Lupus & antiphospholipid syndrome

Evaluation and randomised controlled trial of home urinalysis testing in patients with SLE at elevated risk for developing lupus nephritis: a study protocol

Lupus Sci MedPublished Study protocol for a mixed-methods study with feasibility pilot and randomised controlled trial

Study context

Population
Patients with SLE at elevated risk of de novo lupus nephritis (LN) or relapseplanned: pilot n=18
Planned comparison
Weekly home urine sampling protocol with text-messaging reminder and data capture vs standard care
Primary endpoint
Biopsy eligibility: clinical indication for kidney biopsy (urine protein-creatinine ratio≥0.5), whether or not biopsy is performed
Methodological detailssingle-group feasibility pilot, comparative effectiveness trial, economic evaluation, Feasibility pilot, single-group design (n=18), with feasibility assessment and qualitative debriefing interviews with patients to refine the intervention, Second phase: comparative effectiveness trial (n=160), including an economic evaluation of the adapted home urinalysis protocol, Trial to be registered with ClinicalTrials.gov prior to enrolment start
  • Single-group feasibility pilot
  • Comparative effectiveness trial
  • Economic evaluation
  • Feasibility pilot, single-group design (n=18), with feasibility assessment and qualitative debriefing interviews with patients to refine the intervention
  • Second phase: comparative effectiveness trial (n=160), including an economic evaluation of the adapted home urinalysis protocol
  • Trial to be registered with ClinicalTrials.gov prior to enrolment start

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Evaluation and randomised controlled trial of home urinalysis testing in patients with SLE at elevated risk for developing lupus nephritis: a study protocol. Lupus Sci Med. Published 21 November 2024. doi:10.1136/lupus-2024-001390

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