The Applicaiton of Immune Repertoire in the Diagnosis and Disease Monitoring of IgA Nephropathy
NCT04438603 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 180
Last updated 2020-08-28
Summary
This prospective study aims to investigate the role of IR-Seq in the diagnosis and disease monitoring in patients with IgA nephropathy.
Conditions
Interventions
- DRUG
-
Intervention for incipient patients at low risk of disease progression
Conservative treatment, if necessary use ACEI/ARB and titrated to the maximum tolerated dose, with a BP-lowering goal of \< 130/80 mm Hg
- DRUG
-
Intervention for patients at high risk of disease progression
BP-lowering goal of \< 125/75 mm Hg and treat with steroids or steroids combined with immunosuppressants based on optimal supportive therapy: 1. If GFR\>60 ml/min/1.73m\^2, oral prednisone 0.6-0.8 mg/kg/day ( (maximum dose 48 mg/day) for 2 months, followed by a monthly dose reduction of 8 mg for 24 weeks. 2. If GFR is 30-60 ml/min/1.73m\^2, intravenous cyclophosphamide (CTX) 750 mg per month per m\^2 for 6 months, along with oral prednisone (at the same dose as 1); if intravenous administration is unacceptable, then the above regimen was replaced with oral mycophenolate mofetil 500 mg bid for 24 weeks.
Sponsors & Collaborators
-
RenJi Hospital
collaborator OTHER -
Shanghai Zhongshan Hospital
collaborator OTHER -
Shanghai University of Traditional Chinese Medicine
collaborator OTHER -
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-10-01
- Primary Completion
- 2022-03-31
- Completion
- 2022-09-30
Countries
- China
Study Locations
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