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Acute Tubulo-Interstitial NephritisPhase 4PRAISENCT04376216

Prednisolone Treatment in Acute Interstitial Nephritis

A Phase 4 study testing Prednisone in people with Acute Tubulo-Interstitial Nephritis, run by Region MidtJylland Denmark at 1 site in Denmark.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

A Prospective randomized trial with a primary objective to investigate the effect ofprdenisolone treatment in acute interstitial nephritis Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Acute Tubulo-Interstitial Nephritis
What is being tested?
Prednisone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
1 siteDenmark
Study dates
1 Sep 2017to 1 Sep 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Biopsy verified AIN
  • Clinical suspicion of AIN
  • Age > 18 years
  • One of following criteria:
  • Plasma creatinine > 120 µmol/L or
  • Plasma creatinine increase > 30 µmol/L or increase > 50 % of baseline plasma creatinine
  • Fertile women are included

Who cannot join

  • No ability to give informed consent
  • Immunosuppressive treatment (including prednisolone) within 3 months before biopsy
  • Autoimmune disease
  • Prednisolone intolerance
  • Pregnancy or lactation
  • Active cancer (except basal cell carcinoma)
Show all 12Show fewer
  • Short life expectancy (< 6 months)
  • CKD stage IV-V
  • AIN secondary to or accompanied by glomerulonephritis, sarcoidosis or inherited interstitial renal disease
  • Previous participation Withdrawal criteria
  • Development of exclusion criterion
  • Withdrawal of consent

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Frank Mose, MD contact

+4528531257

frchri@rm.dk

Denmark1 site, 1 recruiting
  • Godstrup Hospital

    Herning, 7400

    Frank Mose, 28531257, frchri@rm.dk

    Recruiting

Other trials in Denmark

About this study

Official title: Prednisolon Behandling Ved Akut Interstitiel Nefritis - et Randomiseret, Prospektivt Studie

A Prospective randomized trial with a primary objective to investigate the effect ofprdenisolone treatment in acute interstitial nephritis

Being tested
Prednisone
Keywords
Acute Tubulo-Interstitial Nephritis, Prednisone
Medical subject headings
Acute Tubulointerstitial Nephritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PrednisoneDrug

    Also called Prednisolone

    60 mg with dose tapering over 2 months

Study groups in NCT04376216
Study groupRoleWhat they receive
ControlNo interventionNo treatment
PrednisoneActive comparatorOral prednisone. Starting dose of 60 mg with tapering for 2 months
Receives: Drug: Prednisone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. eGFR

    Kidney function

    Measured: 3 months

Secondary outcomes (8)
  1. eGFR

    Kidney function

    Measured: 12 months

  2. Urinary biomarkers

    NGAL, NAG, KIM-1, TIMP-2, IGFBP7, IL-6, IL-18 and MCP-1 are the biomarkers that the investigators plan to analyze

    Measured: at inclusion and after3 and 12 months

  3. Pathology

    Re-evaluation of renal biospies performed at time of inclusion. This evaluation includes the use of routine and special staining for inflammation, fibrosis and tubular damage. The analysis includes an estimation of predictive value of histological scoring on treatment response and prognosis

    Measured: At inclusion

  4. Need for renal replacement therapy

    Dialysis need

    Measured: 3 and 12 months

  5. Plasma glucose or hemoglobin A1C

    Development of diabetes (safety)

    Measured: 3 and 12 months

  6. Treatment delay

    In the prednisolone group the importance of "treatment delay" is analyzed. Treatment delay is defined as follows:

    • Days form first symptoms to inclusion in this project
    • Days from first contact to the Danish health care system to inclusion in this project
    • Days from first contact to a nephrology department to inclusion in this project

    Measured: At inclusion

  7. Infections (number of events)

    Safety

    Measured: 3 and 12 months

  8. Admissions (number of events)

    Safety

    Measured: 3 and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 May 2020
  2. Study start1 Sep 2017
  3. Primary completion1 Sep 2026 (estimated)
  4. Study completion1 Sep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
110 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04376216
Sponsor's protocol ID
FHM-1-2017
Acronym
PRAISE
Status last verified
Dec 2020
First submitted
27 Apr 2020
Last updated
30 Dec 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Will be decided

Publications

  • Mose FH, Birn H, Hoffmann-Petersen N, Bech JN. Prednisolone treatment in acute interstitial nephritis (PRAISE) - protocol for the randomized controlled trial. BMC Nephrol. 2021 May 1;22(1):161. doi: 10.1186/s12882-021-02372-4.

    PubMed 33933012

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Prednisone in people with Acute Tubulo-Interstitial Nephritis, run by Region MidtJylland Denmark at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Frank Mose, MD (+4528531257, frchri@rm.dk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

eGFR (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04376216, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Dec 2020.

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