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Study of Tacrolimus Immunosuppressive Therapy After Kidney Transplantation

Primary Purpose

Kidney Transplantation, Kidney Failure, Chronic, Renal Insufficiency, Chronic

Status
Completed
Phase
Phase 4
Locations
Russian Federation
Study Type
Interventional
Intervention
Tacrolimus
Mycophenolate Mofetil
Methylprednisolone or equivalent
Prednisone
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Kidney Transplantation focused on measuring Organ Transplantation, Tacrolimus, Prograf, Kidney, Immunosuppression

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Female subject of childbearing potential must have a negative serum pregnancy test at enrolment and must agree to maintain effective birth control during the study
  • Has an end stage kidney disease and is a suitable candidate for primary renal transplantation or retransplantation
  • Subject is receiving a kidney transplant, from a cadaveric or living donor between 5 and 65 years of age with compatible AB0 blood type

Exclusion Criteria:

  • Pregnant woman or breast-feeding mother
  • Has an immunological high risk, defined as having a most recently measured PRA grade of > 50% within the previous six months
  • Known allergy to the study drug or any of its components
  • Requires ongoing dosing with a systemic immunosuppressive drug at study entry for any reason other than kidney transplantation
  • Requires initial sequential or parallel therapy with immunosuppressive antibody preparation(s)
  • Subject or donor is known to be HIV positive
  • Has significant liver disease, defined as having during the past 28 days continuously elevated ASAT (SGOT) and/or ALAT (SGPT) levels greater than 3 times the upper value of the normal range of the investigational site
  • Diagnosis of malignancy or history of malignancy, except non metastatic basal or squamous cell carcinoma of the skin that has been treated successfully
  • Has significant, uncontrolled concomitant infections and/or severe diarrhoea, vomiting, or active peptic ulcer
  • Previously received or is receiving an organ transplant other than kidney
  • Receiving a graft from a non-heart-beating donor
  • Cold ischemia time of the donor kidney >30 hours
  • Any form of substance abuse, psychiatric disorder or condition which, in the opinion of the investigator, may complicate communication with the investigator

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

1

2

Arm Description

steroid regimen 1

steroid regimen 2

Outcomes

Primary Outcome Measures

Incidence and time to first biopsy-proven acute rejection

Secondary Outcome Measures

Overall frequency of acute rejection episodes within 6 months post transplantation
Severity of biopsy proven acute rejections (BANFF criteria) within 6 months post transplantation
Incidence of and time to first corticosteroid-resistant acute rejection
Subject and graft survival

Full Information

First Posted
July 16, 2008
Last Updated
April 13, 2009
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00717379
Brief Title
Study of Tacrolimus Immunosuppressive Therapy After Kidney Transplantation
Official Title
Open-Label, Randomized, Multicenter, Parallel-Group Efficacy and Safety Study of Tacrolimus Immunosuppressive Therapy After Kidney Transplantation
Study Type
Interventional

2. Study Status

Record Verification Date
April 2009
Overall Recruitment Status
Completed
Study Start Date
May 2007 (undefined)
Primary Completion Date
October 2008 (Actual)
Study Completion Date
October 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To compare the efficacy and safety of Tacrolimus in combination with MMF and Steroids in two regimens of steroid in an adult kidney transplanted population.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Transplantation, Kidney Failure, Chronic, Renal Insufficiency, Chronic
Keywords
Organ Transplantation, Tacrolimus, Prograf, Kidney, Immunosuppression

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
steroid regimen 1
Arm Title
2
Arm Type
Experimental
Arm Description
steroid regimen 2
Intervention Type
Drug
Intervention Name(s)
Tacrolimus
Other Intervention Name(s)
Prograf, FK506
Intervention Description
oral
Intervention Type
Drug
Intervention Name(s)
Mycophenolate Mofetil
Other Intervention Name(s)
MMF
Intervention Description
oral
Intervention Type
Drug
Intervention Name(s)
Methylprednisolone or equivalent
Intervention Description
oral
Intervention Type
Drug
Intervention Name(s)
Prednisone
Intervention Description
oral
Primary Outcome Measure Information:
Title
Incidence and time to first biopsy-proven acute rejection
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Overall frequency of acute rejection episodes within 6 months post transplantation
Time Frame
6 months
Title
Severity of biopsy proven acute rejections (BANFF criteria) within 6 months post transplantation
Time Frame
6 months
Title
Incidence of and time to first corticosteroid-resistant acute rejection
Time Frame
6 months
Title
Subject and graft survival
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female subject of childbearing potential must have a negative serum pregnancy test at enrolment and must agree to maintain effective birth control during the study Has an end stage kidney disease and is a suitable candidate for primary renal transplantation or retransplantation Subject is receiving a kidney transplant, from a cadaveric or living donor between 5 and 65 years of age with compatible AB0 blood type Exclusion Criteria: Pregnant woman or breast-feeding mother Has an immunological high risk, defined as having a most recently measured PRA grade of > 50% within the previous six months Known allergy to the study drug or any of its components Requires ongoing dosing with a systemic immunosuppressive drug at study entry for any reason other than kidney transplantation Requires initial sequential or parallel therapy with immunosuppressive antibody preparation(s) Subject or donor is known to be HIV positive Has significant liver disease, defined as having during the past 28 days continuously elevated ASAT (SGOT) and/or ALAT (SGPT) levels greater than 3 times the upper value of the normal range of the investigational site Diagnosis of malignancy or history of malignancy, except non metastatic basal or squamous cell carcinoma of the skin that has been treated successfully Has significant, uncontrolled concomitant infections and/or severe diarrhoea, vomiting, or active peptic ulcer Previously received or is receiving an organ transplant other than kidney Receiving a graft from a non-heart-beating donor Cold ischemia time of the donor kidney >30 hours Any form of substance abuse, psychiatric disorder or condition which, in the opinion of the investigator, may complicate communication with the investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Central Contact
Organizational Affiliation
ZAO Astellas Pharma Russia
Official's Role
Study Director
Facility Information:
City
Moscow
ZIP/Postal Code
115446
Country
Russian Federation
City
Moscow
ZIP/Postal Code
119992
Country
Russian Federation
City
Moscow
ZIP/Postal Code
123182
Country
Russian Federation
City
Omsk
ZIP/Postal Code
644112
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
197110
Country
Russian Federation
City
Volzskii
ZIP/Postal Code
404120
Country
Russian Federation

12. IPD Sharing Statement

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Study of Tacrolimus Immunosuppressive Therapy After Kidney Transplantation

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