Autosomal Dominant Polycystic Kidney Disease (ADPKD)
Conditions
Keywords
ADPKD, triptolide
Brief summary
Triptolide was shown in experimental studies to inhibit the cyst formation and growth in ADPKD models, while triptolide-containing formulation was revealed to potentially slow the disease progression in several proteinuric ADPKD patients in our clinical practice. It remains to be shown the effect of triptolide-containing formulation on total kidney volume (TKV) enlargement and renal function protection in ADPKD patients.
Detailed description
Randomized Controlled Trial
Interventions
Triptolide-Containing Formulation (1mg/kg/d) plus standard treatment of complications. Anti-hypertension drug(s) for hypertension; Antibiotics for cyst infections; cause oriented treatment for flank pain.
Placebo plus standard treatment of complications. Anti-hypertension drug(s) for hypertension; Antibiotics for cyst infections; cause oriented treatment for flank pain, etc.
Sponsors
Study design
Eligibility
Inclusion criteria
* ADPKD patient older then 40 years of age without gender limitation * Estimated glomerular filtration rate (eGFR) higher than 60 ml/min 1.73m2 * documented kidney volume progression with yearly increasing rate more than 6% * informed consent
Exclusion criteria
* Female who is planning to become pregnant, who is pregnant and/or lactating, who is unwilling to use effective means of contraception * impaired liver function as increased liver enzymes (2-fold above normal values) * uncontrolled hypercholesterolemia (fasting cholesterol \> 8 mmol/l) or hypertriglyceridaemia (\> 5 mmol/l) under lipid lowering therapy * granulocytopenia (white blood cell \< 3,000/mm3) or thrombocytopenia (platelets \< 100,000/mm3) * hepatitis B or C, HIV infection * malignancy * mental illness that interfere with the patient ability to comply with the protocol * drug or alcohol abuse * known hypersensitivity to similar drugs as Triptolide-Containing Formulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| renal volume measured by high resolution magnetic resolution imaging | 2 yrs |
Secondary
| Measure | Time frame |
|---|---|
| Estimated glomerular filtration rate (eGFR) | 2 yrs |
| Adverse events. | 2 yrs |
Countries
China