Tacrolimus Treatment of Patients With Idiopathic Focal Segmental Glomerulosclerosis
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Purpose
The purpose of this study is to assess the efficacy of Tacrolimus Treatment of patients with idiopathic focal segmental glomerulosclerosis.
| Condition | Intervention |
|---|---|
|
Focal Glomerulosclerosis |
Drug: Tacrolimus |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Tacrolimus Treatment of Patients With Idiopathic Focal Segmental |
- To assess the efficacy of Tacrolimus Treatment Idiopathic Focal Segmental Glomerulosclerosis [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
- To investigate the safety and tolerability of Tacrolimus vs Steroids in Treatment Idiopathic Focal Segmental Glomerulosclerosis [ Time Frame: 18 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 0 |
| Study Start Date: | March 2006 |
| Estimated Study Completion Date: | September 2010 |
| Estimated Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Tacrolimus |
Drug: Tacrolimus
Tacrolimus
Other Name: Tacrolimus, Prograf
|
Detailed Description:
Primary FSGS is a leading cause of end stage renal disease in adults, with complete loss of kidney function in 50% of patients over 10 years. Steroids, which are currently used to treat the disease, are effective in part of patients. Over the past decade, a number of studies have reported therapeutic efficacy for treatment with Cyclosporine-A (CSA) in patients with FSGS. Recent studies suggest that immunosuppressive therapy targeted against the calcineurin pathway of T-helper cells, for example, tacrolimus, may be effective in the treatment of primary FSGS. The experience with Tacrolimus (FK506) in the treatment of patients with FSGS has been limited to uncontrolled trials in adult patients.
Eligibility| Ages Eligible for Study: | 15 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age 14-50 years at onset of signs or symptoms of FSGS
- Biopsy proven FSGS
- Estimated glomerular filtration rate (GFR) ≥ 40 ml/min/1.73 m2
- Urine protein > 3.5 g/24h
- Biopsy confirmed primary FSGS (including all subtypes)
- Willingness to follow the clinical trial protocol, including medications, and baseline and follow-up visits and procedures
Exclusion Criteria:
- Secondary FSGS
- Prior therapy with sirolimus, CSA, MMF, or azathioprin, cytoxan, chlorambucil levamisole, methotrexate, or nitrogen mustard in the last 90 days
- Active/serious infection
- Malignancy
- Previously diagnosed diabetes mellitus type 1 or 2
- Clinical evidence of cirrhosis or chronic active liver disease
- History of significant gastrointestinal disorder
- Allergy to study medications, and Inability to consent/assent
Contacts and Locations| China, Jiangsu | |
| Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine | |
| Nanjing, Jiangsu, China, 210002 | |
| Study Director: | Zhi-hong Liu, M.D. | Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine |
More Information
No publications provided
| Responsible Party: | Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine, Nanjing University School of Medicine |
| ClinicalTrials.gov Identifier: | NCT00302536 History of Changes |
| Other Study ID Numbers: | NJCT-0604 |
| Study First Received: | March 13, 2006 |
| Last Updated: | February 8, 2012 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Nanjing University School of Medicine:
|
Idiopathic Focal Segmental Glomerulosclerosis Treatment Steroids |
Additional relevant MeSH terms:
|
Glomerulosclerosis, Focal Segmental Glomerulonephritis Nephritis Kidney Diseases Urologic Diseases |
Tacrolimus Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013