Clinical Trial Treatment in Lupus Nephritis

NCT ID: NCT01299922

Last Updated: 2015-02-27

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2014-10-31

Brief Summary

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The treatment of lupus nephritis with cyclophosphamide and steroids changed the prognosis of lupus nephritis in the early '80s. In recent years, alternative regimens have appeared in both the induction and maintenance with similar results at least to those offered by the classic pattern and possibly with fewer side effects, especially for long term. The association of prednison and mycophenolate has created large expectations to that effect, and is part of first-line therapeutic arsenal of lupus nephritis type III, IV and V.

Despite the significant advances that have led to these treatments, the likelihood of complete remission after six months remains, according to the series of 8-13% and partial remission do not exceed 60% in papers published. In the last year, two articles have been published supporting the use of triple therapy (prednisone, mycophenolate, cyclosporine) in poor prognosis of lupus nephritis with hopefully better results than those obtained previously. In this study we try to compare the effectiveness of triple therapy, the therapy is now considered standard (prednisone, mycophenolate) in patients with lupus nephritis type III-IV-V

Detailed Description

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asd

Conditions

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Lupus Nephritis

Keywords

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Lupus nephritis Therapy Cyclosporin Mycophenolic acid

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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cyclosporine+mycophenolic acid+prednison

Triple therapy

Group Type EXPERIMENTAL

cyclosporine +mycophenolic acid+prednison

Intervention Type DRUG

Cyclosporine for 26 weeks Prednisone+mycophenolic acid 106 weeks

mycophenolic acid + prednison

Mycophenolic acid+prednison 106 weeks

Group Type ACTIVE_COMPARATOR

Mycophenolic Acid + prednison

Intervention Type DRUG

Mycophenolic Acid + prednison for 106 weeks

Interventions

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cyclosporine +mycophenolic acid+prednison

Cyclosporine for 26 weeks Prednisone+mycophenolic acid 106 weeks

Intervention Type DRUG

Mycophenolic Acid + prednison

Mycophenolic Acid + prednison for 106 weeks

Intervention Type DRUG

Other Intervention Names

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Triple therapy Conventional therapy

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years old
* Patients diagnosed SLE with renal type III-IV-V confirmed by renal biopsy done in the last 6 months
* Proteinuria \> 2 g/24 hours and hematuria (\> 5 h / field)
* MDRD4 eGFR \> 60 ml/min/1.73m2
* Participant is willing and able to give informed consent for participation in the study

Exclusion Criteria

* Central nervous system LES involvement or any other vital organ
* Active infection
* Use of mycophenolic acid, mycophenolate mofetil, cyclosporine or tacrolimus in the last 6 months
* No adherence
* Women of childbearing age not using appropriate contraceptive methods.
* Positive pregnancy test
* Anasarca
* Malignancy or cancer history (except basal cell skin carcinomas)
* Patient participating in another study with an investigational drug or have participated within 28 days prior to entry into this study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario 12 de Octubre

OTHER

Sponsor Role collaborator

Hospital General Universitario Gregorio Marañon

OTHER

Sponsor Role collaborator

Hospital Universitario Ramon y Cajal

OTHER

Sponsor Role collaborator

Hospital Infanta Sofia

OTHER

Sponsor Role collaborator

Hospital Universitario Infanta Leonor

OTHER

Sponsor Role collaborator

Hospital Universitario Reina Sofia de Cordoba

OTHER_GOV

Sponsor Role collaborator

Hospital Regional Universitario Carlos Haya

OTHER

Sponsor Role collaborator

Hospital Universitario Virgen de la Victoria

OTHER

Sponsor Role collaborator

University Hospital of the Nuestra Señora de Candelaria

OTHER

Sponsor Role collaborator

Hospital Universitario de Guadalajara. Spain

UNKNOWN

Sponsor Role collaborator

Hospital San Pedro de Alcantara

OTHER

Sponsor Role collaborator

Hospital Juan Canalejo

OTHER

Sponsor Role collaborator

Hospital Universitario Fundación Alcorcón

OTHER

Sponsor Role lead

Responsible Party

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Hospital Universitario Doce de Octubre Madrid Spain

Principal Investigators

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Fernandez Juarez Gema, MD Ph

Role: STUDY_DIRECTOR

Hospital Universitario Fundación Alcorcón

Praga Terente Manuel, MD Ph

Role: STUDY_CHAIR

Hospital Universitario Doce de Octubre

Locations

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Hospital Universitario Fundación Alcorcón

Alcorcón, Madrid, Spain

Site Status

Countries

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Spain

Other Identifiers

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Csa-LES

Identifier Type: -

Identifier Source: org_study_id