recurrent IgA nephropathy after transplantation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1: Adult recipients aged =18 and =65 years old 2: graft biopsy considered recurrence of IgA nephropathy 3: Have received ACEi/ARB standard treatment for at least 12 weeks, and received the maximum tolerated dose 4 weeks before enrollment 4: 24-hour urine protein quantification = 0.75g and =3g 5: time span between 24-hour urine protein quantification = 0.3g and the enrollment is less than 1 year 6: eGFR =35ml/min/1.73m^2
Exclusion criteria
Exclusion criteria: 1: PRA or DSA positive recipients; 2: recipients whose transplanted kidney biopsy shows rejection; 3: Other known causes of proteinuria; 4: ABO-incompatible kidney transplant recipients 5: Multiple organ transplant recipients; 6: Glycated hemoglobin>6.5%; 7: Those who took Tripterygium wilfordii preparations within 1 month before enrollment; 8: Patients with malignant tumor or patients who have been diagnosed with malignant tumor within the past 5 years but have been cured, except treated basal cell carcinoma of the skin, effectively resected squamous cell carcinoma of the skin, colon polyps, or cervical cancer in situ; 9: Pregnant women, lactating women, and men or women who plan to have children during the trial; 10: Those allergic to human biological products; 11: Subjects deemed unsuitable by the researcher;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour urinary protein quantification; | — |
Secondary
| Measure | Time frame |
|---|---|
| blood protein levels;eGFR;Serum IgA level;Abnormal glycosylation IgA;Serum IgM level;Serum IgG level; | — |
Countries
China
Contacts
Institute of Organ Transplantation, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University