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The influence of CD27-CD21+ B cells and IgA plasma cell changes in patients with IgA nephropathy on the prognosis of treatment with Nefecon

Study Protocol on the Impact of Changes in CD27-CD21 B Cells and IgA Plasmablasts on the Prognosis of IgA Nephropathy Patients Receiving Budesonide Enteric Capsules

Status
Active, not recruiting
Phases
Phase 4
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500115491
Enrollment
Unknown
Registered
2025-12-26
Start date
2026-01-01
Completion date
Unknown
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

IgA nephropathy

Interventions

Observation group:None

Sponsors

Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Diagnosed with primary IgA nephropathy through renal biopsy; 2. Age>= 18 years; 3. 24-hour urine protein quantification > 0.5g/d or urine protein to creatinine ratio (UPCR) > 0.4g/g; 4. Estimated glomerular filtration rate (eGFR) >= 25ml/min/1.73m^2; 5. Currently receiving or planning to receive treatment with Nefecon; 6. The subject or (and) their legal guardian has signed the informed consent form (ICF) and is willing to participate in the study.

Exclusion criteria

Exclusion criteria: 1.Patients with secondary IgA nephropathy due to conditions such as IgA vasculitis, liver disease, lupus, etc.; 2. Patients with other kidney diseases such as diabetic nephropathy, tubulointerstitial nephropathy, membranous nephropathy, etc.; 3. Patients with minimal change nephropathy presenting with nephrotic syndrome and IgA deposition; 4. Active infections, severe liver dysfunction (Child-Pugh C grade), congestive heart failure, and a history of developing malignant tumors other than basal cell carcinoma within 5 years; 5. Allergic to any component of budesonide or budesonide enteric-coated capsules, including severe hypersensitivity reactions that occurred during the use of other budesonide formulations; 6. Within 4 weeks before Nefecon enteric-coated capsule treatment, use of systemic hormone therapy (prednisone, methylprednisolone, etc.), immunosuppressive therapy: cyclophosphamide, cyclosporine, azathioprine, mycophenolic acid, calcineurin inhibitors, etc., targeted B-cell biological therapy: tixocortol, etc.; 7. Pregnant and lactating female patients.

Design outcomes

Primary

MeasureTime frame
The percentage reduction in 24-hour proteinuria at 12 months compared to the baseline level;Galactose-deficient IgA1;Plasma polymeric IgA;IgA-IgG immune complex;Glomerular filtration rate;

Secondary

MeasureTime frame
Urine protein-to-creatinine ratio;

Countries

China

Contacts

Public ContactYuan Cheng

Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University

chengy_nephrology@163.com+86 132 6575 6776

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026