IgA Nephropathy (IgAN)
Conditions
Keywords
MMF treatment IgA Nephropathy (IgAN)
Brief summary
In order to treat proliferative IgA Nephropathy(IgAN), The investigators designed an open, prospective, randomized parallel study to access the efficacy and safety of MMF compared to corticosteroid . Patients who fulfill the inclusion criteria will be randomized in a 1:1 ratio to either the MMF group or corticosteroid group.
Detailed description
To access the efficacy and safety of MMF compared to corticosteroid in in treatment of proliferative IgA Nephropathy(IgAN).
Interventions
MMF 1.0-1.5g/d\*6mons Prednisone 0.4-0.6 mg/kg/d
0.8-1mg/kg/d
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients who signed written informed consent form 2. age between 18-60 years, female or male 3. diagnosed IgA Nephropathy (IgAN) by renal biopsy during 1 months 4. renal biopsy had: 10%\< crescents\<50%; endocapillary hypercellularity; or necrosis ,and interstitial fibrosis\<50%, 5. proteinuria\>1g/24h for two times
Exclusion criteria
1. secondary IgA Nephropathy (IgAN); 2. eGFR\<30ml/min/1.73m2.( MDRD formula) 3. liver disfunction; 4. uncontrolled hypertension 5. WBC \<3000/mm3 6. Severe viral infection(HBV, HCV, CMV) within 3 months ofor known HIV infection. 7. diabetes or obesity(BMI\>28) ; 8. severe infection or central nervous system symptoms.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the rate of complete remission (CR) at 6 months | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| the rate of overall response (CR+ partial remission [PR]) at 6 months | 6 months |
| the median time to CR | from the start of enrollment to the day of complete remission |
| the relapse rate after stopping the treatments | 12 months |
Countries
China