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Tacrolimus Treatment of Patients With Idiopathic Focal Segmental Glomerulosclerosis

Primary Purpose

Focal Glomerulosclerosis

Status
Withdrawn
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Tacrolimus
Sponsored by
Nanjing University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Focal Glomerulosclerosis focused on measuring Idiopathic Focal Segmental Glomerulosclerosis, Treatment, Steroids

Eligibility Criteria

15 Years - 50 Years (Child, Adult)All SexesAccepts Healthy Volunteers

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

Sites / Locations

  • Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tacrolimus

Arm Description

Outcomes

Primary Outcome Measures

To assess the efficacy of Tacrolimus Treatment Idiopathic Focal Segmental Glomerulosclerosis

Secondary Outcome Measures

To investigate the safety and tolerability of Tacrolimus vs Steroids in Treatment Idiopathic Focal Segmental Glomerulosclerosis

Full Information

First Posted
March 13, 2006
Last Updated
February 8, 2012
Sponsor
Nanjing University School of Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT00302536
Brief Title
Tacrolimus Treatment of Patients With Idiopathic Focal Segmental Glomerulosclerosis
Official Title
Tacrolimus Treatment of Patients With Idiopathic Focal Segmental
Study Type
Interventional

2. Study Status

Record Verification Date
September 2010
Overall Recruitment Status
Withdrawn
Why Stopped
There was less patients recruited.
Study Start Date
March 2006 (undefined)
Primary Completion Date
May 2010 (Anticipated)
Study Completion Date
September 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Nanjing University School of Medicine

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the efficacy of Tacrolimus Treatment of patients with idiopathic focal segmental glomerulosclerosis.
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Focal Glomerulosclerosis
Keywords
Idiopathic Focal Segmental Glomerulosclerosis, Treatment, Steroids

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tacrolimus
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Tacrolimus
Other Intervention Name(s)
Tacrolimus, Prograf
Intervention Description
Tacrolimus
Primary Outcome Measure Information:
Title
To assess the efficacy of Tacrolimus Treatment Idiopathic Focal Segmental Glomerulosclerosis
Time Frame
18 months
Secondary Outcome Measure Information:
Title
To investigate the safety and tolerability of Tacrolimus vs Steroids in Treatment Idiopathic Focal Segmental Glomerulosclerosis
Time Frame
18 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhi-hong Liu, M.D.
Organizational Affiliation
Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine
Official's Role
Study Director
Facility Information:
Facility Name
Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210002
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
35224732
Citation
Hodson EM, Sinha A, Cooper TE. Interventions for focal segmental glomerulosclerosis in adults. Cochrane Database Syst Rev. 2022 Feb 28;2(2):CD003233. doi: 10.1002/14651858.CD003233.pub3.
Results Reference
derived

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Tacrolimus Treatment of Patients With Idiopathic Focal Segmental Glomerulosclerosis

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