Overview

Sequential Therapy With Tacrolimus and Rituximab in Primary Membranous Nephropathy

Status:
Completed
Trial end date:
2019-06-26
Target enrollment:
Participant gender:
Summary
In this study, investigators will evaluated the long-term efficacy and safety (two years) of Tacrolimus-Rituximab (RTX) therapy compared to Methylprednisolone-Cyclophosphamide (CYC) therapy in patients with primary Membranous Nephropathy (MN). PRINCIPAL OBJECTIVE To evaluate whether sequential therapy with tacrolimus leads to a greater increase in the proportion of primary MN patients with Complete or Partial Remission when compared with patients receiving standard treatment. It will be assessed 24 months after the beginning of treatment. Phase of the trial: and design: Phase III study, open label, randomized, and active controlled trial. This study will have 3 stages: screening and recruitment of patients for 18 months, treatment period for six months in corticosteroids plus CYC group and 9 months in Tacrolimus-RTX group, and finally post-treatment follow-up period until to complete 24 months of follow-up since initial treatment. This study will compare the standard therapy for primary MN patients with nephrotic range proteinuria (active control of steroids plus CYC) with a novel sequential therapy of tacrolimus and RTX, an approach of potential high efficacy, low toxicity and more acceptable safety profile.
Phase:
Phase 3
Details
Lead Sponsor:
Hospital Universitario 12 de Octubre
Collaborators:
Biobanco REDinREN
ERA-EDTA
Fundación de Investigación Biomédica - Hospital Universitario de La Princesa
Fundación para la Investigación Biomédica Hospital Universitario 12 de Octubre
Hospital Universitario Fundación Alcorcón
Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
REDinREN
Sociedad Española de Nefrología
Spanish Society of Nephrology
University Hospital, Aachen
Treatments:
Cyclophosphamide
Methylprednisolone
Methylprednisolone Acetate
Methylprednisolone Hemisuccinate
Prednisolone
Prednisolone acetate
Prednisolone hemisuccinate
Prednisolone phosphate
Rituximab
Tacrolimus