primary focal segmental glomerulosclerosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Written informed consent; 2. Age 18-75 years old(Including 18 and 75 years); 3. The clinical and renal biopsy confirmed diagnosis of steroid-resistant and steroid-dependent primary focal segmental glomerulosclerosis; steroid-resistant: patients who received prednisone or prednisolone(1mg/kg/d) treatment for 12 weeks did not remissionsteroid-dependent: patients relapse when reducted to a certain dose of prednisone; 4. 24h urine protein> 1.5 g, and GFR> 30ml/min.; 5. Those who have not used other than in addition to glucocorticoid immunosuppressant or be discontinued for 3 months; 6. Blood pressure can be controlled over 135/85mmHg.
Exclusion criteria
Exclusion criteria: 1. Secondary FSGS; 2. Application within three months of glucocorticoid were informal; 3. In addition to glucocorticoid, patients have used other immunosuppressant; 4. Blood pressure can not be controlled over 135/85mmHg after antihypertensive treatment; 5. Females who are pregnant or breast-feeding; 6. Patients those with acute renal failure had receives reatment of hemodialysis; 7. Severe infection, heart failure and central nervous system disorders; 8. Severe Immunodeficiency, active gastrointestinal disease, or myelodysplastic; 9. Liver dysfunction cause from other causes; 10. Positive serum parameters for hepatitis B or C; 11. Serum WBC < 3.5×10^9/L, PLT<5*10^12/L; 12. Cancer or an individual history of cancer; 13. Mental illness; 14.Poor compliance, or unwilling to accept treatment in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| blood and urine routine examination;24-hour urine protein;Serum lipid (Triglyceride, Cholesterol);Liver and kidney function;FK506 concentratio; | — |
Countries
China