Efficacy and Safety of Probiotics Combined With Enteric-coated Budesonide Capsules in Patients With Primary IgA Nephropathy

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-70
SponsorGang Xu

About this trial

The goal of this clinical trial is to evaluate the efficacy and safety of probiotics combined with enteric-coated budesonide capsule in patients with IgA nephropathy on the basis of optimized RAS blockade therapy, and to explore the correlation between the efficacy of probiotics combined with enteric-coated budesonide capsule in the treatment of primary IgA nephropathy and intestinal homeostasis.

The main questions it aims to answer are:

Dose probiotics combined with enteric-coated budesonide capsule provide a durable reduction in urine protein creatinine ratio (UPCR) in participants, compared with probiotics placebo combined with enteric-coated budesonide capsule? What medical problems do participants have when taking probiotics combined with enteric-coated budesonide capsule?

Participants will:

Take probiotics combined with enteric-coated budesonide capsules or probiotics placebo combined with enteric-coated budesonide capsules every day for 9.5 month Participate in center site follow-up visits for 13 times Keep a diary of their symptoms and outcomes

Eligibility criteria

Qualifiers

Adult age: 18~70 years old;

Renal biopsy-confirmed primary IgA nephropathy;

24-h urine protein excretion ≥ 0.75g, or urinary protein creatinine ratio (UPCR) ≥ 0.5g/g;

eGFR ≥ 30mL/min/1.73m² estimated with the Chronic Kidney Disease Epidemiology Collaboration 2009 formula (CKD-EPI2009);

Disqualifiers

Secondary form of IgA nephropathy or any non-IgA nephropathy Glomerulonephritis;

Specific types of IgA nephropathy (including minor lesions with mesangial IgA deposition, rapidly progressive and crescentic IgA nephropathy, etc.) and other glomerular diseases (such as diabetic nephropathy, etc.);

24-h urine protein excretion >5g;

Renal biopsy showed crescent ≥25%;

Trial design

Treatments tested in this trial

  • probiotics combined with enteric-coated budesonide capsule
  • probiotics placebo combined with enteric-coated budesonide capsules

Treatment groups

206 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Gang Xu

Lead sponsor

Tongji Hospital

Sponsor institution

China Primary Health Care Foundation

Collaborator