MMF Versus CTX in the Induction Treatment of ANCA Associated Vasculitis
Mycophenolate Mofetil Versus Cyclophosphamide in the Induction Treatment of ANCA Associated Vasculitis
1 other identifier
interventional
60
1 country
1
Brief Summary
The purpose of this study is to access the efficacy of MMF compared to CTX in inducing remission and improving renal function in subjects with ANCA associated vasculitis with renal involvement.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2003
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2005
CompletedFirst Submitted
Initial submission to the registry
March 10, 2006
CompletedFirst Posted
Study publicly available on registry
March 13, 2006
CompletedJune 8, 2010
March 1, 2009
10 months
March 10, 2006
June 7, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The efficacy of MMF compared to CTX in inducing remission and improving renal function in subjects with ANCA associated vasculitis.
24 months
Study Arms (1)
mycophenolate mofetil
EXPERIMENTALInterventions
MMF,1.0g/d
Eligibility Criteria
You may qualify if:
- A new diagnosis of ANCA associated vasculitis (eg. MPA or Wegener granulomatous, or renal limited vasculitis) proved by histology and serology.
- Renal involvement attributable to active ANCA associated vasculitis with at least one of the following:
- Elevated serum creatinine between 150 and 500 umol/l - renal biopsy
- Demonstrating paucin -immune necrotizing glomerulonephritis
- Red cell casts
- Haematuria with \> 30 red blood cells/HPF and proteinuria \> 1g/24h
- Serum ANCA positive by indirect immunofluorescence (IIF) and positivity in the anti-PR3 or anti-MPO by ELISA
- Age 18\~65 years
You may not qualify if:
- More than two weeks treatment with cyclophosphamide (CYC) or other cytotoxic drug within previous 6 months or with oral corticosteroids (OCS) for more than 4 weeks
- Co-existence of another multisystem autoimmune disease, e.g. SLE
- Serum creatinine \> 500umol/l
- Severe viral infection(HBV, HCV, CMV) within 3 months of first randomization or known HIV infection
- Congenial or acquired immunodeficiency
- Immediately life-threatening organ manifestations (e.g. lung haemorrhage or dialysis dependence)
- Previous malignancy
- Pregnancy or inadequate contraception if female
- Anti-GBM antibody positivity
- Cerebral infarction due to vasculitis
- Rapidly progressive optic neuropathy or retinal vasculitis or orbital pseudotumour
- Massive gastro-intestinal bleeding
- Heart failure due to pericarditis or myocarditis
- Liver dysfunction measured on at least 2 separate occasions
- Age \< 18y or Age \> 65y
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine
Nanjing, Jiangsu, 210002, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Lei-Shi Li, M.D.
Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 10, 2006
First Posted
March 13, 2006
Study Start
June 1, 2003
Primary Completion
April 1, 2004
Study Completion
December 1, 2005
Last Updated
June 8, 2010
Record last verified: 2009-03