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. 2024 Aug 22;2024(8):CD001533. doi: 10.1002/14651858.CD001533.pub7

CTRI/2018/05/013634.

Study name A randomised controlled clinical trial to compare the efficacy of standard dose of steroids vs reduced dose in treating relapses in children with steroid sensitive nephrotic syndrome
Methods Study design
  • Parallel, open‐label RCT

  • Follow‐up: 6 months

Participants Study characteristics
  • 60 children aged 1 to 18 years

  • All children with idiopathic nephrotic syndrome on stable immunosuppression (either long‐term alternate‐day steroids, levamisole or MMF) or on no immunosuppression for the last 6 months with infrequent relapses defined as < 2 relapses in the last 6 months

Interventions Intervention group
  • Prednisolone: 1 mg/kg every alternate day to treat relapse in children with nephrotic syndrome

  • Duration unclear

  • No information on prednisone dose/duration to achieve remission


Control group
  • Prednisolone: 1.5 mg/kg every alternate day to treat relapse

  • Duration unclear but same as intervention group

  • No information on prednisone dose/duration to achieve remission

Outcomes Planned outcomes
  • Proportion of frequent relapsers on the reduced dose regime as compared to standard regime

  • Number of relapses in children in whom steroid dose is reduced to 1mg/kg on alternate days for 4 weeks instead of the standard 1.5 mg/kg every alternate day in 6 months

  • Cumulative steroid dose in two groups for 6 months

Starting date 1/6/2018
Contact information Associate Professor Suprita Kalra
Email: kalrasuprita@gmail.com
Notes Children with SRNS or SSNS commenced on steroid sparing agent in past 6 months because of FRNS or SDNS