IgA nephropathy (IgAN) as the most common type of glomerulonephritis. MedDRA version: 16.1 Level: PT Classification code 10021263 Term: IgA nephropathy System Organ Class: 10038359 - Renal and urinary disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Male or female patients from 18-70 years with histologically proven primary IgAN with typical mesangioproliferative features. Diagnosis has to be made by a nephropathologist. - Proteinuria above 0.75 g/day within 12 weeks prior to or at the first visit in the run-in phase (month -6) and presence of at least one further risk factor for the development of end stage renal disease a) arterial hypertension, defined as ambulatory blood pressure >140/90 mm Hg or the use of antihypertensive medication or b) impaired renal function, defined as creatinine clearance or estimated GFR =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Known allergy or intolerance to study medication (except in case of ACE-inhibitor, in which case a change to an angiotensin receptor blocker is possible). - Women who are pregnant or breastfeeding. - Women without sufficient contraception. - Contraindication for immunosuppressive therapy - Any prior immunosuppressive therapy. - Variants of primary IgAN (e.g. rapidly progressive IgAN with crescents in >50% of glomeruli or minimal change GN with glomerular IgA deposits). - Secondary IgAN or diseases associated with glomerular deposits of IgA. - Additional other chronic renal disease. - Creatinine clearance below 30 ml/min (mean of 3 measurements).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Evaluation of the efficacy of an immunosuppressive therapy added to a comprehensive supportive therapy to induce a clinical remission in patients at risk for progressive IgA nephropathy.;Secondary Objective: Investigation of differences between the treatments regarding the number of patients loosing more than 15 ml/min of glomerular filtration rate (GFR).;Primary end point(s): -Patients in full clinical remission of their disease. Full clinical remission is defined as proteinuria < 0.2 g/g and stable renal function (GFR loss of < 5 ml/min from baseline GFR at the end of the 3 year study period). -GFR loss of 15 ml/min or higher from baseline GFR at the end of the 3 year study period. | — |
Countries
Germany