Long-Term Study of Multi-target Therapy as Maintenance Treatment for Lupus Nephritis

NCT ID: NCT01056237

Last Updated: 2015-07-31

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

NA

Total Enrollment

206 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2013-06-30

Brief Summary

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An multi-site, randomized, prospective study to compare the efficacy and safety of multi-target therapy as continuous induction and maintenance treatment versus CTX- Aza therapy.

Detailed Description

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Azathioprine (AZA) has been used for maintenance therapy of lupus nephritis for many years. We compare the efficacy and safety of multi-target therapy as continuous induction and maintenance treatment vs CTX-Aza.

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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Multi-target therapy

(Tarcrolimus+mycophenolate mofetil)

Group Type EXPERIMENTAL

Multi-target therapy

Intervention Type DRUG

Tacrolimus (1-3mg/d) and mycophenolate mofetil(0.5-0.75g/d)

Azathioprine

Aza

Group Type ACTIVE_COMPARATOR

Azathioprine

Intervention Type DRUG

1.0-2.0mg/kg/d

Interventions

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Multi-target therapy

Tacrolimus (1-3mg/d) and mycophenolate mofetil(0.5-0.75g/d)

Intervention Type DRUG

Azathioprine

1.0-2.0mg/kg/d

Intervention Type DRUG

Other Intervention Names

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Tacrolimus+mycophenolate mofetil Aza

Eligibility Criteria

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Inclusion Criteria

1. Patients who signed written informed consent form
2. SLE patient, aged between 18-65 years, female or male;
3. Patients diagnosed lupus nephritis according to ISN/RPS 2003 classification criteria, class Ⅲ, Ⅳ,Ⅳ+Ⅴ, Ⅲ+Ⅴ or Ⅴ LN by renal biopsy
4. All patients had received induction therapy for 6 months with multi-therapy (FK506 + MMF) or intravenous CTX pulses.
5. Patients were recruited when received partial remission or complete remission after 6 months induction therapy.

Complete remission: proteinuria \<0.4 g/24h, negative urine sediment, serum albumin \>35 g/L, elevated scr \<0.3mg/dl, no extra-renal complications; Partial remission: proteinuria \<1.0 g/24h, urine RBC \<50X104/ml without casts, serum albumin \> 30 g/L, elevated Scr \<0.3mg/dl,no extra-renal complications.

Exclusion Criteria

1. Patients who didn't sign written informed consent form or could not obey the protocol.
2. Patients who didn't received the CR or PR criterion.
3. Patients who have impaired liver function, with ALT/GPT or AST/GOT twice more than the normal upper limit or who have active hepatitis.
4. WBC \<3000/mm3 in peripheral blood .
5. Patients with central nervous system symptoms. -
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhi-Hong Liu, M.D.

OTHER

Sponsor Role lead

Responsible Party

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Zhi-Hong Liu, M.D.

professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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zhihong Liu, Master

Role: PRINCIPAL_INVESTIGATOR

Research Institute of Nephrology, Jinling Hospital

Locations

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Research Institute of Nephrology, Jinling Hospital

Nanjing, Jiangsu, China

Site Status

Countries

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China

Other Identifiers

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NJCT-1002

Identifier Type: -

Identifier Source: org_study_id

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