Autoimmune Diseases, Glomerulonephritis
Conditions
Keywords
Immunoglobulin A, Antibodies, treatment
Brief summary
Immunoglobulin A (IgA) nephropathy is the common primary glomerulonephritis in the world. Much literature suggests that vitamin D and its analogs have profound effects on immune system function and glomerular mesangial cell proliferation. Therefore, the investigators plan to conduct a randomized clinical study to evaluate the efficacy of Calcitriol in the treatment of IgA nephropathy. Forty patients with biopsy-proven IgA nephropathy will be recruited. They will be randomized to Calcitriol for six months or no treatment. Proteinuria, renal function, serum and urinary inflammatory markers will be monitored. This study will explore the potential anti-proteinuric and anti-inflammatory effects of Calcitriol in the treatment of IgA nephropathy, which has no specific treatment at present.
Interventions
DRUGCalcitriol
0.5ug/Biw
Sponsors
Peking University First Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-65 years * Biopsy-confirmed IgA nephropathy * Proteinuria \> 0.8 g/day in 3 consecutive samples within 12 weeks despite ACE inhibitor or angiotensin receptor blocker treatment for at least 3 months or estimated glomerular filtration rate \< 60 ml/min/1.73m2 * Corrected serum calcium level \< or = 2.45 mmol/l * Willingness to give written consent and comply with the study protocol
Exclusion criteria
* Pregnancy, lactating or childbearing potential without effective method of birth control * Severe gastrointestinal disorders that interfere with their ability to receive or absorb oral medication * History of malignancy, including leukemia and lymphoma within the past 2 years * Systemic infection requiring therapy at study entry * Any other severe coexisting disease such as, but not limited to, chronic liver disease, myocardial infarction, cerebrovascular accident, malignant hypertension * History of drug or alcohol abuse within past 2 years * Participation in any previous trial on paricalcitol * Patients receiving treatment of vitamin D and/or its analogue for other medical reasons within the past 3 months * Patients receiving treatment of corticosteroid * On other investigational drugs within last 30 days * History of a psychological illness or condition such as to interfere with the patient's ability to understand the requirement of the study * History of non-compliance * Known history of sensitivity or allergy to paricalcitol or other vitamin D analogs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| decline of urine protein | 12 months treatment | analysis urine protein after 12 months treatment |
Countries
China
Contacts
Primary ContactHong Zhang, Prof
Outcome results
None listed