Nephritis, Lupus
Conditions
Keywords
Lupus Nephritis, Cyclophosphamide, Tripterygium
Brief summary
Evaluation the clinical efficacy and safety profile of glucocorticosteroid combined with oral T2 (chloroform/methanol extract of Tripterygium wilfordii Hook F) in the treatment of patients with lupus nephritis. Open-labeled, randomized, prospective multi-center clinical trial. Observation period of 24 weeks.
Interventions
Oral T2(Tripterygium wilfordii Hook F) 20mg thrice daily for 24 weeks.
Cyclophosphamide 1.0 intravenous every month.
Prednisone or equivalent 1 mg/kg/d(up to 60 mg), gradually tapering to 7.5mg/d in 24 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-65 years with informed consent * SLE defined by meeting 4 or more ACR classification criteria * Biopsy-proven active proliferative lupus glomerulonephritis ISN classification Class III or IV * Active renal disease
Exclusion criteria
* Pregnant, lactating or further fertility requirements * Serum creatinine \> 3 mg/dL * Serum ALT or AST \> 3 times upper limit of normal * Severe, progressive renal, hepatic, hematological, gastrointestinal, pulmonary, cardiovascular, neurological, endocrine or cerebral disease * Previous treated with cyclophosphamide or T2. * Not discontinuing MMF, azathioprine, leflunomide, methotrexate, calcineurin inhibitor before 1 month of randomization. * Active or chronic infection, including HIV, HCV, HBV, tuberculosis * Patient with malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Renal Response | 24 weeks. | The proportion of patients achieving Complete Response (CR) and Partial Response(PR). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Renal Function | 24 weeks | The change in glomerular filtration rate(GFR) from baseline to week 24. |
| Serum Albumin Level | 24 weeks | The change in serum albumin level from baseline to week 24. |
| Complement | 24 weeks | The change in complement components from baseline to week 24, including: CH50(total complement activity), C3 and C4 level measured by nephelometry. |
| Anti-dsDNA | 24 weeks | The change in anti-dsDNA antibody titers from baseline to week 24. |
Countries
China