Health Condition 1: null- Children with Multidrug Resistant Nephrotic Syndrome Health Condition 2: N041- Nephrotic syndrome with focal andsegmental glomerular lesions Health Condition 3: N040- Nephrotic syndrome with minor glomerular abnormality
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 1-18 years 2.Multidrug resistant nephrotic syndrome as demonstrated by non-responsiveness to oral prednisolone 60mg/m2/day given for 4 weeks and non-responsiveness to tacrolimus or ciclosporin given for at least 3 months (uPCR > 2 mg/mg). 3.Biopsy proven focal segmental glomerulosclerosisor minimal change nephropathy 4.eGFR >60ml/min/1.73m2, stable during the preceding 3 months 5.Discontinuation of immunosuppressive medications at least 1 month prior to screening 6.Stable RAS antagonist (ACE inhibitor or AT1 receptor blocker) therapy (no dose change during previous month)
Exclusion criteria
Exclusion criteria: 1.Galactosemia or other disorder of carbohydrate metabolism 2.Type 1 diabetes mellitus 3.Secondary MDR-NS due to HIV, Hepatitis B, tuberculosis 4.Chronic kidney disease stage III-V 5.Expected non-compliance with medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Relative change in urinary protein/creatinine ratio (uPCr) after the treatment period of three months compared to baseline Timepoint: Enrollment period: 30 months Study period per patient:6 months First patient in to last patient out: 36 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Rate of patients with at least 30% decrease of uPCrafter three months exposure 2.Absolute change in serum albumin level after three months exposure 3.% patients with at least 5 g/L increase in serum albumin level after three months of exposure 4. % patients with at least 5 g/L decrease in serum albumin level three months after exposure 5. % patients discontinuing study drug due to adverse effects Timepoint: Every 3 months | — |
Countries
India
Contacts
Institute of Medical Sciences