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TO Compare the Triple Drug Therapy and Dual Therapy . (OPTIMUS-A)

Primary Purpose

HEPATITIS

Status
Unknown status
Phase
Phase 4
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Mycophenolate Mofetil
Tacrolimus
Sponsored by
Asan Medical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HEPATITIS focused on measuring HBV

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men or women at the age of 20 to 65

    • Patients who will have primary Liver Transplantation becaused of Chronic Hepatitis B of HbsAg positive

      • Having confirmed a result of HBsAg positive patients within 6 months prior to Screening point.

        • Patients who will have Liver Transplantation from ABO-compatible or proper living donor ⑤ Patients who will receive investigational products for the entire period of clinical trial.

          • Patients who have signed the informed consent after understanding of clinical trial's purpose and risk.

            • For women of childbearing potential, pregnancy test negative from urine or blood AND women who agree to contraception for the entire period of clinical trial.

Exclusion Criteria:

  • Recipients who had Liver Transplantation OR who had or will have other organ transplantation

    • Recipients who other organ transplantation in addition to liver at once.

      • Recipients who will have Auxiliary Partial Orthotopic Liver Transplantation.

        • Recipients who use a Bioartificial liver prior to Transplantation

          • Cr > 2.0mg/dl at screening test

            • Patients who had malignant tumor within the past 5 years OR have malignant tumor(except, successfully treated Skin's non-metastatic basal cell carcinoma, squamous cell carcinoma or primary hepatocellular carcinoma )

              • Recipients had hepatocellular carcinoma whick is out of Milan criteria

                • WBC<1,500/mm3 or ANC<900/mm3 or PLT<30,000/mm3 at Screening

                  • Investigator judge that a patient is not proper to enroll this study due to Severe digestive disorder at Screening

                    • Patients who have severe systemic infection (But the liver transplantation is excepted that performed after the infection is completely lost or well-controlled)

                      ⑪ Recipients who had Liver transplantation from HBsAg positive donor

                      ⑫ Recipients or Donors are HIV, HCV Positive

                      ⑬ Patients who need to systemc chemotherapy or immunosuppressive therapy prior to transplantation or took immunosuppressants within 30 days prior to liver transplantation(except, investigational products per protocol and corticosteroid)

                      ⑭ Patients who have hypersensitivity to mycophenolate, mycophenolate acid, ingredient of investigational products, tacrolimus , Macrolide antibiotic and Steroids

                      ⑮ Patients who had been received or have been received other investigational products within 28 days prior to screening 16 Pregnant women and lactating women 17 Substance abuse patient, mentally defective person or patients who is not possible to participate in clinical trial by law 18 Investigator judge that a patient have communication disorder 19 Patients are not capable of visiting accor.ding to study visit schedule 20 Investigator judge that a patient is not proper to enroll this study, et cetera

Sites / Locations

  • Asan Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

tacrolimus

Mycophenolate Mofetil

Arm Description

Control group: Tacrolimus + Corticosteroid (dual oral therapy)

Tacrolimus + Mycophenolate Mofetil+Corticosteroid (triple oral therapy)

Outcomes

Primary Outcome Measures

rejection
• Incidence rate has been confirmed acute cellular rejection(RAI 4 and over) from liver biopsy

Secondary Outcome Measures

rate of HBV
• Recurrence rate of HBV after liver transplantation for 24 weeks (HBsAg Positve)
Graft survival rate
• Patients survival rate after liver transplantation for 24 weeks / Graft survival rate

Full Information

First Posted
February 26, 2014
Last Updated
February 28, 2014
Sponsor
Asan Medical Center
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1. Study Identification

Unique Protocol Identification Number
NCT02075242
Brief Title
TO Compare the Triple Drug Therapy and Dual Therapy .
Acronym
OPTIMUS-A
Official Title
Open Label, Multi-center, Randomized Study to Compare of Tacrolimus and Steroids in Combination With Mycophenolate Mofetil or Without Mycophenolate Mofetil in Liver Transplantation With Hepatitis B Virus(HBsAg) Positive
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Unknown status
Study Start Date
January 2014 (undefined)
Primary Completion Date
January 2016 (Anticipated)
Study Completion Date
January 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Asan Medical Center

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study to Compare the Safety and Efficacy of Tacrolimus and Steroids in Combination With Mycophenolate Mofetil or Without Mycophenolate Mofetil in Liver Transplantation with Hepatitis B Virus(HBsAg) Positive

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HEPATITIS
Keywords
HBV

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
tacrolimus
Arm Type
Active Comparator
Arm Description
Control group: Tacrolimus + Corticosteroid (dual oral therapy)
Arm Title
Mycophenolate Mofetil
Arm Type
Experimental
Arm Description
Tacrolimus + Mycophenolate Mofetil+Corticosteroid (triple oral therapy)
Intervention Type
Drug
Intervention Name(s)
Mycophenolate Mofetil
Other Intervention Name(s)
Tacrolimus + Mycophenolate Mofetil+Corticosteroid
Intervention Description
experimental group receive Tacrolimus as a main immunosuppressants and assistant is My-rept capsule®(Mycophenolate Mofetil),
Intervention Type
Drug
Intervention Name(s)
Tacrolimus
Other Intervention Name(s)
Tacrolimus + Corticosteroid
Intervention Description
control group receive same immunosuppressants except for My-rept capsule®(Mycophenolate Mofetil- investigational product
Primary Outcome Measure Information:
Title
rejection
Description
• Incidence rate has been confirmed acute cellular rejection(RAI 4 and over) from liver biopsy
Time Frame
within 6months
Secondary Outcome Measure Information:
Title
rate of HBV
Description
• Recurrence rate of HBV after liver transplantation for 24 weeks (HBsAg Positve)
Time Frame
within 6 months
Title
Graft survival rate
Description
• Patients survival rate after liver transplantation for 24 weeks / Graft survival rate
Time Frame
within 6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men or women at the age of 20 to 65 Patients who will have primary Liver Transplantation becaused of Chronic Hepatitis B of HbsAg positive Having confirmed a result of HBsAg positive patients within 6 months prior to Screening point. Patients who will have Liver Transplantation from ABO-compatible or proper living donor ⑤ Patients who will receive investigational products for the entire period of clinical trial. Patients who have signed the informed consent after understanding of clinical trial's purpose and risk. For women of childbearing potential, pregnancy test negative from urine or blood AND women who agree to contraception for the entire period of clinical trial. Exclusion Criteria: Recipients who had Liver Transplantation OR who had or will have other organ transplantation Recipients who other organ transplantation in addition to liver at once. Recipients who will have Auxiliary Partial Orthotopic Liver Transplantation. Recipients who use a Bioartificial liver prior to Transplantation Cr > 2.0mg/dl at screening test Patients who had malignant tumor within the past 5 years OR have malignant tumor(except, successfully treated Skin's non-metastatic basal cell carcinoma, squamous cell carcinoma or primary hepatocellular carcinoma ) Recipients had hepatocellular carcinoma whick is out of Milan criteria WBC<1,500/mm3 or ANC<900/mm3 or PLT<30,000/mm3 at Screening Investigator judge that a patient is not proper to enroll this study due to Severe digestive disorder at Screening Patients who have severe systemic infection (But the liver transplantation is excepted that performed after the infection is completely lost or well-controlled) ⑪ Recipients who had Liver transplantation from HBsAg positive donor ⑫ Recipients or Donors are HIV, HCV Positive ⑬ Patients who need to systemc chemotherapy or immunosuppressive therapy prior to transplantation or took immunosuppressants within 30 days prior to liver transplantation(except, investigational products per protocol and corticosteroid) ⑭ Patients who have hypersensitivity to mycophenolate, mycophenolate acid, ingredient of investigational products, tacrolimus , Macrolide antibiotic and Steroids ⑮ Patients who had been received or have been received other investigational products within 28 days prior to screening 16 Pregnant women and lactating women 17 Substance abuse patient, mentally defective person or patients who is not possible to participate in clinical trial by law 18 Investigator judge that a patient have communication disorder 19 Patients are not capable of visiting accor.ding to study visit schedule 20 Investigator judge that a patient is not proper to enroll this study, et cetera
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
yun-kyoung kim
Phone
82-31-219-4467
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sung-Gyu Lee
Organizational Affiliation
Asan Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Asan Medical Center
City
Seoul
State/Province
Korea
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sung-Gyu Lee
Email
sglee2@amc.seoul.kr
First Name & Middle Initial & Last Name & Degree
Sung-Gyu Lee

12. IPD Sharing Statement

Learn more about this trial

TO Compare the Triple Drug Therapy and Dual Therapy .

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