A Pilot Study for the Efficacy and Safety of Tacrolimus in the Treatment of Refractory Lupus Nephritis
Study Details
Study Description
Brief Summary
The purpose of this protocol is to determine whether Tacrolimus and Prednisolone are effective and safe in the treatment of the cyclophosphamide-resistant, refractory diffuse proliferative lupus nephritis
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: single single arm study (tacrolimus trial group) |
Drug: tacrolimus
during the first 2 months : tacrolimus 0.1 mg/kg + prednisolone 0.8 mg/kg p.o. ,then after : tacrolimus 0.1 mg ~0.02 mg/kg + prednisolone tapering
|
Outcome Measures
Primary Outcome Measures
- Reducing proteinuria [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Biopsy-proven lupus nephritis WHO Class IV , IV+V
-
Previously treated by three times over of i.v. cyclophosphamide or 6 months more duration of immunosuppressive treatments (azathioprine, MMF, cyclophosphamide p.o.) for the lupus nephritis
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spot urine Protein creatinine raio > 1.0
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RBC > 5 /HPF on microscopic examination of urine
Exclusion Criteria:
-
previous treatment of cyclosporine A or tacrolimus
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serum Creatinine lever : over 300 mmol/dl
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allergy to the macrolide antibiotics
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other systemic organ damage
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | SeoulNUH | Seoul | Chongno-gu | Korea, Republic of | 110-744 |
Sponsors and Collaborators
- Seoul National University Hospital
Investigators
- Principal Investigator: Suhnggwon Kim, MD, PhD, Korea : Seoul National University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- H-0706-049-211
- 20070217867