A Controlled Study of Steroids Plus Cyclosporin Therapy for Patients of Idiopathic Membranous Nephropathy

NCT ID: NCT02173106

Last Updated: 2014-07-01

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2016-12-31

Brief Summary

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This prospective, randomized, controlled, multicenter clinical trial will evaluate Opportunity, Validity and Security of Steroids Plus Cyclosporin therapy for patients of Idiopathic Membranous Nephropathy.

Detailed Description

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Idiopathic membranous nephropathy is a main reason for nephropathy. Since it can get spontaneous remission, in KDIGO, it is recommend that initial therapy should be started only in patients with nephrotic syndrome and when at least the following condition is met:urinary protein excretion persistently exceeds 4g/d and remains at over 50% of the baseline value,and does not show progressive and antiproteinuric therapy during an observation period of at least 6 months. But many retrospective researches reported that using steroids and immunosuppressive agents were better than waiting for spontaneous remission. There were few prospective, randomized, controlled research on whether it is better that begin to use steroids and immunosuppressive agent early without waiting for 6 months. In our study,we evaluate the validity and security of steroids plus cyclosporin therapy in idiopathic membranous nephropathy. This will be a prospective, randomized, controlled, multicenter study. Patients in treatment group will receive oral methylprednisolone 0.4mg/kg/d and 3.5\~5mg/kg/d cyclosporin for 6 months. Patients in control group will waiting for spontaneous remission for 6 months,if there were no spontaneous remissions, patients in control group will receive oral methylprednisolone 0.4mg/kg/d and 3.5\~5mg/kg/d cyclosporin for 6 months. After followed-up for 6 months the curative and side effect of steroid plus cyclosporin therapy in the early stage of idiopathic membranous nephropathy will be evaluated.

Conditions

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Idiopathic Membranous Nephropathy Proteinuria Spontaneous Remission Steroid Nephropathy Cyclosporin Overdose

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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Group A: steroid & Cyclosporin

oral methylprednisolone 0.4mg/kg/d and 3.5\~5mg/kg/d cyclosporin for 6 months.

Group Type EXPERIMENTAL

steroid & Cyclosporin

Intervention Type DRUG

oral methylprednisolone 0.4mg/kg/d and Cyclosporin for 6 months

Group B: no steroid & Cyclosporin

no steroid and cyclosporin and waiting for spontaneous remission for 6 months

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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steroid & Cyclosporin

oral methylprednisolone 0.4mg/kg/d and Cyclosporin for 6 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 14\~75 years, regardless of gender without secondary reason, idiopathic membranous nephropathy by renal biopsy
* Average urinary protein excretion of at least3.5g/24h on two successive examinations,or plasma albumin \<30g/l
* eGFR≥40ml/min/1.73m2
* Willingness to sign an informed consent

Exclusion Criteria

* Secondary membranous nephropathy such as systemic lupus erythematosus, hepatitis B -associated nephritis
* Current or recent (within 30 days) exposure to high-dose of steroids or immunosuppressive therapy (CTX、MMF、CsA、FK506).
* Cirrhosis, chronic active liver disease
* History of significant gastrointestinal disorders (e.g. severe chronic diarrhea or active peptic ulcer disease)
* Any Active systemic infection or history of serious infection within one month.
* Other major organ system disease (e.g. serious cardiovascular diseases including congestive heart failure, chronic obstructive pulmonary disease, asthma requiring oral steroid treatment or central nervous system diseases)
* Active tuberculosis
* Known allergy, contraindication or intolerance to the steroids
* Pregnancy or breast feeding at the time of entry or unwillingness to comply with measures for contraception
* Malignant tumors
* Excessive drinking or drug abuse
* Mental aberrations
* Current or recent (within 30 days) exposure to any other investigational drugs
Minimum Eligible Age

14 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Yanhong Deng

The Sixth Affiliated Hospital of Sun Yat-Sen University

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zongpei Jiang, MD &Ph.D

Role: PRINCIPAL_INVESTIGATOR

The Sixth Affiliated Hospital, Sun Yat-sen University

Locations

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Department of Nephrology,Dongguan People's Hospital

Dongguan, Guangdong, China

Site Status RECRUITING

Department of Nephrology, 2nd Affiliated Hospital,Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Department of Nephrology, 6th Affiliated Hospital, Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Department of Nephrology,Huizhou Municipal Central Hospital

Huizhou, Guangdong, China

Site Status RECRUITING

Department of Nephrology,1st Affiliated Hospital,Shenzhen University

Shenzhen, Guangdong, China

Site Status RECRUITING

Department of Nephrology,1st People's Hospital of Zhaoqing

Zhaoqing, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zongpei Jiang, MD&Ph D

Role: CONTACT

8620-38379727

Facility Contacts

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Guohui Liu, MD

Role: primary

86769-28637333

Jianbo Liang, MD.

Role: primary

8620-34152282

Zongpei Jiang, MD & Ph. D

Role: primary

8620-38379727

Weiqiang Zhong, MD

Role: primary

86752-2288288

Yongcheng He, MD

Role: primary

86755-83366388

Jinquan Wu, MD

Role: primary

86758-2832139

References

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von Groote TC, Williams G, Au EH, Chen Y, Mathew AT, Hodson EM, Tunnicliffe DJ. Immunosuppressive treatment for primary membranous nephropathy in adults with nephrotic syndrome. Cochrane Database Syst Rev. 2021 Nov 15;11(11):CD004293. doi: 10.1002/14651858.CD004293.pub4.

Reference Type DERIVED
PMID: 34778952 (View on PubMed)

Other Identifiers

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Usix-IMN-001

Identifier Type: -

Identifier Source: org_study_id

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