Acute Interstitial Nephritis Clinical Trial
Official title:
Xolair (Omalizumab) for Treatment of Drug-induced Acute Tubulointerstitial Nephritis (AIN)
Verified date | December 2018 |
Source | Mayo Clinic |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The investigators goal is to evaluate the role of XOLAIR® in treatment of Acute Tubulointerstitial Nephritis (AIN) with the goal of shortening the duration and dose of prednisone for treatment of drug-induced AIN. Currently there is no good treatment for drug-induced AIN. Prednisone is the standard treatment but is associated with many side-effects when used long-term and at high doses.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | September 28, 2018 |
Est. primary completion date | September 28, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Adult subjects > 18 years old of both genders 2. Biopsy proven acute interstitial nephritis in the native kidneys without evidence of ischemic or glomerular pathology in the biopsy 3. Normal baseline creatinine defined as estimated GFR = 60 ml/min/SA based on MDRD calculation within 1 year prior to renal biopsy 4. Serum creatinine elevation of > 0.3 mg/dL and/or doubling of serum creatinine compared to most recent documented creatinine available (at least within the last year) 5. No immunosuppressants in the last three months including prednisone 6. Women of childbearing potential not using the contraception method can be included as this is a one time dosing and has no known long-term effects. Exclusion Criteria: 1. Unwillingness to give consent 2. Patients who are Pregnant (positive serum pregnancy test for females) or breast feeding 3. Documented history of an autoimmune disease 4. Inability or unwillingness to take prednisone for the prescribed duration and/or dose 5. Subjects suspected to have non-drug-induced AIN 6. Subjects not meeting the inclusion criteria 7. Subjects with contraindication to administration of omalizumab 8. Prior use of omalizumab 9. Severe hypersensitivity to omalizumab or any component of the product 10. Known elevated IgE level from other disease processes 11. Subjects taking (nonsteroidal antiinflammatory drug) NSAIDs chronically 12. Use of any other investigational agents in the last 30 days 13. Patients with severe medical condition(s) including metastatic cancer, terminal congestive heart failure, severe ischemic heart disease or any other medical condition in which life expectancy is less than 6 months. |
Country | Name | City | State |
---|---|---|---|
United States | Mayo Clinic | Rochester | Minnesota |
Lead Sponsor | Collaborator |
---|---|
Mayo Clinic | Genentech, Inc. |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in serum creatinine | Baseline to three months | ||
Secondary | Mean individual percentage drop in serum creatinine relative to entry creatinine levels | baseline to 3 months | ||
Secondary | Percentage of subjects returning to their usual baseline creatinine (+25%) or below | baseline to 3 months | ||
Secondary | Reduction in Neutrophil gelatinase-associated lipocalcin. | 24 hours, 4 hours, and in 3 months after Xolair treatment | baseline to 3 months | |
Secondary | Percentage of subjects requiring renal replacement therapy | baseline to 3 months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Enrolling by invitation |
NCT04343417 -
Biorepository to Support Research in Kidney Diseases
|
||
Not yet recruiting |
NCT05233241 -
Identification of the Causative Drug in Drug-induced Acute Interstitial Nephritis
|
N/A |