Steroids in the Maintenance of Remission of Proliferative Lupus Nephritis (SIMPL)

This study has been withdrawn prior to enrollment.
(Local pharmacy unwilling to comply with study protocol)
Information provided by:
Cambridge University Hospitals NHS Foundation Trust Identifier:
First received: October 4, 2007
Last updated: May 28, 2008
Last verified: May 2008

There is debate as to whether long-term low-dose steroids such as prednisolone help to suppress relapses of systemic lupus erythematosus (SLE) in patients who are in remission from their lupus nephritis. If low-dose prednisolone reduces relapses, these beneficial effects may be counter-balanced by the long-term side-effects associated with prednisolone. This pilot study will determine the feasibility of conducting a larger randomized control trial that will answer the question of whether or not long-term low-dose prednisolone (5 - 7.5 mg/day) reduces the flares of SLE in patients with previous lupus nephritis.

Condition Intervention Phase
Lupus Nephritis
Drug: prednisolone
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Corticosteroids in the Maintenance Therapy of Proliferative Lupus Nephritis: a Randomized Pilot Study

Resource links provided by NLM:

Further study details as provided by Cambridge University Hospitals NHS Foundation Trust:

Primary Outcome Measures:
  • Feasibility (recruitment rate and protocol adherence) [ Time Frame: 12 months ]

Secondary Outcome Measures:
  • 1) time to major renal and non-renal relapses of SLE 2) time to minor relapses of SLE 3) health related quality of life 4) adverse events/side-effects 5) accrual of SLE related organ damage 6) renal function [ Time Frame: 24 months ]

Estimated Enrollment: 15
Arms Assigned Interventions
Active Comparator: 1
Long-term low-dose prednisolone (5 - 7.5 mg/day)
Drug: prednisolone
5 - 7.5 mg/day
Placebo Comparator: 2 Drug: Placebo
Matched placebo to prednisolone


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • age at least 18 years
  • diagnosis of SLE by ACR criteria
  • diagnosis of proliferative lupus nephritis (ISN/RPS class III or IV)
  • currently on prednisolone (5 to 20 mg/day)
  • in partial or complete remission for at least 3 months

Exclusion Criteria:

  • currently pregnant
  • in end-stage renal failure
  • receiving corticosteroids for an indication other than lupus nephritis
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00539799

United Kingdom
Addenbrooke's Hospital
Cambridge, Cambridgeshire, United Kingdom
Sponsors and Collaborators
Cambridge University Hospitals NHS Foundation Trust
Principal Investigator: David Jayne, MD Cambridge University Hospitals NHS Foundation Trust
Principal Investigator: Michael Walsh, MD Cambridge University Hospitals NHS Foundation Trust
  More Information

No publications provided Identifier: NCT00539799     History of Changes
Other Study ID Numbers: A091040, EUDRACT: 2007-003923-20
Study First Received: October 4, 2007
Last Updated: May 28, 2008
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by Cambridge University Hospitals NHS Foundation Trust:
systemic lupus erythematosus
lupus nephritis

Additional relevant MeSH terms:
Lupus Nephritis
Autoimmune Diseases
Connective Tissue Diseases
Immune System Diseases
Kidney Diseases
Lupus Erythematosus, Systemic
Urologic Diseases processed this record on March 31, 2015