ClinicalTrials.gg
RecruitingNCT05696977Updated Dec 11, 2023

Effect of Obesity on Cyclosporine Blood Trough Level in Nephrotic Syndrome Patients

A Phase 4 interventional study of Cyclosporine Capsule in Nephrotic Syndrome, sponsored by Alexandria University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-11.

Sponsored by Alexandria University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Feb 2024, 2 years 9 months ago, but the record still lists the study as recruiting.
  • Registered 7 months after the study started (first participant enrolled Apr 2022, registered Dec 2022).
  • Started Apr 2022; still recruiting 4 years 6 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
74
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies in Nephrotic Syndrome with a site in Egypt — 5 open to participants now, 6 under way, 1 of them phase 3. Nephrotic Syndrome · Egypt.

Started
2022
with 2 others
Phase 4
3 of 10
2 open now
Registered
2nd of 10
by date
Lead sponsor
1 of 10
Alexandria University

Among the 10 studies in Nephrotic Syndrome with a site in Egypt, this one is one of 3 that started in 2022, is one of 3 in phase 4, and was the 2nd registered.

Nephrotic Syndrome

191 studies on the registry are indexed under Nephrotic Syndrome; 65 are open to participants now.

Browse Nephrotic Syndrome studies →

Open to participants now

5 of the 10 studies in Nephrotic Syndrome with a site in Egypt are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in Egypt have not opened yet or have stopped. Only those recruiting at a site in Egypt →

Who these studies take

Of the 50 Nephrotic Syndrome studies recruiting now, 23 (46%) set no upper age limit and 22 (44%) stop at 75 or younger; 37 take children under 18; 4 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies in Nephrotic Syndrome with a site in Egypt, or all of them as a file.
02

Study summary

This study aims to assess the effect of obesity on therapeutic response and safety of cyclosporine trough level in nephrotic syndrome patients and calculating a suitable weight-based dose.

Read the detailed description
  1. Ethical committee approval has been obtained from Ethics committee of Faculty of Medicine, Alexandria University.
  2. Agreement from all participants should be taken in this clinical study by assigning an informed consent.
  3. Nephrotic diseased patients,will be recruited from Alexandria main university hospital (AMUH).
  4. The 74 participants will be non-randomly assigned into 2 groups.
  5. The control group is non-obese nephrotic patients with BMI \<25 kg/m2 will receive receive Cyclosporine capsule with conventional initial dose 3 mg/kg/day using actual weight.
  6. The Case interventional group is Obese nephrotic patients with BMI> 25kg/m2 will receive Cyclosporine capsule with the best weight based dose to achieve the targeted therapeutic trough level and targeted urinary protein/ creatinine ratio.
  7. All patients will be subjected to :

    • First visit: Full patient history, anthropometrics (weight, hight, BMI, fat %, water %, muscles% and clinical examination. Calculate the initial cyclosporine dose 3mg/kg/day in 2 divided doses based on actual weight.
    • Second visit after one month: blood sample withdrawal for measuring trough level, lipid profile and thyroid profile, urinary sample to measure uPCR If patients don't reach to targeted therapeutic trough level and targeted urinary protein/ creatinine ratio,re-modifying the dose and repeat the labs after another one month in third visit.
    • Finally find the best weight can be used to achieve the targeted therapeutic trough level and targeted urinary protein/ creatinine ratio, and its relation with fat content and lipid profile
  8. The appropriate Statistical tests will be hold according to study design and parameters (parametric and non-parametric) to evaluate the significance of the results.
  9. Results, conclusion, discussion and recommendations will be given.
03

Conditions studied

  • Nephrotic Syndrome

Browse trials for

Keywords

  • Cyclosporine
  • Obese patients
  • Lipoproteins
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Obese and overweight Nephrotic syndrome adult patients receiving Cyclosporine for more than one month with prednisolone. (>25 kg/m2)
  • Normal or underweight individuals Nephrotic syndrome adult patients receiving Cyclosporine for more than one month with prednisolone. (serving as control group)

Exclusion criteria

Exclusion Criteria:

  • Hepatic patients liver cirrhosis (moderate to severe liver impairment)
  • Cancer patients,
  • Pregnant and lactating female patients
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
74 participants (estimated)

Study arms

  • Active comparator
    Obese nephrotic patients with BMI>25 kg/m2

    Nephrotic obese patients receive Cyclosporine capsule initially according to weight-based dose then modifying the dose according to targeted therapeutic level. To determine the best weight can be used to get the targeted therapeutic level. Correlate with the lipid profile, fat percentage and other anthropometric measures.

    Drug: Cyclosporine Capsule

  • Other
    Non obese nephrotic patients with BMI<25 kg/m2

    Nephrotic non-obese patients receive Cyclosporine capsule initially according to weight-based dose then modified dose according to targeted therapeutic level.

    Drug: Cyclosporine Capsule

Interventions

  • Determination of the most appropriate weight based dose of Cyclosporine to achieve the target therapeutic drug level and response and its relation with fat percentage and lipid profile

06

What researchers measure

Primary outcomes

  1. Cyclosporine level concentration and its correlation to anthropometric measures

    Measuring of Cyclosporine level in whole blood after one month of starting the drug

    Time frame: 1 month

  2. Determine a suitable weight-based dose for obese patients

    Modifying the Cyclosporine dose according to measured trough level

    Time frame: 1 month

  3. Measuring the weight as one of anthropometric measures

    Measuring anthropometric measures as; weight in kilograms at base line of starting the Cyclosporine regimen.

    Time frame: Day 1

  4. Measuring the height as one of anthropometric measures

    Measuring anthropometric measures as;height in metres at base line of starting the Cyclosporine regimen.

    Time frame: Day 1

  5. Measuring the BMI as one of anthropometric measures

    Measuring anthropometric measures as; BMI (body mass index) in kilograms/meter\^2 at base line of starting the Cyclosporine regimen.

    Time frame: Day 1

  6. Measuring some of important in-body anthropometric measures

    Measuring anthropometric measures as;body fat percentage, body water percentage and muscle percentage content at base line of starting the Cyclosporine regimen.

    Time frame: Day 1

Secondary outcomes

  1. Assessment of kidney functions

    Measuring parameters represent the kidney functions including (serum creatinine in mg/dl.)

    Time frame: 1 month

  2. Assessment of kidney functions as clearance estimation

    Measuring parameters represent the kidney functions including (estimated GFR in mL/min/1.73 m²)

    Time frame: 1 month

  3. Assessment of kidney functions as urinary protein release

    Measuring parameters represent the kidney functions including (Urinary protein-creatinine ratio in gm/gm)

    Time frame: 1 month

  4. Lipid profile assessment

    Measuring lipid profile including (HDL, LDL,VLDL and TG) in mg/dl.

    Time frame: 1 month

  5. Thyroid function assessment

    Measuring Thyroid profile including (TSH, fT3, fT4 ).

    Time frame: 1 month

  6. Covid-19 vaccine status assessment

    Assess if the patient received Covid-19 vaccine, or not.

    Time frame: Day 1

07

Study locations

1 of 1 sites recruiting
  • Alexandria University
    Alexandria, Egypt
    Recruiting
    • Noha A Hamdy, PhD · Contactnoha.alaaeldine@alexu.edu.eg · 01005182151
    • Yasmin S Naga, PhD · Contactyasminenaga@gmail.com · 01222244673
    • Hanan M El-Goweilli, PhD · Principal investigator
    • Yasmin S Naga, PhD · Principal investigator
    • Noha A Hamdy, PhD · Principal investigator
    • Enas A Mohamed, Pharm-D · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2022 (actual). Primary completion is estimated for Feb 2024, 22 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 15, 2022
First posted
Jan 25, 2023
StartActual
Apr 17, 2022
Primary completionEst.
Feb 2024
CompletionEst.
Apr 2024
Last update
Dec 11, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05696977
Responsible party
Sponsor
First posted
Jan 25, 2023
Start date
Apr 17, 2022
Primary completion
Feb 2024 (estimated)
Completion
Apr 2024 (estimated)
Last update
Dec 11, 2023

Study contacts

Enas A Mohamed, PharmD
Contact
gs-enas.elkady@alexu.edu.eg
01004344021 ext. +2
Noha A Hamdy, PhD
Contact
noha.alaaeldine@alexu.edu.eg
01005182151 ext. +2

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Cyclosporine

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