Status:

UNKNOWN

The Effect of Calcitriol on Progress and Activity of Lupus Nephritis

Lead Sponsor:

Guilan University of Medical Sciences

Conditions:

Systemic Lupus Erythematosus

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine whether calcitriol is effective in the treatment of lupus nephritis.

Detailed Description

Systemic lupus erythematosus (SLE) is an autoimmune disease and renal involvement represent one of the most common manifestations of it . On the other hand, there is evidence that vitamin D and its an...

Eligibility Criteria

Inclusion

  • Aged 18-65 years
  • Baseline Systemic Lupus Erythematosus Disease Activity Index score \<= 4
  • Estimated glomerular filtration rate more than 15 ml/min/1.73m2
  • Proteinuria \> 1 g/day (or proteinuria \> 1 g/g-Cr) in 2 consecutive samples within 12 weeks despite ACE inhibitor at least 3 months
  • On maintenance dose of prednisolone \< 15 mg/day with or without other immunosuppressive medications
  • Serum calcium level in normal range( 8.5-10.5 mg/dl)
  • History of biopsy-proven lupus nephritis clinical quiescent SLE for at least 3 month
  • Willingness to give written consent and comply with the study protocol

Exclusion

  • Pregnancy, lactating or childbearing potential without effective method of birth control
  • Severe gastrointestinal disorders that interfere with their ability to receive or absorb oral medication
  • History of malignancy, including leukemia and lymphoma within the past 2 years; Systemic infection requiring therapy at study entry
  • Any other severe coexisting disease such as, but not limited to, chronic liver disease, myocardial infarction, cerebrovascular accident, malignant hypertension
  • History of drug or alcohol abuse within past 2 years
  • Vitamin D deficiency(25 hydroxy vitamin D less than 20ng/ml)
  • Participation in any previous trial on vitamin D analogue
  • Patients receiving treatment of vitamin D and/or its analogue for other medical reasons within the past 4 weeks
  • Patients who are taking multivitamin supplement that contains vitamin D could be enrolled after 4 weeks of wash out period by changing to a preparation that has no vitamin D
  • On other investigational drugs within last 30 days
  • History of a psychological illness or condition such as to interfere with the patient's ability to understand the requirement of the study
  • History of non-compliance; Known history of sensitivity or allergy to vitamin D analogs

Key Trial Info

Start Date :

April 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 1 2014

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT01863641

Start Date

April 1 2013

End Date

April 1 2014

Last Update

May 29 2013

Active Locations (1)

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1

Razi hospital

Rasht, Gilan Province, Iran