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NCT07074951Recruiting

Tonsillectomy and Immunosuppression in Caucasian Patients With High-risk IgA-nephropathy

Effectiveness of Immunosuppression Combined With Tonsillectomy in Caucasian Patients With High-risk IgA-nephropathy (the Pragmatic Study)

Source: ClinicalTrials.gov · Last updated 20 Jul 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

The open-label prospective non-randomised controlled aims to assess the efficacy of the combination of immunosupression (IST) and tonsillectomy (TE) in Caucasian patients at high risk of the IgA-nephropathy.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
240 (estimated)
First submitted
25 Jun 2025
Start date
10 Mar 2013
Primary completion date
10 Mar 2026
Lead sponsor
St. Petersburg State Pavlov Medical University
NCT number
NCT07074951

What you commit to

  • Study type: Interventional
  • Planned participants: 240
  • From 10 Mar 2013 to the primary completion date, 10 Mar 2026
  • 2 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Any clinically significant acute illness within 60 days prior to kidney biopsy (including infection, aseptic necrosis of any bone, patients with myocardial infarction or cerebrovascular stroke, other conditions that can be exacerbated by corticosteroids
  • Incomplete empiric IST administered prior to kidney biopsy

Other illness

  • Patients with any co-existing kidney disease
  • Patients with diabetes mellitus

Lab values

  • eGFR ≤20 ml/min/1.73m2

Age

  • Age \<18 or \>75 years;

Other

  • Patients with mild renal lesions (M0, E0, S0, T0, C0), minor urinary findings, DP \<1.0 g
  • Contraindications to IST or TE
  • Patients with secondary IgAN (Schoenlein-Henoch purpura, liver cirrhosis, etc.)
  • Pregnancy

Who the study is looking for

  • Primary IgA-nephropathy (IgAN) patients with:
  • DP \>1 g with haematuria (\>5 RBC/HPF)
  • DP \<1 g with haematuria AND probability of starting dialysis within 5 years \>11% (estimated by the International risk-prediction tool in IgAN) AND at least one of the following histologic changes: at least one of the following histologic changes: mesangial proliferation, endocapillary hypercellularity, cellular crescents

Age in the registry: 18 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (2)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Research Institute of Nephrology (Pavlov Medical University)
Coordinator of this site? Confirm its status
Saint PetersburgRussiaRecruiting
St. Petersburg State Pavlov Medical University
Coordinator of this site? Confirm its status
Saint PetersburgRussiaRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.