Comparing the Efficacy of Tacrolimus and Mycophenolate Mofetil for the Initial Therapy of Active Lupus Nephritis

NCT ID: NCT00371319

Last Updated: 2014-07-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2014-06-30

Brief Summary

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The purpose of this study is comparing the efficacy of tacrolimus and mycophenolate mofetil for the initial therapy of active lupus glomerulonephritis.

Detailed Description

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Patients with biopsy proven active lupus nephritis will be randomized to receive tacrolimus or mycophenolate mofetil, on top of corticosteroids, for initial treatment. Efficacy and adverse effects will be compared.

Conditions

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Lupus Nephritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Tacrolimus

Tacrolimus treatment

Group Type ACTIVE_COMPARATOR

tacrolimus

Intervention Type DRUG

0.06-0.1 mg/kg/day

mycophenolate mofetil

mycophenolate mofetil

Group Type ACTIVE_COMPARATOR

mycophenolate mofetil

Intervention Type DRUG

2-3 gm/day

Interventions

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tacrolimus

0.06-0.1 mg/kg/day

Intervention Type DRUG

mycophenolate mofetil

2-3 gm/day

Intervention Type DRUG

Other Intervention Names

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Prograf Cellcept

Eligibility Criteria

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Inclusion Criteria

1. Patients who fulfill at least 4 of the ACR criteria for SLE
2. Age \>= 18 years
3. Biopsy proven active lupus glomerulonephritis (ISN/RPS class III/IV/V)
4. Serum creatinine \< 200 umol/L at the time of randomization

Exclusion Criteria

1. Patients who refuse to be randomized for treatment
2. Patients who prefer treatment with conventional agents such as oral or intravenous CYC for various reasons
3. Serum creatinine \>= 200 umol/L at the time of randomization
4. Patients without renal biopsy or those who have lupus nephritis ISN/RPS class I,II,VI
5. Patients who are pregnant or plan for pregnancy within 12 months after randomization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tuen Mun Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Chi Chiu Mok

Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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CC MOK, MD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Tuen Mun Hospital Hong Kong

Locations

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Tuen Mun Hospital

Hong Kong, , China

Site Status

Countries

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China

References

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Mok CC, Ho LY, Ying SKY, Leung MC, To CH, Ng WL. Long-term outcome of a randomised controlled trial comparing tacrolimus with mycophenolate mofetil as induction therapy for active lupus nephritis. Ann Rheum Dis. 2020 Aug;79(8):1070-1076. doi: 10.1136/annrheumdis-2020-217178. Epub 2020 May 24.

Reference Type DERIVED
PMID: 32448782 (View on PubMed)

Mok CC, Ying KY, Yim CW, Siu YP, Tong KH, To CH, Ng WL. Tacrolimus versus mycophenolate mofetil for induction therapy of lupus nephritis: a randomised controlled trial and long-term follow-up. Ann Rheum Dis. 2016 Jan;75(1):30-6. doi: 10.1136/annrheumdis-2014-206456. Epub 2014 Dec 30.

Reference Type DERIVED
PMID: 25550339 (View on PubMed)

Other Identifiers

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HARECCTR0500018

Identifier Type: -

Identifier Source: org_study_id

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