Lupus Nephritis
Conditions
Brief summary
The purpose of this protocol is to determine whether Tacrolimus and Prednisolone are effective and safe in the treatment of the cyclophosphamide-resistant, refractory diffuse proliferative lupus nephritis
Interventions
during the first 2 months : tacrolimus 0.1 mg/kg + prednisolone 0.8 mg/kg p.o. ,then after : tacrolimus 0.1 mg \ 0.02 mg/kg + prednisolone tapering
Sponsors
Study design
Eligibility
Inclusion criteria
* Biopsy-proven lupus nephritis WHO Class IV , IV+V * Previously treated by three times over of i.v. cyclophosphamide or 6 months more duration of immunosuppressive treatments (azathioprine, MMF, cyclophosphamide p.o.) for the lupus nephritis * spot urine Protein creatinine raio \> 1.0 * RBC \> 5 /HPF on microscopic examination of urine
Exclusion criteria
* previous treatment of cyclosporine A or tacrolimus * serum Creatinine lever : over 300 mmol/dl * allergy to the macrolide antibiotics * other systemic organ damage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reducing proteinuria | 6 months |
Countries
South Korea