Minimal Change Disease
Conditions
Keywords
minimal change disease, tacrolimus, corticosteroid
Brief summary
The hypothesis of this study is that tacrolimus reduces the proteinuria in adult patient with minimal change nephritic syndrome.
Detailed description
A pilot study for comparative clinical trial on the therapeutic effect of tacrolimus (Prograf cap®) in adult patient with minimal change nephritic syndrome.
Interventions
tacrolimus 0.05mg/kg bid for 12 weeks corticosteroid 0.3 - 0.5mg/kg qd
Sponsors
Study design
Eligibility
Inclusion criteria
* from 18yrs to 80 yrs , man and women * Minimal change disease is diagnosed by kidney biopsy * On screening, the patient shows that the level of urine protein/creatinine ratio is over 3.0 * On screening, the patient shows that the serum albumin is below 3.0g/dL * the patient sign on the concent form
Exclusion criteria
* the patient have experience to take tacrolimus or cyclosporin for 1 month * If it is the relapse of the nephrotic syndrome, before relapse, the maintenance dose of steroid is over 0.3 mg/kg/day * steroid dependent or steroid resistant or frequent relapse case * uncontrolled hypertension * pregnancy or anticipate pregnancy with 6 month * hypersensitivity to tacrolimus or macrolide * acute hepatitis or the level of AST or ALT is over 2 times of normal range or the level of bilirubin is over 2.0 mg/dL
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| remission of proteinuria | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| time to remission, relapse rate, response failure rate | 12 weeks |
Countries
South Korea