Glomerulosclerosis, Focal
Conditions
Keywords
glomerulosclerosis, focal, pretransplant immunosuppression, total lymphoid irradiation, renal transplant, recurrence
Brief summary
The purpose was study the immunosuppression using total lymphoid irradiation plus Csa, MMF and prednisone pretransplant to prevent focal segmental glomerulosclerosis recurrence in the renal graft
Detailed description
Focal and segmental glomerulosclerosis (FSGS) is resistant to treatment with immunosuppressants and after transplant, 40% of such patients have recurrences in renal allograft. The purpose of this trial was to use Total Lymphoid Irradiation (TLI) plus mycophenolate mofetil (MMF), cyclosporine A (CsA) and prednisone (PRED) to prevent recurrence.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients (age \> 18 years) * Biopsy-proven primary FSGS * End-stage renal failure at presentation or prior allograft loss due to recurrent FSGS. * Signed the informed consent before entering in the study.
Exclusion criteria
* Age \< or equal 18 years * No biopsy-proven FSGS * Without living donor to perform the transplant * No signed the informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of immunosuppression using TLI plus CsA, MMF and Pred in prevent recurrence of FSGS after the renal transplant | — |
Secondary
| Measure | Time frame |
|---|---|
| Morbidity and mortality ot the treatment | — |
Countries
Brazil