The purpose of this clinical trial is to evaluate the long-term efficacy and safety of low-dose oral corticosteroids combined with cyclophosphamide therapy and low-dose corticosteroids monotherapy, on a background of maximal RAS inhibitor therapy, for IgA nephropathy with stage 3 or 4 chronic kidney disease.
Biopsy-proven IgA nephropathy;
Proteinuria ≥1.0g/day while receiving maximum tolerated dose of RAS blockade;
Estimated glomerular filtration rate 15-60 ml/min/1.73/m2.
Indication or contraindication for immunosuppressive therapy with corticosteroids
Use of corticosteroids and other immunosuppressive drugs within the last 1 year
Current unstable kidney function for other reasons
Under 18 years old