Chronic glomerulopathy patients with a urine protein to creatinine ratio (UPCR) more than or equal to 0.5 g/g and an estimated glomerular filtration rate (eGFR) of more than 20 mL/min/1.73 m2 Chronic glomerulopathy, hydroxychloroquine, proteinuria, interleukin-6
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age over 20 years, 2. A diagnosis of CGN from any causes with or without biopsy-proven CGN, 3. Estimated glomerular filtration rate (eGFR) of more than 20 mL/min/1.73 m2 (calculated using the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] creatinine equation), 4. Protein excretion of at least 0.50 grams per day despite receiving a maximum tolerable dose of renin-angiotensin-aldosterone system (RAAS) inhibitor for at least 3 months, 5. Inform consent
Exclusion criteria
Exclusion criteria: 1. Use of systemic immunosuppressive therapy except for maintenance low dose steroid at the time of enrollment, 2. An indication for a new regimen of corticosteroids (crescentic IgAN or minimal change disease with IgA deposits), 3. Contraindications for HCQ therapy, 4. Severe and uncontrolled comorbid diseases, 5. Current or planned pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Protein excretion At baseline, 2 months, and months after intervention Urine protein to creatinine ratio | — |
Secondary
| Measure | Time frame |
|---|---|
| Interleukin-6 At baseline, 2 months, and months after intervention Serum interleukin-6,High sensitivity C-reactive protein (hsCRP) At baseline, 2 months, and months after intervention Serum hsCRP,Glomerular filtration rate (GFR) At baseline, 2 months, and months after intervention Glomerular filtration rate (GFR) | — |
Countries
Thailand
Contacts
Phramongkutklao hospital