PMID- 35272573 OWN - NLM STAT- MEDLINE DCOM- 20220321 LR - 20220321 IS - 1525-6049 (Electronic) IS - 0886-022X (Print) IS - 0886-022X (Linking) VI - 44 IP - 1 DP - 2022 Dec TI - The comprehensive analysis of clinical trials registration for IgA nephropathy therapy on ClinicalTrials.gov. PG - 461-472 LID - 10.1080/0886022X.2022.2048017 [doi] AB - OBJECTIVES: IgA Nephropathy (IgAN) is common chronic kidney disease with a high incidence. This study aims to analyze comprehensively therapeutic clinical trials for IgAN registered on ClinicalTrials.gov. METHODS: Therapeutic trials for IgAN registered on ClinicalTrials.gov. up to 15 August 2021 were obtained. The general characteristics, features of experimental design, treatment strategies, and some main inclusion criteria and outcome measures were accessed. RESULTS: A total of 104 therapeutic clinical trials for IgAN were extracted on ClinicalTrials.gov up to 15 August 2021. Most of these trials explored the treatment for primary IgAN confirmed by renal biopsy in adults. Only 9% of all selected trials had results. Forty-five percent of trials recruited 50 or fewer participants, and 73% were adults or older adults. 99% of trials were interventional studies, and of all the interventional trials, 70% of trials were randomized, and 68% exercised a parallel assignment of intervention model. Immunosuppression was the most studied for the treatment of IgAN. Moreover, many novel agents had been increasingly studied in recent years. Furthermore, the inclusion criteria and primary outcome measures in these trials were diverse, and the level of proteinuria and change of proteinuria levels were the most used as inclusion criteria and primary outcome, respectively. CONCLUSIONS: The majority of therapeutic trials for IgAN were randomized, none masking and parallel-assignment interventional studies, primarily recruiting adult patients as research subjects. These trials had relatively small sample sizes and short observation. Thus, more large-scale, multicenter, and randomized controlled trials are still needed to improve the management for IgAN. FAU - Cui, Yan AU - Cui Y AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Zhai, Ya-Ling AU - Zhai YL AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Qi, Yuan-Yuan AU - Qi YY AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Liu, Xin-Ran AU - Liu XR AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Zhao, Ya-Fei AU - Zhao YF AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Lv, Fu AU - Lv F AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Han, Li-Pei AU - Han LP AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. FAU - Zhao, Zhan-Zheng AU - Zhao ZZ AD - Nephrology Hospital, The First Affiliated Hospital of Zhengzhou University, Henan, China. AD - Institute of Nephrology, Zhengzhou University, Henan, China. LA - eng PT - Journal Article PL - England TA - Ren Fail JT - Renal failure JID - 8701128 RN - 0 (Immunosuppressive Agents) SB - IM MH - Adult MH - Clinical Trials as Topic/statistics & numerical data MH - Comprehension MH - Glomerulonephritis, IGA/*drug therapy MH - Humans MH - Immunosuppressive Agents/*therapeutic use MH - Patient Selection MH - Randomized Controlled Trials as Topic/*statistics & numerical data MH - Treatment Outcome PMC - PMC8920363 OTO - NOTNLM OT - ClinicalTrials.gov OT - IgA nephropathy OT - clinical trials OT - treatment COIS- The authors declared no conflicts of interest in this study. EDAT- 2022/03/12 06:00 MHDA- 2022/03/22 06:00 PMCR- 2022/03/10 CRDT- 2022/03/11 05:31 PHST- 2022/03/11 05:31 [entrez] PHST- 2022/03/12 06:00 [pubmed] PHST- 2022/03/22 06:00 [medline] PHST- 2022/03/10 00:00 [pmc-release] AID - 2048017 [pii] AID - 10.1080/0886022X.2022.2048017 [doi] PST - ppublish SO - Ren Fail. 2022 Dec;44(1):461-472. doi: 10.1080/0886022X.2022.2048017.