Iguratimod as Treatment for Refractory Lupus Nephritis
Study Details
Study Description
Brief Summary
This study is to evaluate the efficacy and safety of a novel chemical synthetic agent iguratimod as treatment of refractory lupus nephritis. All subjects should have at least one failed immunosuppressive treatment and suffer active nephritis at the screening stage. The study period is 52 week. All the subject will receive therapy of iguratimod combined with steroids.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Iguratimod treating group Iguratimod 25mg twice a day, oral administrated. |
Drug: Iguratimod
Iguratimod 25mg twice a day, oral administrated.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Renal remission rate [Week 52]
Secondary Outcome Measures
- Renal remission rate [Week 24]
- Renal flare rate [Week 52]
- Number of participants with treatment-related adverse events [Week 52]
Adverse events are assessed by CTCAE v4.0
- Systemic Lupus Erythematosus Disease Activity Index inSafety of Estrogens in Lupus Erythematosus National Assessment (SELENA-SLEDAI) [Week 52]
- British Isles Lupus Activity Group (BILAG) score [Week 52]
- PGA [Week 52]
Patient general assessment
- Quality of life [Week 52]
Measured by HAQ
Eligibility Criteria
Criteria
Inclusion Criteria:
- Active lupus nephritis:
Fulfill ACR classification criteria (2009) for SLE Proteinuria ≥1g/24h at screening stage experience at least one failed therapy within one year before screening, including but not limit to cyclophosphamide, methotrexate, azathioprine, mycophenolate mofetil, cyclosporin, tacrolimus and leflunomide. The regime can be monotherapy or combination. Any regime should be at least applied for six months.
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Body weight ≥40kg
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SLE-2K score ≥8
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Agreement of contraception
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Informed consent obtained
Exclusion Criteria:
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Active severe SLE-driven renal disease or unstable renal disease at screening
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Active severe or unstable neuropsychiatric SLE
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Clinically significant active infection including ongoing and chronic infections
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History of human immunodeficiency virus (HIV)
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Confirmed Positive tests for hepatitis B or positive test for hepatitis C
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Active tuberculosis
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Live or attenuated vaccine within 4 weeks prior to screening
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Subjects with significant hematologic abnormalities
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Abnormal liver function test at screening (ALT, AST or total bilirubin over 2 fold of upper normal level
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History of peptic ulcer or GI bleeding; treatment with warfarin or other anticoagulants within last 14 days
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | RenJi Hospital | Shanghai | Shanghai | China | 200001 |
Sponsors and Collaborators
- RenJi Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- [2017]27