Long Term Tapering or Standard Steroids for Nephrotic Syndrome
1 other identifier
interventional
50
1 country
1
Brief Summary
Parallel group double blind randomised in patients with first episode corticosteroid sensitive nephrotic syndrome comparing time to relapse and adverse effects associated with a longer tapering steroid regimen with standard regime
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Sep 2003
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2003
CompletedFirst Submitted
Initial submission to the registry
March 28, 2006
CompletedFirst Posted
Study publicly available on registry
March 29, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2008
CompletedNovember 29, 2007
November 1, 2007
March 28, 2006
November 28, 2007
Conditions
Outcome Measures
Primary Outcomes (2)
Time to first relapse
5 months
Assessment of steroid induced morbidity
5 months
Secondary Outcomes (5)
frequent relapsing and steroid dependant disease
5 months
Time to relapse
5 months
serious adverse events
5 months
use of other immunosuppressive agents
5 months
Achenbach child behaviour checklist
5 months
Interventions
60mg/m2/day (0-4 weeks); 60mg/m2 alternate days (5-6 weeks); 50mg/m2 alternate days (week 7-8); 40mg/m2 alternate days (week 9-10); 30mg/m2 alternate days (week 11-12); 20mg/m2 alternate days (week 13-14); 10mg/m2 alternate days (week 15-16)
60mg/m2/day week 0-4; 40mg/m2 on alternate days week 5-8
Eligibility Criteria
You may qualify if:
- newly presenting nephrotic syndrome, urine albumin/protein creatinine ratio \>200mg/mmol on early morning urine sample, hypoalbuminemia (\<25g/L)
You may not qualify if:
- prior treatment with steroids or cytotoxic agents underlying systemic disorder or exposure to agents known to be associated with newly presenting steroid sensitive nephrotic syndrome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institute of Child Health
London, WC1N 1EH, United Kingdom
Related Publications (1)
Hahn D, Samuel SM, Willis NS, Craig JC, Hodson EM. Corticosteroid therapy for nephrotic syndrome in children. Cochrane Database Syst Rev. 2024 Aug 22;8(8):CD001533. doi: 10.1002/14651858.CD001533.pub7.
PMID: 39171624DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Richard Trompeter
Great Ormond Street Hospital
- PRINCIPAL INVESTIGATOR
Peter Houtman
Children's Hospital, Leicester
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 28, 2006
First Posted
March 29, 2006
Study Start
September 1, 2003
Study Completion
October 1, 2008
Last Updated
November 29, 2007
Record last verified: 2007-11