Health Condition 1: N00-N08- Glomerular diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Biopsy proven primary glomerular diseases who donot require immunosuppression. 2. Estimated glomerular filtration rate (by CKD-EPI) >25 ml/min/1.73m2 BSA. 3. Persistent proteinuria >1 gram/24 hrs receiving maximum tolerable dose of ARB for last 1 month. 4. No contraindication to any of the medication used in the study.
Exclusion criteria
Exclusion criteria: 1. 2. Diabetes mellitus. 3. Severe disabling or life threatening symptoms related to the nephrotic syndrome. 4. Cresentic GN 5. Lupus nephritis 6. Conditions necessary for the use of immunosuppressant. 7. Hepatitis B/C or human immunodeficiency virus infection, other infection 8. Active Neoplasia. 9. women with pregnancy or lactating women 10. eGFR 12. Previous therapy with Prednisolone, MMF or alkylating agents within 6 months. 13. AKI
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The primary outcome: Absolute reduction of proteinuria in both armsTimepoint: 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 2. The secondary outcome: a) Cumulative number of patients who experienced remission (both partial and complete remission) on the basis of urine protein analysis. b) Change of Estimated glomerular filtration rate (eGFR) during and at the end of therapy. c) Adverse effects like- infection (urinary tract or genital tract infection or sepsis) whether any episode of hypoglycaemia, AKI or other serious adverse eventsTimepoint: 6 months | — |
Countries
India
Contacts
INSTITUTE OF POST GRADUATE MEDICAL EDUCATION AND RESEARCH