Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 2 to 18

Evaluating Telitacicept for Children with Nephrotic Syndrome

Official title: Study of the Telitacicept in Pediatric Patients With Frequently Relapsing or Steroid Dependent Nephrotic Syndrome

Run by The Children's Hospital of Zhejiang University School of Medicine · NCT06125405 · Data updated 2026-11-12

This study is testing if a new treatment called telitacicept can help children with nephrotic syndrome feel better and have fewer side effects than the usual medications.

Quick facts

PhasePhase 3
Study typeInterventional
Ages2 Years to 18 Years
SexAll
Enrollment20 (estimated)
SponsorThe Children's Hospital of Zhejiang University School of Medicine
Academic / other
Drugs / interventionsrituximab, cyclophosphamide
Locations1 site (Hangzhou, Zhejiang)
StatusRecruiting
StartedNovember 28, 2023
Main results expectedOctober 24, 2026
Study endsOctober 24, 2027
Registry record updatedAugust 21, 2024
Trial IDNCT06125405 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 2 to 18 years with frequently relapsing or steroid-dependent nephrotic syndrome and normal renal function.

Probably not a fit

Patients with a family history of nephrotic syndrome or those with certain blood disorders or viral infections may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to assess the effectiveness of telitacicept in pediatric patients aged 2 to 18 years who suffer from frequently relapsing or steroid-dependent nephrotic syndrome. The study will follow participants for 52 weeks to determine if telitacicept offers better efficacy compared to conventional treatments while also evaluating its safety profile. Given the challenges associated with long-term steroid use and traditional immunosuppressants, this trial seeks to provide a new treatment option that minimizes side effects. The trial is conducted as a prospective, single-center, open-label study at The Children's Hospital of Zhejiang University School of Medicine.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the frequency of relapses and reliance on steroids in children with nephrotic syndrome.

How similar studies have gone: Previous studies have shown telitacicept to be effective in various kidney diseases, indicating potential success in this novel application for pediatric nephrotic syndrome.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Sensitive but frequent relapses or steroids dependence nephrotic syndrome
* Age: 2 to 18 years old
* Normal renal function: estimated glomerular filtration rate ≥90ml/ min/1.73m2
* Morning urine protein \<1+ or urine protein-creatinine ratio \<0.2g/g (\<20 mg/ mmol) for 3 consecutive days and above when in enroll
* No rituximab was used within 6 months, no tacrolimus, mycophenolate mofetil, cyclosporine A, or cyclophosphamide was used within 3 months, no ACTH was used within 3 months prior to the enrollment

Exclusion Criteria:

* Family history of nephrotic syndrome, chronic glomerulonephritis or uremia
* Leukopenia (White Blood Cells ≤ 3.0 \* 10\^9 / L)
* Moderate to severe anemia (hemoglobin \<9.0 g/dL)
* Thrombocytopenia (platelet count \<100\*10\^12/L)
* Positive Hepatitis B virus serological indicators (Hepatitis B surface antigen or / and Hepatitis B virus e antigen or / and Hepatitis B core antibody), Hepatitis C virus-positive or patients with abnormal liver function (2 or more times of alamine aminotransferase or total bilirubin was exceeded the normal value, and continued to rise for 2 weeks)
* There are chronic active infections such as Epstein-Barrvirus, cytomegalovirus or Mycobacterium tuberculosis, and the usage of steroids and immunosuppressive agents may aggravate the state of an illness
* Secondary nephrotic syndrome (such as purpuric nephritis, lupus nephritis, etc.)
* Those who with hematological or endocrine system diseases as well as serious organs illness such as heart, liver or kidney
* Those who with other autoimmune diseases or primary immunodeficiencies or tumors
* Those who have participated in other clinical trials within three months prior to the enrollment
* Those who was not suitable for participating this study judged by investigator

Where it's running

  • Children's Hospital, Zhejiang University School of Medicine
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

  • Principal investigator: Jianhua Mao, MD — The Children's Hospital of Zhejiang University School of Medicine
  • Study coordinator: Jianhua Mao, MD
  • Email: maojh88@zju.edu.cn
  • Phone: 86057186670015

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.