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CompletedNCT00125307Updated Aug 3, 2015

Tacrolimus for the Treatment of Systemic Lupus Erythematosus With Membranous Nephritis

A Phase 4 interventional study of tacrolimus in Lupus Nephritis and Lupus Erythematosus, Systemic, sponsored by Chinese University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-03.

Sponsored by Chinese University of Hong Kong · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The investigators study the efficacy and safety of tacrolimus in the treatment of membranous nephritis secondary to systemic lupus erythematosus.

Read the detailed description

Glomerulonephritis is one of the major disease manifestations of systemic lupus erythematosus (SLE). The treatment of membranous (type V) lupus nephritis, a subset that carries a high morbidity, remains unsatisfactory. Recent studies suggest that immunosuppressive therapy targeted against the calcineurin pathway of T-helper cells, for example, tacrolimus, may be effective in the treatment of primary membranous nephropathy. The investigators plan to conduct an open-label single-arm study of the efficacy and safety of tacrolimus in the treatment of membranous nephropathy secondary to SLE. Twenty patients with biopsy-proven membranous nephropathy secondary to SLE will be recruited. They will be treated with oral prednisolone and tacrolimus for 6 months, followed by 6 months of maintenance steroids alone. Proteinuria, renal function, clinical and serologic lupus activity will be monitored. Complete remission is defined as 24-hour urinary protein excretion to less than 0.5 gm/day. This study will explore the potential role of tacrolimus in the treatment of membranous lupus nephritis, which is usually resistant to conventional therapy.

02

Conditions studied

  • Lupus Nephritis
  • Lupus Erythematosus, Systemic

Keywords

  • SLE
  • glomerulonephritis
  • immunosuppressive therapy
  • type V (membranous) lupus nephritis
03

In context

Nephritis

245 studies on the registry are indexed under Nephritis; 56 are open to participants now.

This study's enrollment of 20 is below the median of 49 across 156 interventional studies indexed under Nephritis.

Browse Nephritis studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,419 studies on the registry; 487 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Fulfill the revised American College of Rheumatology criteria for SLE
  • Have biopsy-proven membranous nephropathy secondary to SLE
  • Nephrotic syndrome with proteinuria (> 3 g/day) and serum albumin \< 30 g/dl, with or without active urinary sediments despite steroid therapy (with or without cytotoxic agents)
  • Age over 18 with informed consent
  • Female patients of child-bearing age and male patients who agree to maintain effective birth control practice during the study

Exclusion criteria

Exclusion Criteria:

  • Patient with abnormal liver function tests
  • Patient with hepatitis B surface antigen or who is hepatitis C antibody positive
  • Patient who is diabetic
  • Patient who is receiving non-steroidal anti-inflammatory drugs (NSAIDs) or other agents known to influence urinary protein excretion
  • Patient is allergic or intolerant to macrolide antibiotics or tacrolimus
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants

Interventions

  • Drugtacrolimus
06

What researchers measure

Primary outcomes

  1. Change in 24-hour urinary protein excretion

Secondary outcomes

  1. Development of renal flare

  2. Development of non-renal flare

07

Study locations

1 site
  • Department of Medicine & Therapeutics, Prince of Wales Hospital
    Shatin, Hong Kong
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00125307
Lead sponsor
Chinese University of Hong Kong
First posted
Aug 1, 2005
Start date
Jan 2004
Primary completion
Oct 2007
Completion
Feb 2008
Last update
Aug 3, 2015

Study contacts

Cheuk-Chun Szeto, MD
principal investigator · Chinese University of Hong Kong
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2008. You cannot join it, but the record below documents what was studied.

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