

Last Updated: 2011-10-28

Results Overview

Complete remission is defined as proteinuria \<0.3 g/d. Partial remission is defined as a 50% fall in proteinuria compared to baseline, proteinuria \<3.5 g/d, and a preserved estimated glomerular filtration rate (eGFR), specified as \>60% of baseline. Limited response is defined as a 50% fall in proteinuria compared to baseline. All other outcomes are described as non-response.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

8 participants

Primary outcome timeframe

48 weeks from baseline

Results posted on

2011-10-28

Participant Flow

8 patients were enrolled in the study, 4 of them are randomized to 2 dose every 2 week arm and 4 of them are randomized to 4 dose every 4 week arm.

Participant milestones

Participant milestones
Measure
2 Doses Every 2 Weeks Arm
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
Patients in this arm receive 4 doses every 4 weeks
Overall Study
STARTED
4
4
Overall Study
COMPLETED
4
3
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Steroid Treatment for Kidney Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
2 Doses Every 2 Weeks Arm
n=4 Participants
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
n=3 Participants
Patients in this arm receive 4 doses every 4 weeks
Total
n=7 Participants
Total of all reporting groups
Age Continuous
38 years
STANDARD_DEVIATION 9 • n=5 Participants
30 years
STANDARD_DEVIATION 5 • n=7 Participants
35 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
White
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Race/Ethnicity, Customized
African American
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
United States
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
Urine Protein
11.2 g/d
STANDARD_DEVIATION 7.0 • n=5 Participants
10.0 g/d
STANDARD_DEVIATION 1.9 • n=7 Participants
10.8 g/d
STANDARD_DEVIATION 5.1 • n=5 Participants
CKD-EPI eGFR
59.2 ml/min/1.73m^2
STANDARD_DEVIATION 13.4 • n=5 Participants
76.3 ml/min/1.73m^2
STANDARD_DEVIATION 21.4 • n=7 Participants
66.6 ml/min/1.73m^2
STANDARD_DEVIATION 18.1 • n=5 Participants

PRIMARY outcome

Timeframe: 48 weeks from baseline

Population: ITT

Complete remission is defined as proteinuria \<0.3 g/d. Partial remission is defined as a 50% fall in proteinuria compared to baseline, proteinuria \<3.5 g/d, and a preserved estimated glomerular filtration rate (eGFR), specified as \>60% of baseline. Limited response is defined as a 50% fall in proteinuria compared to baseline. All other outcomes are described as non-response.

Outcome measures

Outcome measures
Measure
2 Doses Every 2 Weeks Arm
n=4 Participants
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
n=3 Participants
Patients in this arm receive 4 doses every 4 weeks
Remission Status of Patients After Intermittent Oral Dexamethasone Administered Over 48 Weeks
Limited response
1 participants
1 participants
Remission Status of Patients After Intermittent Oral Dexamethasone Administered Over 48 Weeks
Non-response
2 participants
1 participants
Remission Status of Patients After Intermittent Oral Dexamethasone Administered Over 48 Weeks
Partial remission
1 participants
1 participants
Remission Status of Patients After Intermittent Oral Dexamethasone Administered Over 48 Weeks
Complete remission
0 participants
0 participants

SECONDARY outcome

Timeframe: 48 weeks from baseline

Outcome measures

Outcome measures
Measure
2 Doses Every 2 Weeks Arm
n=4 Participants
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
n=3 Participants
Patients in this arm receive 4 doses every 4 weeks
Urine Protein
3.6 g/d
Standard Deviation 0.7
6.2 g/d
Standard Deviation 4.8

SECONDARY outcome

Timeframe: 48 weeks from baseline

Estimate glomerular filtration rate (eGFR) using the CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) formula.

Outcome measures

Outcome measures
Measure
2 Doses Every 2 Weeks Arm
n=4 Participants
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
n=3 Participants
Patients in this arm receive 4 doses every 4 weeks
CKD-EPI eGFR
60 ml/min/1.73m^2
Standard Deviation 16
73 ml/min/1.73m^2
Standard Deviation 20

Adverse Events

2 Doses Every 2 Weeks Arm

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

4 Doses Every 4 Weeks Arm

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
2 Doses Every 2 Weeks Arm
n=4 participants at risk
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
n=4 participants at risk
Patients in this arm receive 4 doses every 4 weeks
Musculoskeletal and connective tissue disorders
Tendon rupture
25.0%
1/4 • Number of events 1
0.00%
0/4
Gastrointestinal disorders
Acute appendicitis, increased intraocular pressure
0.00%
0/4
50.0%
2/4 • Number of events 2

Other adverse events

Other adverse events
Measure
2 Doses Every 2 Weeks Arm
n=4 participants at risk
Patients in this arm receive 2 doses every 2 weeks
4 Doses Every 4 Weeks Arm
n=4 participants at risk
Patients in this arm receive 4 doses every 4 weeks
General disorders
Headache
25.0%
1/4 • Number of events 1
0.00%
0/4
General disorders
sleep disturbance
25.0%
1/4 • Number of events 1
25.0%
1/4 • Number of events 1
General disorders
Mood swings
50.0%
2/4 • Number of events 2
25.0%
1/4 • Number of events 1
General disorders
Change in appetite
0.00%
0/4
25.0%
1/4 • Number of events 1
General disorders
Weight gain
0.00%
0/4
25.0%
1/4 • Number of events 1
Gastrointestinal disorders
Impaired glucose tolerance
0.00%
0/4
25.0%
1/4 • Number of events 1
General disorders
Cushingoid appearance
0.00%
0/4
25.0%
1/4 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle pains
25.0%
1/4 • Number of events 1
0.00%
0/4
Infections and infestations
Infections
25.0%
1/4 • Number of events 1
0.00%
0/4

Additional Information

Jeffrey B Kopp, MD

NIDDK, NIH

Phone: 3015943403

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place