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Multicenter, Prospective, Rand, PK Study of LCP-Tacro™ Compared to Prograf® Capsules in De Novo Adult Kidney Transplant

Primary Purpose

Renal Failure

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
LCP-Tacro tablets
Prograf
Sponsored by
Veloxis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Failure

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria

  • Give written consent
  • Male and female subjects between the ages of 18 and 70 years, inclusive
  • Must be receiving primary or secondary renal allograft from a deceased donor or non- HLA identical living donor
  • WOCBP must have a negative pregnancy test
  • Must have negative cross-match test and be ABO-compatible
  • Must be able to swallow tablets and capsules

Exclusion criteria

  • Recipients of any previous nonrenal or concurrent transplant
  • Have panel reactive antibody >50%
  • Any condition that may affect study drug absorption BMI <18 kg/m2 or > 45 kg/m2
  • History of alcohol abuse with less than 6 months of sobriety
  • History of recreational drug abuse with less than 6 months of documented abstinence
  • Screening 12-lead ECG demonstrating CS abnormalities (including QTc prolongation)
  • WOCBP and are either pregnant, lactating, planning to become pregnant or with a positive serum or urine pregnancy test
  • Subjects (male or female) with reproductive potential who are unwilling/unable to use a double-barrier method
  • Oral temperature (prior to study drug dosing) of 38.0ºC or higher
  • CS active infections (eg, those requiring hospitalization, or as judged by the Investigator)
  • Known hereditary immunodeficiency
  • Malignancies or with a history of malignancies (within the last 5 years) with the exception of local, noninvasive, fully excised cutaneous basal cell carcinoma, cutaneous squamous cell carcinoma, or cervical carcinoma in situ
  • Expect to receive within 2 months after randomization, or have received within 3 months prior to screening, any of the following: sirolimus, everolimus, belatacept, or cyclophosphamide
  • Any psychiatric or medical condition that, in the Investigator's opinion, may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study
  • Clinically symptomatic CHF or documented EJF of less than 45%
  • Significant COPD, pulmonary restrictive disease or significant pulmonary hypertension
  • Enrolled in another investigational drug or device study, or who are less than 30 days since discontinuing
  • Laboratory variables that are abnormal (outside laboratory reference range) and CS
  • Positive results of any of the following serological tests: human immunodeficiency virus (HIV)-1 antibody, hepatitis B virus (HBV) surface antigen (HBsAg), anti-hepatitis B core antibody (HBcAb), and anti-hepatitis C virus (HCV) antibody (HCV Ab)
  • Subjects who have had primary focal segmental glomerulosclerosis
  • Donor parameters must not include any of the following known conditions:

Donor with positive serological test result for HIV-1, HBV or HCV Donor with history of malignant disease (current or historical) Cold ischemia time >30 hours Non-heart-beating donor

Sites / Locations

  • Clinical Investigative Site 000015
  • Clinical Investigative Site 000012
  • Clinical Investigative Site 00004
  • Clinical Investigative Site 000002
  • Clinical Investigative Site 000005
  • Clinical Investigative Site 000009
  • Clinical Investigative Site 000010
  • Clinical Investigative Site 000011
  • Clinical Investigative Site 00006
  • Clinical Investigative Site 00008
  • Clinical Investigative Site 00003
  • Clinical Investigative Site 000013
  • Clinical Investigative Site 00001

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

LCP-Tacro

Prograf

Arm Description

LCP-Tacro Tablets, once daily (Veloxis Pharmaceuticals A/S, Horsholm, DK)

Prograf Capsules, twice daily (Astellas Pharma US, Deerfield, IL)

Outcomes

Primary Outcome Measures

Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (AUC) was evaluated on Day 1 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.
Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (AUC) was evaluated on Day 14 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.
Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (AUC) was evaluated on Day 28 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.
Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 1 in adult de novo kidney recipients.
Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 14 in adult de novo kidney recipients.
Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 28 in adult de novo kidney recipients.
Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Tmax) was evaluated on Day 1 in adult de novo kidney recipients.
Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Tmax) was evaluated on Day 14 in adult de novo kidney recipients.
Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Tmax) was evaluated on Day 28 in adult de novo kidney recipients.
Pharmacokinetics (Fluctuation) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Fluctuation) was evaluated on Day 14 in adult de novo kidney recipients.
Pharmacokinetics (Fluctuation) of LCP-Tacro Compared to Prograf After Kidney Transplantation
The pharmacokinetic parameter (Fluctuation) was evaluated on Day 28 in adult de novo kidney recipients.

Secondary Outcome Measures

Full Information

First Posted
August 14, 2012
Last Updated
June 30, 2015
Sponsor
Veloxis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01666951
Brief Title
Multicenter, Prospective, Rand, PK Study of LCP-Tacro™ Compared to Prograf® Capsules in De Novo Adult Kidney Transplant
Official Title
Ph 2 Double-blind, Double-dummy, Multicenter, Prospective, Rand Study of PK of LCP-Tacro™ Tablets Once Daily, Compared to Prograf® Caps, Twice Daily, for Prevention of Acute Allograft Rejection in De Novo Adult Kidney Transplant Recipients
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
November 2012 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
May 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Veloxis Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the pharmacokinetics of LCP-Tacro tablets administered once-daily compared to Prograf capsules administered twice-daily after kidney transplantation.
Detailed Description
This is a 2-arm , parallel group, prospective, double-blind, double-dummy, multicenter,clinical trial to evaluate the pharmacokinetics of LCP-Tacro tablets once daily in comparison to Prograf capsules twice-daily after kidney transplantation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Failure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LCP-Tacro
Arm Type
Experimental
Arm Description
LCP-Tacro Tablets, once daily (Veloxis Pharmaceuticals A/S, Horsholm, DK)
Arm Title
Prograf
Arm Type
Active Comparator
Arm Description
Prograf Capsules, twice daily (Astellas Pharma US, Deerfield, IL)
Intervention Type
Drug
Intervention Name(s)
LCP-Tacro tablets
Other Intervention Name(s)
Prograf
Intervention Description
Tacrolimus
Intervention Type
Drug
Intervention Name(s)
Prograf
Other Intervention Name(s)
Prograf Capsules twice daily
Intervention Description
Tacrolimus
Primary Outcome Measure Information:
Title
Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (AUC) was evaluated on Day 1 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.
Time Frame
1 days
Title
Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (AUC) was evaluated on Day 14 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.
Time Frame
14 days
Title
Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (AUC) was evaluated on Day 28 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.
Time Frame
28 days
Title
Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 1 in adult de novo kidney recipients.
Time Frame
1 days
Title
Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 14 in adult de novo kidney recipients.
Time Frame
14 days
Title
Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 28 in adult de novo kidney recipients.
Time Frame
28 days
Title
Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Tmax) was evaluated on Day 1 in adult de novo kidney recipients.
Time Frame
1 days
Title
Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Tmax) was evaluated on Day 14 in adult de novo kidney recipients.
Time Frame
14 days
Title
Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Tmax) was evaluated on Day 28 in adult de novo kidney recipients.
Time Frame
28 days
Title
Pharmacokinetics (Fluctuation) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Fluctuation) was evaluated on Day 14 in adult de novo kidney recipients.
Time Frame
14 days
Title
Pharmacokinetics (Fluctuation) of LCP-Tacro Compared to Prograf After Kidney Transplantation
Description
The pharmacokinetic parameter (Fluctuation) was evaluated on Day 28 in adult de novo kidney recipients.
Time Frame
28 days
Other Pre-specified Outcome Measures:
Title
Daytime, Nighttime and Overnight Systolic Blood Pressure (SBP) on Day 14.
Description
At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Days 14.
Time Frame
14 days
Title
Daytime, Nighttime Overnight Systolic Blood Pressure (SBP) on Day 28.
Description
At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Day 28.
Time Frame
28 days
Title
Ratio of Nighttime to Daytime Systolic Blood Pressure (SBP) on Day 14.
Description
At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Days 14.
Time Frame
14 days
Title
Ratio of Nighttime to Daytime Systolic Blood Pressure (SBP) on Day 28.
Description
At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Days 28.
Time Frame
28 days
Title
Evaluation of the Short-term Efficacy of LCP-Tacro After the Start of Dosing.
Description
The efficacy is measured by the number of treatment failures defined as all-cause mortality, Graft Failure, Biopsy Proven Acute Rejection (BPAR) and Lost to follow up.
Time Frame
30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria Give written consent Male and female subjects between the ages of 18 and 70 years, inclusive Must be receiving primary or secondary renal allograft from a deceased donor or non- HLA identical living donor WOCBP must have a negative pregnancy test Must have negative cross-match test and be ABO-compatible Must be able to swallow tablets and capsules Exclusion criteria Recipients of any previous nonrenal or concurrent transplant Have panel reactive antibody >50% Any condition that may affect study drug absorption BMI <18 kg/m2 or > 45 kg/m2 History of alcohol abuse with less than 6 months of sobriety History of recreational drug abuse with less than 6 months of documented abstinence Screening 12-lead ECG demonstrating CS abnormalities (including QTc prolongation) WOCBP and are either pregnant, lactating, planning to become pregnant or with a positive serum or urine pregnancy test Subjects (male or female) with reproductive potential who are unwilling/unable to use a double-barrier method Oral temperature (prior to study drug dosing) of 38.0ºC or higher CS active infections (eg, those requiring hospitalization, or as judged by the Investigator) Known hereditary immunodeficiency Malignancies or with a history of malignancies (within the last 5 years) with the exception of local, noninvasive, fully excised cutaneous basal cell carcinoma, cutaneous squamous cell carcinoma, or cervical carcinoma in situ Expect to receive within 2 months after randomization, or have received within 3 months prior to screening, any of the following: sirolimus, everolimus, belatacept, or cyclophosphamide Any psychiatric or medical condition that, in the Investigator's opinion, may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study Clinically symptomatic CHF or documented EJF of less than 45% Significant COPD, pulmonary restrictive disease or significant pulmonary hypertension Enrolled in another investigational drug or device study, or who are less than 30 days since discontinuing Laboratory variables that are abnormal (outside laboratory reference range) and CS Positive results of any of the following serological tests: human immunodeficiency virus (HIV)-1 antibody, hepatitis B virus (HBV) surface antigen (HBsAg), anti-hepatitis B core antibody (HBcAb), and anti-hepatitis C virus (HCV) antibody (HCV Ab) Subjects who have had primary focal segmental glomerulosclerosis Donor parameters must not include any of the following known conditions: Donor with positive serological test result for HIV-1, HBV or HCV Donor with history of malignant disease (current or historical) Cold ischemia time >30 hours Non-heart-beating donor
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Polvino, MD
Organizational Affiliation
Veloxis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Investigative Site 000015
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Clinical Investigative Site 000012
City
San Francisco
State/Province
California
ZIP/Postal Code
94115
Country
United States
Facility Name
Clinical Investigative Site 00004
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Clinical Investigative Site 000002
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
Facility Name
Clinical Investigative Site 000005
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536-0293
Country
United States
Facility Name
Clinical Investigative Site 000009
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Clinical Investigative Site 000010
City
Livingston
State/Province
New Jersey
ZIP/Postal Code
07039
Country
United States
Facility Name
Clinical Investigative Site 000011
City
Buffalo
State/Province
New York
ZIP/Postal Code
14215
Country
United States
Facility Name
Clinical Investigative Site 00006
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Clinical Investigative Site 00008
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44095
Country
United States
Facility Name
Clinical Investigative Site 00003
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Clinical Investigative Site 000013
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Clinical Investigative Site 00001
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22903
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Multicenter, Prospective, Rand, PK Study of LCP-Tacro™ Compared to Prograf® Capsules in De Novo Adult Kidney Transplant

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