The Efficacy and Safety of Tacrolimus in Treated Refractory Focal Segmental Glomerulosclerosis

NCT ID: NCT01451489

Last Updated: 2017-03-27

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

TERMINATED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-13

Study Completion Date

2016-10-29

Brief Summary

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This is a prospective,multicentre study to compare the efficacy, safety, tolerability and relapse of FK506 versus CTX in the treatment of severe Focal Segmental Glomerulosclerosis (FSGS).

Detailed Description

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1. Using the response rate and completely response time to compare the efficacy of FK506 versus CTX therapy for the severe FSGS patients.
2. To compare the safety and tolerability of FK506 versus CTX for the severe FSGS patients.

Conditions

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FSGS

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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Cyclophosphamide

CTX

Group Type ACTIVE_COMPARATOR

Cyclophosphamide

Intervention Type DRUG

CTX 750mg/m2 per month in the induction phase,then 750mg/m2 every 2 month for 3 times,then 750mg/m2 every 3 months.

FK506

0.05-0.1mg/kg/d;adjust the dose according the serum concentration(aim 5-10ng/ml),maximum dose 6mg/day;divided in twice, interval 12 hours.

Group Type EXPERIMENTAL

FK506

Intervention Type DRUG

FK506:0.05-0.1mg/kg/d

Interventions

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FK506

FK506:0.05-0.1mg/kg/d

Intervention Type DRUG

Cyclophosphamide

CTX 750mg/m2 per month in the induction phase,then 750mg/m2 every 2 month for 3 times,then 750mg/m2 every 3 months.

Intervention Type DRUG

Other Intervention Names

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Tacrolimus,Prograf CTX

Eligibility Criteria

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Inclusion Criteria

* patients with a diagnosis of FSGS.
* Patients with a proteinuria ≥ 3.5g/24h,and blood albumin \<30g/L,and Scr\< 2.3 mg/dl and eGFR\>30ml/min per 1.73m2.
* Patients who signed written informed consent form (patients less than 18 years old with their parents/legal representative's signatures), and have given their consent to follow all study procedures and follow-up.

Exclusion Criteria

* Patients who have received treatment of FK506 in latest 2 month or the cumulative dose CTX≥6 g.
* Patients who are known to be allergic to a macrolide.
* Patients who have active hepatitis.
* Patients who have impaired liver function, with ALT/GPT or AST/GOT twice more than the normal upper limit .
* Patients with blood leukocyte \< 3000/ul.
* Patients with kidney disease family history
* Patients with 2 type diabetes.
* Patients with obesity whose BMI\>28kg/m2.
Minimum Eligible Age

14 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nanjing University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Zhi-Hong Liu, M.D.

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhihong Liu, MD

Role: STUDY_DIRECTOR

Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine

Locations

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Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine

Nanjing, Jiangsu, China

Site Status

Countries

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China

References

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Hodson EM, Sinha A, Cooper TE. Interventions for focal segmental glomerulosclerosis in adults. Cochrane Database Syst Rev. 2022 Feb 28;2(2):CD003233. doi: 10.1002/14651858.CD003233.pub3.

Reference Type DERIVED
PMID: 35224732 (View on PubMed)

Other Identifiers

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NJCT-1101

Identifier Type: -

Identifier Source: org_study_id

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