Status:

COMPLETED

Treatment With Synthetic ACTH in High Risk Patients With Membranous Nephropathy

Lead Sponsor:

Radboud University Medical Center

Collaborating Sponsors:

Dutch Kidney Foundation

Conditions:

Idiopathic Membranous Nephropathy

Eligibility:

All Genders

18-95 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine whether treatment with long-acting synthetic adrenocorticotropic hormone is in the treatment of patients with idiopathic membranous nephropathy and high for r...

Eligibility Criteria

Inclusion

  • Biopsy-proven idiopathic membranous nephropathy.
  • Nephrotic syndrome: proteinuria \> 3.5 g/day and serum albumine \< 30 g/l
  • Normal or mildly impaired renal function (eGFR \> 60 ml/min, MDRD formula)
  • High risk for renal failure: beta-2-microglobulin excretion \> 500 ng/min
  • Relative contra-indication for cyclophosphamide treatment:
  • fertility and wish for (future) family expanding
  • high age ( \> 60 years)
  • former cyclophosphamide treatment
  • intolerance to cyclophosphamide

Exclusion

  • Clinical,biochemical or histological signs of any underlying systemic disease
  • Any infectious disease (including latent tuberculosis and/or latent amoebiasis)
  • Active gastric or duodenal ulcers
  • Pregnancy, lactation, inadequate contraceptives
  • Clinical signs of renal vein thrombosis
  • Asthma and /or any allergic conditions or hypersensitivity reactions
  • Allergic reaction to synthetic ACTH in the past

Key Trial Info

Start Date :

July 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2012

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT00694863

Start Date

July 1 2008

End Date

December 1 2012

Last Update

January 7 2013

Active Locations (1)

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1

Radboud University

Nijmegen, Netherlands, 6500 HB