A Study of CellCept (Mycophenolate Mofetil) in Patients With Lupus Nephritis.
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Purpose
This 2 arm study will compare the efficacy and safety of CellCept plus corticosteroids, versus cyclophosphamide plus corticosteroids in the induction phase followed by azathioprine in the maintenance phase, in maintaining remission and renal function in patients with lupus nephritis. Patients will be randomized to receive CellCept 1g bid po plus corticosteroids for 24 weeks, followed by CellCept 0.75g bid po plus corticosteroids for the following 24 weeks, or cyclophosphamide 0.5-1.0g/m2 monthly plus corticosteroids for 24 weeks, followed by azathioprine 2mg/kg/day po plus corticosteroids for the following 24 weeks. Response rate will be assessed at the end of the induction phase, and at the end of study. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
| Condition | Intervention | Phase |
|---|---|---|
|
Lupus Nephritis |
Drug: mycophenolate mofetil [CellCept] Drug: Corticosteroids Drug: Azathioprine Drug: Cyclophosphamide |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Randomized, Open-label Study to Compare the Effect of CellCept Plus Corticosteroids, and Cyclophosphamide Plus Corticosteroids Followed by Azathioprine, on Remission Rate in Patients With Lupus Nephritis |
- Complete remission rate [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
- Rate of response in induction phase [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Time to complete remission [ Time Frame: 48 weeks ] [ Designated as safety issue: No ]
- Renal function, discontinuations, time to treatment failure, AEs, laboratory parameters. [ Time Frame: Throughout study ] [ Designated as safety issue: No ]
| Enrollment: | 59 |
| Study Start Date: | March 2007 |
| Study Completion Date: | April 2008 |
| Primary Completion Date: | April 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: mycophenolate mofetil [CellCept]
1g po bid for 24 weeks, followed by 0.75g po bid for 24 weeks.
Drug: Corticosteroids
As prescribed for 48 weeks
|
| Active Comparator: 2 |
Drug: Corticosteroids
As prescribed for 48 weeks
Drug: Azathioprine
2mg/kg /day po during weeks 24-48
Drug: Cyclophosphamide
0.5-1.0g/m2 monthly for 24 weeks
|
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- adult patients, 18-75 years of age;
- systemic lupus erythematosus;
- histological diagnosis of lupus nephritis.
Exclusion Criteria:
- not in need of immunosuppressive treatment (in addition to corticosteroids);
- continuous dialysis starting >2 weeks before randomization, with an anticipated duration of >8 weeks;
- previous or planned kidney transplant.
Contacts and Locations| China | |
| Beijing, China, 100853 | |
| Beijing, China, 100005 | |
| Beijing, China, 100029 | |
| Guangzhou, China, 510515 | |
| Guangzhou, China, 510080 | |
| Hangzhou, China, 310003 | |
| Nanjing, China, 210008 | |
| Shanghai, China, 200025 | |
| Shanghai, China, 200001 | |
| Shanghai, China, 200003 | |
| Shenyang, China, 110001 | |
| Study Director: | Clinical Trials | Hoffmann-La Roche |
More Information
No publications provided
| Responsible Party: | Hoffmann-La Roche |
| ClinicalTrials.gov Identifier: | NCT00425438 History of Changes |
| Other Study ID Numbers: | ML19978 |
| Study First Received: | January 22, 2007 |
| Last Updated: | May 23, 2013 |
| Health Authority: | China: Food and Drug Administration |
Additional relevant MeSH terms:
|
Lupus Nephritis Nephritis Glomerulonephritis Kidney Diseases Urologic Diseases Lupus Erythematosus, Systemic Connective Tissue Diseases Autoimmune Diseases Immune System Diseases Azathioprine Cyclophosphamide Mycophenolate mofetil Mycophenolic Acid Antimetabolites |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antimetabolites, Antineoplastic Antineoplastic Agents Therapeutic Uses Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Antirheumatic Agents Antineoplastic Agents, Alkylating Alkylating Agents Myeloablative Agonists Antibiotics, Antineoplastic Enzyme Inhibitors |
ClinicalTrials.gov processed this record on May 23, 2013