Concentration-controlled Therapy of Mycophenolate Mofetil (MMF) in Proliferative Lupus Nephritis

NCT ID: NCT01042457

Last Updated: 2013-09-30

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

PHASE3

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-05-31

Study Completion Date

2011-12-31

Brief Summary

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To evaluate therapeutic response to MMF treatment in patients with International Society of Nephrology/Renal Pathology Society (ISN/RPS) class III or IV lupus nephritis. Mycophenolic acid levels at 1-hour post dose will be monitored monthly up to 6 months.

Detailed Description

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Conditions

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Lupus Nephritis

Keywords

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trough level therapeutic drug monitoring Mycophenolate mofetil Mycophenolic acid lupus nephritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mycophenolate mofetil

Group Type OTHER

Mycophenolate mofetil

Intervention Type DRUG

Drug : Mycophenolate Mofetil. Starting doses : 1000-1500 mg/day with titration based on Mycophenolic 1-hour post dose level.

Interventions

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Mycophenolate mofetil

Drug : Mycophenolate Mofetil. Starting doses : 1000-1500 mg/day with titration based on Mycophenolic 1-hour post dose level.

Intervention Type DRUG

Other Intervention Names

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cellcept

Eligibility Criteria

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Inclusion Criteria

* Age 16-60 years.
* Ability and willingness to provide written informed consent (or to obtain consent from parent guardian where applicable) and to comply with the schedule of protocol requirements
* Diagnosis of SLE according to ACR criteria. At least 4 criteria must have been present for the diagnosis of SLE. The 4 criteria do not have to be present at the time of screening
* Active lupus nephritis defined as follows: Biopsy proven (within 16 weeks prior to screening) ISN Class III or IV (A or A/C) not include III(C) IV(C) and VI (\>90% chronic irreversible scarring)

Exclusion Criteria

Relates to SLE

* Severe renal impairment as defined by calculated creatinine clearance or MDRD-GFR \< 30 ml/min(except creatinine clearance or MDRD-GFR \> 50 ml/min in the 12 weeks prior to screening)
* History of serious disease or complication in any organ system that not appropriate to treatment immunosuppressive drug groups.

Related to Treatment

* Previous of any Mycophenolate groups in the 3 months prior to screening.
* Treatment with more than 2 g Cyclophosphamide in the last 6 months period prior to screening.
* Receipt of more than 3 g IV pulse methylprednisolone within the last 3 months prior to screening.
* Receipt of prednisolone dose \> 30 mg/day for longer than 30 days within last 3 months prior to screening.

Related to General Health

* Pregnancy or breast feeding mothers.
* Evidence of significant uncontrolled concomitant disease in any organ system not related to SLE.
* History of cancer, including solid tumors, hematological malignancies and carcinoma.
* History of serious recurrent or chronic infection.
* Evidence of current abuse of drugs or alcohol.

Related to Laboratory Findings

* Neutrophile \< 1,500/mm3, Hb \< 7g/L, Platelet \< 50,000/mm3 (except active SLE)
* Positive HBsAg or anti-HCV or anti-HIV.
Minimum Eligible Age

16 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chulalongkorn University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yingyos Avihingsanon, MD

Role: STUDY_DIRECTOR

Chulalongkorn University

Locations

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Chulalongkorn University

Bangkok, Bangkok, Thailand

Site Status

Countries

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Thailand

Related Links

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Other Identifiers

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2009-002

Identifier Type: -

Identifier Source: org_study_id