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      "canonicalId": "NCT06350630",
      "title": "Therapeutic Effect of Hydroxychloroquine on Immunoglobulin A (IgA) Nephropathy Course QUIgAN Study",
      "scientificTitle": "Therapeutic Effect of Hydroxychloroquine on Immunoglobulin A (IgA)Nephropathy Course QUIgAN Study",
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      "studyType": "interventional",
      "phase": [
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          "name": "Hydroxychloroquine Oral Tablet",
          "type": "DRUG",
          "description": "Active hydroxychloroquine once daily by oral route at 6.5 mg/kg of ideal weight/day, with maximal dose of 400mg/day for 3 years"
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        {
          "name": "Placebo oral tablet",
          "type": "DRUG",
          "description": "placebo once daily by oral route (no active drug - same dosage as hydroxychloroquine )"
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      "sponsor": {
        "name": "Centre Hospitalier Universitaire de Saint Etienne",
        "type": "OTHER"
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        {
          "city": "Clermont-Ferrand",
          "country": "France",
          "facility": "CHU Gabriel Montpied"
        },
        {
          "city": "Lyon",
          "country": "France",
          "facility": "Hospices Civils de Lyon"
        },
        {
          "city": "Marseille",
          "country": "France",
          "facility": "AP-HM Hôpital de la Conception"
        },
        {
          "city": "Metz",
          "country": "France",
          "facility": "Chr Metz Thionville Hopital Mercy"
        },
        {
          "city": "Paris",
          "country": "France",
          "facility": "APHP Hôpital Bichat"
        },
        {
          "city": "Paris",
          "country": "France",
          "facility": "APHP Hôpital de Tenon"
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        {
          "city": "Pierre-Bénite",
          "country": "France",
          "facility": "CHU Lyon Sud"
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          "city": "Saint-Etienne",
          "country": "France",
          "facility": "CHU de Saint-Etienne"
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        "primary": [
          "Absolute difference in estimate Glomerular Filtration Rate (GFR) between hydroxychloroquine group and control group evolution"
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          "nephrological follow-up: albuminuria",
          "nephrological follow-up: GFR",
          "nephrological follow-up: hematuria",
          "nephrological follow-up: systolic and diastolic blood pressure",
          "nephrological follow-up: proteinuria",
          "nephrological follow-up: albuminuria",
          "nephrological follow-up: GFR",
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          "nephrological follow-up: proteinuria",
          "nephrological follow-up: albuminuria",
          "nephrological follow-up: hematuria",
          "nephrological follow-up: systolic and diastolic blood pressure",
          "end stage renal disease (GFR< 15mL/min/1.73m²)",
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          "adverse events (pruritus, gastro-intestinal disorders) and serious adverse events (QT enlargement, cardiomyopathy, ophthalmologic disorders, neuromyopathy, cytopenia)"
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        "criteria": "Inclusion Criteria:\n\n* Social security affiliation\n* Signed informed consent\n* With biopsy proven IgA nephropathy (any vintage)\n* With at least one Oxford lesion (M, E, S, T, C) on last available kidney biopsy - With urine albumin/creatinine \\> 300mg/g,\n* under maximal tolerated labeled dose of renin-angiotensin-aldosterone system (RAAS) inhibitors for at least 3 months\n* Sodium-Glucose Transport Protein 2 (SGLT-2) inhibitors initiated at least 1 month before inclusion visit\n* Only patients treated with SGLT2i and RAAS dual therapy before inclusion\n* With estimate GFR above 15 mL/min/1,73m² (Chronic Kidney Disease - EPIdemiology collaboration CKD-EPI formula)\n* Woman in childbearing with a highly effective method of contraception\n* Agreement of woman in childbearing potential (WOCBP) to perform a urine pregnancy test every month until three months after the end of study treatment\n* Agreement of fertile male with WOCBP partner to use a condom for the duration of the study treatment up to 3 months after treatment the end of study treatment.\n\nExclusion Criteria:\n\n* Secondary IgA nephropathy (Henoch Schonlein purpura, cirrhosis, inflammatory bowel disease)\n* Corticosteroid or immunosuppressive therapies in the past year before screening\n* Contra-indication to hydroxychloroquine (retinopathy, maculopathy, history of intolerance to hydroxychloroquine…)\n* Uncontrolled hypertension (systolic blood pression\\> 160 mmHg and/or diastolic blood pression \\>110 mmHg )\n* Long QT interval and/or QT prolonging medicines\n* Pregnancy or lactation",
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      "completionDate": "2030-12-31",
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