Title
Prospective, Multicenter Study of the Efficacy and Tolerance of Tacrolimus on Refractory Nephrotic Syndrome (RNS)
Phase
Phase 3Lead Sponsor
Sun Yat-Sen UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Kidney Diseases Nephrotic Syndrome TacrolimusIntervention/Treatment
tacrolimus ...Study Participants
61Exploring the efficacy and safety of Tacrolimus on refractory nephrotic syndrome ; Acquiring the experience of Tacrolimus on the treatment of refractory nephrotic syndrome in Chinese patients.
Started: 0.05-0.1mg/kg/d,divided into two daily dose at 12hr; the blood level:5-10ng/ml in induction phase;and 4-6ng/ml in maintenance phase;
Inclusion Criteria: Subjects of either sex, 14-65 years of age; Diagnosis of Nephrotic syndrome with hypoalbuminemia (<3.0g/dl) and heavy proteinuria (> 3.5g/24hr); Provision of written informed consent by subject or guardian; Refractory nephrotic syndrome: Steroid resistant: Persistence of proteinuria despite prednisone therapy 1mg/kg/d for 16 weeks; Steroid dependent: NS recurs when steroid dosage decease.Twice within 6 months, and 3 times within 1 year. Exclusion Criteria: Inability or unwillingness to provide written informed consent ; Known hypersensitivity or contraindication to tacrolimus, cyclophosphamide, azathioprine, corticosteroids; Usage of immunosuppression therapy (MMF, CTX, CysA, MTX ect) for more than 1 week within 1 month prior to first randomization; Pregnancy, nursing or use of a non-reliable method of contraception; Continuous dialysis starting more than 2 weeks before randomization into the induction phase and/or continuous dialysis with an anticipated duration of more than 8 weeks; Previous kidney transplant or planted transplant; Scr > 4mg/dl (353umol/L); Active hepatitis, with liver dysfunction; Diagnosed DM; Participation in another clinic trial and/or receipt of investigational drugs within 4 weeks prior to screening .