Chronic Kidney Disease, Fibrosis
Conditions
Keywords
nephroprotection, pirfenidone, polymorphisms
Brief summary
The aim of this study was to evaluate the impact in safety and efficacy of a new formulation of prolonged-released Pirfenidone in the progression of renal damage in patients with Chronic kidney Disease (CKD).
Interventions
Pirfenidone was supplied orally in the form of prolonged-released tablets according with body surface area (m2 BS) of each patient. The target dosage of PFD was 1200 mg two times a day (b.i.d.) for a full dosage of 2400 mg daily during three years. Therapy was initiated at 600 mg b.i.d. and escalated to full dosage after 3 weeks when symptoms were controlled.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients between 10 and 40 years old with CKD 2. Diagnosis of CKD stage 1 to 4 according with KDIGO definition and classification 3. No glucocorticoids, cyclophasphamide, mycophenolate, or other immunosuppressive drugs for at least two months before starting PFD administration 4. Sign of consent forms
Exclusion criteria
1. Known intolerance to PFD 2. CKD stage V according with KDOQI classification 3. Post-transplant patients 4. History of peptic ulcer within six months 5. History of cerebrovascular disease within six months 6. Evidence of hepatic disease 7. Pregnancy or breast feeding 8. Malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate the results of the use of Pirfenidone in the progression of renal damage in patients with Chronic Kidney Disease. | three years | The progression of renal damage in patients with Chronic Kidney Disease was evaluated according to stages 1-4 of classification KDIGO. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of the use of Pirfenidone in renal function | Three years | The renal function was monitored by cystatin C, reciprocal of serum creatinine and creatinine clearance collection of 24 hrs. |