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Mycophenolate Mofetil Versus Azathioprine for Maintenance Therapy of Lupus Nephritis. (MAINTAIN)

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ClinicalTrials.gov Identifier: NCT00204022
Recruitment Status : Completed
First Posted : September 20, 2005
Last Update Posted : October 14, 2011
Information provided by (Responsible Party):

September 12, 2005
September 20, 2005
October 14, 2011
February 2001
August 2011   (Final data collection date for primary outcome measure)
Time to renal flare [ Time Frame: 5 years ]
Time to renal flare
Complete list of historical versions of study NCT00204022 on ClinicalTrials.gov Archive Site
  • Number of withdrawals due to toxicity [ Time Frame: 5 years and 10 years ]
  • Cumulated glucocorticoid intake [ Time Frame: 5 years and 10 years ]
  • Number of treatment failures [ Time Frame: 5 years and 10 years ]
  • 24-hour proteinuria over time [ Time Frame: 5 years and 10 years ]
  • Serum creatinine titers [ Time Frame: 5 years and 10 years ]
  • Time to renal flare [ Time Frame: 10 years ]
  • Number of withdrawals due to toxicity
  • Cumulated glucocorticoid intake
  • Number of treatment failures
  • 24-hour proteinuria over time
  • Renal function over time
Not Provided
Not Provided
Mycophenolate Mofetil Versus Azathioprine for Maintenance Therapy of Lupus Nephritis.
A Randomized Multicenter Trial Comparing Mycophenolate Mofetil and Azathioprine as Remission-maintaining Treatment for Proliferative Lupus Glomerulonephritis. The MAINTAIN Nephritis Trial.
The purpose of the study is to determine whether mycophenolate mofetil is superior to azathioprine to prevent flares of lupus nephritis.
Proliferative glomerulonephritis is a common and severe manifestation of systemic lupus erythematosus (SLE) that usually requires intensive therapy with high doses of glucocorticosteroids and cytotoxic drugs, such as intravenous (IV) cyclophosphamide (CYC). The objective of the MAINTAIN Nephritis Trial is to compare mycophenolate mofetil (MMF) and azathioprine (AZA), in terms of efficacy and toxicity, as remission-maintaining treatment of proliferative lupus glomerulonephritis, after a remission-inducing therapy with a short-course IV CYC regimen. The hypothesis addressed by the MAINTAIN Nephritis Trial is that MMF is superior to AZA.
Phase 3
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Lupus Nephritis
  • Drug: Mycophenolate mofetil
    Mycophenolate mofetil
  • Drug: Azathioprine
  • Experimental: 1
    Mycophenolate mofetil (target dose 2g/day)
    Intervention: Drug: Mycophenolate mofetil
  • Active Comparator: 2
    Azathioprine (target dose 2mg/kg/day)
    Intervention: Drug: Azathioprine

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
August 2011
August 2011   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • SLE aged ≥ 14 years
  • Proteinuria ≥ 500 mg/day
  • Biopsy-proven proliferative lupus nephritis

Exclusion Criteria:

  • Recent treatment with high-dose glucocorticoids
  • Recent treatment with immunosuppressive drugs
  • More exclusion criteria in the protocol
Sexes Eligible for Study: All
14 Years and older   (Child, Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
Not Provided
Not Provided
Frédéric A. Houssiau, MD, PhD, Université Catholique de Louvain
Frédéric A. Houssiau, MD, PhD
Not Provided
Principal Investigator: Frédéric A Houssiau, MD, PhD Université Catholique de Louvain
Université Catholique de Louvain
October 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP