Population Pharmacokinetics of Tacrolimus in Nephrotic Syndrome

NCT ID: NCT04045171

Last Updated: 2019-08-05

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

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-08-10

Study Completion Date

2020-12-31

Brief Summary

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This study will use a multi-center, prospective design, with a "Real World Study" model, to include 200 patients with nephrotic syndrome. based on the Population Pharmacokinetics (PPK) model, it will study genotype and clinical factors in patients with nephrotic syndrome, to explore the Pharmacokinetics/ Pharmacodynamics (PK/PD) relationship of Tacrolimus in patients with nephrotic syndrome, and develop an optimal medication regimen.

Detailed Description

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Conditions

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Nephrotic Syndrome Tacrolimus Pharmacokinetics

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Tacrolimus

Tacrolimus, oral, 0.05-0.075 mg/kg/d, Q12h, 6~12 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* (1)Patients with Nephrotic Syndrome:

1. Proteinuria greater than 3.5 g/24 hour
2. Serum albumin \<30 g/l
3. Clinical evidence of peripheral oedema
4. Hyperlipidemia 1) and 2) are necessary for diagnosis.
* (2)18-75years old(include 75),gender is not limited;
* (3)Voluntary signing informed consent。

Exclusion Criteria

* (1)Secondary nephrotic syndrome;
* (2)Allergic to Tacrolimus or other unsuitable use of Tacrolimus;
* (3)With other immunosuppressive agents such as cyclosporin A, cyclophosphamide, mycophenolate mofetil, leflunomide, tripterygium wilfordii (hormone is not restricted);
* (4)Severe liver dysfunction (transaminase \> 3 ULN, or bilirubin \> 3 ULN);
* (5)Severe renal insufficiency(eGFR\<30 ml/min/1.73m2)
* (6)Joined other clinical trials within 1 month;
* (7)Missing clinical data;
* (8)Pregnancy, lactation or planning for pregnancy within 12 months;
* (9)Researchers believe that patients who are not suitable for this clinical trial。
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hunan Provincial People's Hospital

OTHER

Sponsor Role collaborator

ZhuZhou Central Hospital

OTHER

Sponsor Role collaborator

First People's Hospital of Chenzhou

OTHER

Sponsor Role collaborator

The Third Xiangya Hospital of Central South University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ZHIJUN HUANG, Dr.

Role: PRINCIPAL_INVESTIGATOR

The Third Xiangya Hospital of Central South University

Central Contacts

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ZHIJUN HUANG, Dr.

Role: CONTACT

073188618339

BIN YI, Dr.

Role: CONTACT

073188618210

References

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Lu T, Zhu X, Xu S, Zhao M, Huang X, Wang Z, Zhao L. Dosage Optimization Based on Population Pharmacokinetic Analysis of Tacrolimus in Chinese Patients with Nephrotic Syndrome. Pharm Res. 2019 Feb 4;36(3):45. doi: 10.1007/s11095-019-2579-6.

Reference Type BACKGROUND
PMID: 30719576 (View on PubMed)

Hao GX, Huang X, Zhang DF, Zheng Y, Shi HY, Li Y, Jacqz-Aigrain E, Zhao W. Population pharmacokinetics of tacrolimus in children with nephrotic syndrome. Br J Clin Pharmacol. 2018 Aug;84(8):1748-1756. doi: 10.1111/bcp.13605. Epub 2018 May 22.

Reference Type BACKGROUND
PMID: 29637588 (View on PubMed)

Radhakrishnan J, Cattran DC. The KDIGO practice guideline on glomerulonephritis: reading between the (guide)lines--application to the individual patient. Kidney Int. 2012 Oct;82(8):840-56. doi: 10.1038/ki.2012.280. Epub 2012 Aug 15.

Reference Type BACKGROUND
PMID: 22895519 (View on PubMed)

Other Identifiers

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XY3-IIT-TAC1905A01

Identifier Type: -

Identifier Source: org_study_id

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