Study of Initial Steroid Treatment in Young Children With Nephrotic Syndrome

NCT ID: NCT04536181

Last Updated: 2020-12-17

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WITHDRAWN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

2021-01-01

Study Completion Date

2022-10-01

Brief Summary

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This study is a multicentric, prospective, randomized, double blind, placebo controlled trial compared the efficacy of 6 months vs. 3 months of initial prednisolone therapy in decreasing the incidence of FRNS with steroid-sensitive nephrotic syndrome in children age 1 year up to 6 years. Three months tapering prednisolone or placebo are administrated follow by open-label 3 months standard prednisolone therapy.The cumulative incidence of FRNS and adverse events for one year were evaluated in the 3-month and 6-month groups.

Detailed Description

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Conditions

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Steroid-Sensitive Nephrotic Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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3 months group

Subjects will receive 12-weeks of placebo following randomization

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

12 weeks simulated tablets

6 months group

12 Weeks of Prednisolone Therapy Subjects will add an additional 12 weeks of Prednisolone to follow pre-randomization standard of care prednisolone.

Group Type EXPERIMENTAL

Prednisolone

Intervention Type DRUG

12 weeks prednisolone treatment

Interventions

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Prednisolone

12 weeks prednisolone treatment

Intervention Type DRUG

Placebo

12 weeks simulated tablets

Intervention Type DRUG

Other Intervention Names

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prednisone

Eligibility Criteria

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Inclusion Criteria

* Idiopathic, steroid-sensitive, first episode of nephrotic syndrome
* Age 12 months up to 6 years
* Written informed consent

Exclusion Criteria

* Nephrotic syndrome known to be secondary to a systemic disorder, e.g., Immunoglobulin A (IgA) nephropathy, systemic lupus erythematosus, Henoch Schonlein purpura, vasculitis, , hepatitis B or Alport syndrome.
* Therapy with prednisolone for prior episodes of nephrotic syndrome
* Persistent estimated glomerular filtration rate (GFR) \<75 ml/min/1.73 m2
* Patients who show relapse during the first 3 months of pre-randomization corticosteroid therapy for nephrotic syndrome
* Patients with initial steroid resistance
* Patients who are allergic to glucocorticoids
* The compliance of patients or their guardians is poor
Minimum Eligible Age

1 Year

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Hospital of Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hong Xu, PhD.MD.

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Fudan University

Locations

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Children's hospital of Fudan university

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Children's Hospital

Shanghai, , China

Site Status

Shanghai Children's Medical Center

Shanghai, , China

Site Status

Xinhua Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Countries

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China

Other Identifiers

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CSICS

Identifier Type: -

Identifier Source: org_study_id