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Tacrolimus in Children With Henoch-Schönlein Purpura Nephritis

S

Shandong University

Status and phase

Completed
Phase 4

Conditions

Henoch-Schönlein Purpura Nephritis

Treatments

Drug: tacrolimus
Drug: prednisone

Study type

Interventional

Funder types

Other

Identifiers

NCT03222687
2017TAC001

Details and patient eligibility

About

Henoch-Schönlein purpura (HSP) is the most common vasculitis in children, with an incidence of approximately 10:100 000 children and a slight male predominance (male-to-female ratio of 1.5:1). Henoch-Schönlein purpura nephritis (HSPN) is the principal cause of morbidity for HSP and 1%-7% of HSPN patients may progress to renal failure or end-stage renal disease.

Immunosuppressive therapy has become the standard treatment in children with HSPN, however the use of these drugs are still mainly in an off-label manner in clinical practice. Tacrolimus, a calcineurin inhibitor, has been recently suggested in the treatment of HSPN in children. However, the evidence-based clinical data are still limited.

Given the potential benefits and unmet need in clinical practice, the purposes of this pilot study were to assess effectiveness and safety of tacrolimus in HSPN children and evaluate the potential impact of CYP3A5.

Enrollment

25 patients

Sex

All

Ages

Under 18 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

HSPN children Aged less than 18 years; receiving tacrolimus as initial immunosuppressive therapy -

Exclusion criteria

Children received other immunosuppressive drug before the trial or other systemic trial drug therapy; Children had a concomitant medical condition, whose participation, in the opinion of the Investigator and/or medical advisor, may create an unacceptable additional risk.

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

25 participants in 1 patient group

therapy group
Experimental group
Description:
Immunosuppressive therapy included tacrolimus and prednisone.
Treatment:
Drug: prednisone
Drug: tacrolimus

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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