Health Condition 1: M321- Systemic lupus erythematosus withorgan or system involvement
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of SLE greater than 18 years satisfying the ACR and EULAR 2019 criteria with biopsy-proven pro-liferative lupus nephritis (Class III or IV or III+V or IV+V)
Exclusion criteria
Exclusion criteria: 1)Patients who are pregnant or lactating or planning to get pregnant in the study period. 2)Acutely ill patients with infections or sepsis or dialysis or having a life-threatening manifestation that will confound the effect of the study medication. 3)Patients with poor renal functions (eGFR less than 25ml per min per 1.73m2) and or baseline serum creatinine of greater than 3mg/dL and or other standard contraindications to SGLT2 inhibition 4)Refractory lupus nephritis: defined as those patients who have failed to achieve renal response with two or more induction treatments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients who achieve the KDIGO 2024-defined complete renal response at 6 months.Timepoint: Proportion of patients who achieve the KDIGO 2024-defined complete renal response at 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To compare the rates of partial renal response at the end of 6 months between the two groups 2.To assess the renal (complete and partial) response as per KDIGO 2024 definition at the end of 1 year in the study group. 3.To compare rates of flares in both groups as per SELENA-SLEDAI Flare Index at 1 year 4.To compare rates of adverse events in both groups defined according to CTCAE, 2017. 5.To determine the overall differences in peripheral blood immune cell populations in both groups before and at 6 months after Dapagliflozin Timepoint: 1. 6 months 2. 1 year 3. 1 year 4. 6 months 5. 6 months | — |
Countries
India
Contacts
Jawaharlal Institute of Postgraduate Medical Education and Research