Status:

UNKNOWN

Effect of Immunosuppression in IgA Nephropathy

Lead Sponsor:

Yonsei University

Conditions:

Biopsy-proven IgA Nephropathy

Eligibility:

All Genders

19-75 years

Phase:

PHASE4

Brief Summary

IgA nephropathy (IgAN) is the most common glomerulonephritis worldwide, leading to end stage renal disease (ESRD) in up to 30 to 40% of patients with in a few decades after diagnosis. Several therapeu...

Detailed Description

The investigators will conduct a multicenter prospective randomized controlled open-label trial; a step-wise therapeutic approach in IgAN patients with persistent proteinuria who have preserved eGFR o...

Eligibility Criteria

Inclusion

  • Biopsy-proven IgA nephropathy within 5 years of enrollment
  • Persistent proteinuria of UPCR ≥ 1.0 g/g creatinine during 12-week supportive care including RAS blockers
  • baseline eGFR ≥ 30 ml/min/1.73 m2 assessed by CKD-EPI equation

Exclusion

  • Nephrotic syndrome, atypical IgA nephropathy
  • Crescents ≥ 25%
  • Overt pulmonary tuberculosis
  • Malignancy within 5 years of enrollment
  • Pregnancy or breast feeding
  • Active hepatitis, chronic hepatitis, liver cirrhosis, HIV
  • Kidney transplant
  • Current use of immunosuppressive treatment or prior use of immunosuppressive drugs within 1 year of enrollment
  • Uncontrolled hypertension (\> 160/100 mmHg)
  • Aged \< 19 years
  • Secondary IgA nephropathy such as lupus nephritis, chronic liver disease, or Henoch-Schlein purpura
  • Involvement of other clinical trials within 3 months of enrollment

Key Trial Info

Start Date :

March 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2023

Estimated Enrollment :

174 Patients enrolled

Trial Details

Trial ID

NCT03468972

Start Date

March 1 2019

End Date

May 1 2023

Last Update

February 8 2019

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Severance Hospital

Seoul, South Korea, 03722