Clinical trial • Phase III • Nephrology
budesonide for Primary IgA nephropathy
Phase III trial of budesonide for Primary IgA nephropathy.
Overview
- Trial Therapeutic Area
- Nephrology
- Trial Disease
- Primary IgA nephropathy
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 30-10-2024
- First CTIS Authorization Date
- 27-06-2025
Trial design
Randomised, prednisone (encorton, 1 mg and 5 mg tablets; comparator arm includes prednisone with dosing described as up to 1 mg/kg/day in product data) and placebo (placebo prednisone/budesonide).-controlled Phase III trial in Poland.
- Randomised
- Yes
- Comparator
- Prednisone (Encorton, 1 mg and 5 mg tablets; comparator arm includes prednisone with dosing described as up to 1 mg/kg/day in product data) and placebo (Placebo Prednisone/Budesonide).
- Target Sample Size
- 120
- Trial Duration For Participant
- 168
Eligibility
Recruits 120 paediatric patients.
- Pregnancy Exclusion
- pregnancy or breastfeeding
- Vulnerable Population
- Study population includes children aged 8–17 years. Consent must be obtained from the parent/legal guardian and from the patient; age-specific information and consent/assent forms are provided (documents for 8–12 years and 13–17 years and parent consent forms are included in the application).
Inclusion criteria
- {"criterion_text":"- obtaining consent from the parent/legal guardian and the patient to participate in the study\n- age 8-17 years\n- primary IgA nephropathy diagnosed on kidney biopsy\n- no treatment or treatment with ACEI/ARB\n- steroid treatment or immunosuppressive treatment completed at least 2 months previously\n- proteinuria >200 mg/day or protein-creatinine ratio (UPR) >0.2 g/g in three tests\n- negative pregnancy test result (urine platelet) at the time of qualification to start treatment"}
Exclusion criteria
- {"criterion_text":"- secondary forms of IgA nephropathy, e.g. nephropathy associated with IgA vasculitis (IgAVN), IgA nephropathy in the course of Crohn's disease\n- pregnancy or breastfeeding\n- rapidly progressive glomerulonephritis in the course of IgAN\n- GFR < 60 ml/min according to Schwartz at the time of randomization\n- currently or less than 2 months before the screenig used systemic steroid therapy or immunosuppressive treatment such as: azathioprine, mycophenolate mofetil, cyclophosphamide, tacrolimus, cyclosporine A\n- chronic diseases that, in the opinion of the researcher, may affect the course of treatment, e.g. tuberculosis\n- severe heart disease\n- active peptic ulcer disease of the stomach and/or duodenum\n- history of prednisone intolerance\n- cataract, glaucoma"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Reduction of UPCR after 24 weeks of treatment","definition_or_measurement_approach":"Change in urine protein-creatinine ratio (UPCR) measured at baseline and after 24 weeks of treatment."}
- {"endpoint_text":"- Assessment of the percentage change in proteinuria at the end of treatment compared to the beginning of treatment","definition_or_measurement_approach":"Percentage change in proteinuria from baseline to end of treatment (measured by UPCR/proteinuria tests)."}
Secondary endpoints
- {"endpoint_text":"- Number of side effects.","definition_or_measurement_approach":"Count and classification of adverse events reported during the study period."}
- {"endpoint_text":"- Reduction in GFR during treatment","definition_or_measurement_approach":"Change in estimated glomerular filtration rate (eGFR) during treatment (Schwartz formula referenced in eligibility)."}
- {"endpoint_text":"- Reduction of UPCR after 24 weeks of treatment in relation to the beginning of treatment (deltaUPCR)","definition_or_measurement_approach":"Delta UPCR: difference in UPCR between baseline and week 24."}
Recruitment
- Planned Sample Size
- 120
- Recruitment Window Months
- 38
- Consent Approach
- Informed consent must be obtained from the parent/legal guardian and the patient; age-specific information and consent/assent forms are provided for 8–12 years and 13–17 years and parent consent forms are included in the application documents.
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 120
Poland
- Earliest CTIS Part Ii Submission Date
- 19-02-2025
- Latest Decision Or Authorization Date
- 13-03-2026
- Processing Time Days
- 387
- Number Of Sites
- 8
- Number Of Participants
- 120
Sites
- Site Name
- Uniwersytecki Szpital Dzieciecy W Krakowie
- Department Name
- Klinika Nefrologii Dziecięcej
- Principal Investigator Name
- Dorota Drożdż
- Principal Investigator Email
- ddrozdz@usdk.pl
- Contact Person Name
- Dorota Drożdż
- Contact Person Email
- ddrozdz@usdk.pl
- Site Name
- Szpital Kliniczny Im. Karola Jonschera Uniwersytetu Medycznego Im. Karola Marcinkowskiego W Poznaniu
- Department Name
- Klinika Nefrologii Dziecięcej i Nadciśnienia Tętniczego
- Principal Investigator Name
- Jacek Zachwieja
- Principal Investigator Email
- j.zachwieja@mp.pl
- Contact Person Name
- Jacek Zachwieja
- Contact Person Email
- j.zachwieja@mp.pl
- Site Name
- Uniwersytecki Szpital Dzieciecy W Lublinie
- Department Name
- Klinika nefrologii Dziecięcej
- Principal Investigator Name
- Przemysław Sikora
- Principal Investigator Email
- przemyslaw.sikora@umlub.pl
- Contact Person Name
- Przemysław Sikora
- Contact Person Email
- przemyslaw.sikora@umlub.pl
- Site Name
- Wojewodzki Szpital Zespolony Im.L.Rydygiera W Toruniu
- Department Name
- Oddział Kliniczny Pediatrii i Nefrologii
- Principal Investigator Name
- Roman Stankiewicz
- Principal Investigator Email
- rstan2@wp.pl
- Contact Person Name
- Roman Stankiewicz
- Contact Person Email
- rstan2@wp.pl
- Site Name
- Uniwersytecki Dzieciecy Szpital Kliniczny Im. L. Zamenhofa W Bialymstoku
- Department Name
- Klinika Pediatrii i Nefrologii
- Principal Investigator Name
- Anna Maria Wasilewska
- Principal Investigator Email
- anna.wasilewska@udsk.pl
- Contact Person Name
- Anna Maria Wasilewska
- Contact Person Email
- anna.wasilewska@udsk.pl
- Site Name
- Medical University Of Warsaw
- Department Name
- Katedra i Klinika Pediatrii i Nefrologii
- Principal Investigator Name
- Małgorzata Mizerska-Wasiak
- Principal Investigator Email
- malgorzata.mizerska-wasizak@wum.edu.pl
- Contact Person Name
- Małgorzata Mizerska-Wasiak
- Contact Person Email
- malgorzata.mizerska-wasiak@wum.edu.pl
- Site Name
- Uniwersyteckie Centrum Kliniczne
- Department Name
- Klinika Chorób Nerek i Nadciśnienia Dzieci i Młodzieży
- Principal Investigator Name
- Ilona Zagożdżon
- Principal Investigator Email
- ilonazag@gumed.edu.pl
- Contact Person Name
- Ilona Zagożdżon
- Contact Person Email
- ilonazag@gumed.edu.pl
- Site Name
- Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
- Department Name
- Klinika Nefrologii Pediatrycznej
- Principal Investigator Name
- Katarzyna Kiliś-Pstrusińska
- Principal Investigator Email
- katarzyna.kilis-pstrusinska@umw.edu.pl
- Contact Person Name
- Katarzyna Kiliś-Pstrusińska
- Contact Person Email
- katarzyna.kilis-pstrusinska@umw.edu.pl
Sponsor
Primary sponsor
- Full Name
- Medical University Of Warsaw
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Poland
Third parties
- {"country":"","full_name":"Medical Research Agency","duties_or_roles":"Source of monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Entocort, 3 mg, prolonged-release capsule
- Active Substance
- budesonide
- Modality
- Small molecule
- Routes Of Administration
- oral
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation number 4303, Poland)
- Maximum Dose
- 9 mg per day
- Investigational Product Name
- Encorton (Prednisone) 1 mg and 5 mg tablets
- Active Substance
- prednisone
- Modality
- Small molecule
- Routes Of Administration
- oral
- Route
- oral
- Authorisation Status
- Authorised (marketing authorisation numbers R/1706 and R/2970, Poland)
- Maximum Dose
- 1 mg/kg per day
- Investigational Product Name
- Placebo Prednisone/Budesonide
- Modality
- Other
- Combination Treatment
- Yes
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