A Phase 2 interventional study of Prednisone and ACEI in Henoch-Schoenlein Purpura Nephritis, sponsored by Nanjing Children's Hospital. Status unknown at 1 site in China. Open to participants aged 2 Years to 16 Years. Per ClinicalTrials.gov, last updated 2020-02-26.
Sponsored by Nanjing Children's Hospital · Phase 2, Interventional, and Treatment
This study is performed to evaluate the efficacy and safety of various measures in the treatment of HSPN with mild proteinuria in children.
Henoch-Schonlein purpura nephritis (HSPN) is one of the most common complications of Henoch-Schonlein purpura, and has become one of the main causes of chronic kidney disease in children. However, the diagnosis and treatment of HSPN is still based on the clinical experience, lacking of evidence-based support. This study is performed to explore the biological markers for early prediction of the prognosis and evaluate the efficacy and safety of various measures in the treatment of HSPN in children.
The patients who are proved to get HSPN by renal biopsy will be randomized to receive either prednisone p.o. or angiotensin-converting enzyme inhibitor(ACEI) p.o. We will follow up them for about 2.5 years and compare the efficacy and safety of both measures by monitoring several indexes.
Nanjing Children's Hospital is the lead sponsor of 16 studies on the registry; 4 are open to participants now.
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Exclusion Criteria:
Prednisone Drug : prednisone 1.5mg/kg/d for 4-6 weeks, then 1.5mg/kg/d qod for 4 weeks, reduce 5mg every 2-4 weeks If the proteinuria decreases by less than 50% after treating for two months, this candidate reaches the ending point.
Drug: Prednisone
Angiotension converting enzyme inhibitors(ACEI) Drug: lotensin 0.2-0.3mg/kg/d (the maximum dose is 20mg)
Drug: ACEI
1.5mg/kg/d
0.2-0.3mg/kg/d
Also known as: Lotensin
Disappearance of proteinuria
The proteinuria is \< 150mg/d
Time frame: 30 months
Disappearance of hematuria
The number of red blood cells is \< 3 in each high power field of vision
Time frame: 30 months
Renal function
The glomerular filtration rate is normal
Time frame: 30 months
The record gives a start of Aug 2015, a primary completion of Jul 2020 and a completion of Jul 2020. It does not say whether these dates are actual or estimated.
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This study is status unknown, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Prednisone
Nanjing Children's Hospital