A Study to Evaluate the Efficacy and Safety of Zenapax in Combination With CellCept, Cyclosporine, and Corticosteroids in Patients Undergoing Cardiac Transplantation

NCT ID: NCT00048165

Last Updated: 2016-06-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

434 participants

Study Classification

INTERVENTIONAL

Study Start Date

1999-08-31

Study Completion Date

2002-08-31

Brief Summary

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The purpose of the study is to compare the number of randomized participants in each treatment group who experience an acute rejection episode in the first 6 months after undergoing cardiac transplantation.

Detailed Description

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Conditions

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Heart Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Study Groups

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Daclizumab

Daclizumab will be administered as a intravenous dose of 1 milligrams per kilogram \[mg/kg\] on Days 1, 8, 22, 36, and 50, along with mycophenolate mofetil (one dose of 1.5 mg twice daily \[BID\], cyclosporine 1-4 mg/kg IV or 2-6 mg/kg, and 500-1000 mg IV methylprednisolone peri operative switch to oral at 0.5-1 mg/kg/day followed by tapering.

Group Type EXPERIMENTAL

Daclizumab

Intervention Type DRUG

Daclizumab will be administered as 1 mg/kg IV within 12 hours post-op (Day 1), and Days 8, 22, 36 and 50.

Methylprednisolone

Intervention Type DRUG

Methylprednisolone will be administered as 500-1000 mg IV and peri-operative switch to oral at 0.5-1 mg/kg/day followed by tapering till 0.0-0.15 mg/kg/day (up to 365 days).

Mycophenolate mofetil

Intervention Type DRUG

Mycophenolate mofetil will be administered as 1.5 grams bid begun post-op, either IV or orally as required up to 365 days.

cyclosporine

Intervention Type DRUG

Cyclosporine will be administered as 1-4 mg/kg IV or 2-6 mg/kg orally up to 365 days.

Placebo

Matching placebo will be administered on Days 1, 8, 22, 36, and 50, along with mycophenolate mofetil (one dose of 1.5 mg twice daily \[BID\], cyclosporine 1-4 mg/kg IV or 2-6 mg/kg orally, and 500-1000 mg IV methylprednisolone peri-op switch to oral at 0.5-1 mg/kg/day followed by tapering.

Group Type PLACEBO_COMPARATOR

Methylprednisolone

Intervention Type DRUG

Methylprednisolone will be administered as 500-1000 mg IV and peri-operative switch to oral at 0.5-1 mg/kg/day followed by tapering till 0.0-0.15 mg/kg/day (up to 365 days).

Mycophenolate mofetil

Intervention Type DRUG

Mycophenolate mofetil will be administered as 1.5 grams bid begun post-op, either IV or orally as required up to 365 days.

Placebo

Intervention Type DRUG

Matching placebo will be administered on Days 1, 8, 22, 36, and 50.

cyclosporine

Intervention Type DRUG

Cyclosporine will be administered as 1-4 mg/kg IV or 2-6 mg/kg orally up to 365 days.

Interventions

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Daclizumab

Daclizumab will be administered as 1 mg/kg IV within 12 hours post-op (Day 1), and Days 8, 22, 36 and 50.

Intervention Type DRUG

Methylprednisolone

Methylprednisolone will be administered as 500-1000 mg IV and peri-operative switch to oral at 0.5-1 mg/kg/day followed by tapering till 0.0-0.15 mg/kg/day (up to 365 days).

Intervention Type DRUG

Mycophenolate mofetil

Mycophenolate mofetil will be administered as 1.5 grams bid begun post-op, either IV or orally as required up to 365 days.

Intervention Type DRUG

Placebo

Matching placebo will be administered on Days 1, 8, 22, 36, and 50.

Intervention Type DRUG

cyclosporine

Cyclosporine will be administered as 1-4 mg/kg IV or 2-6 mg/kg orally up to 365 days.

Intervention Type DRUG

Other Intervention Names

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Zenapax

Eligibility Criteria

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Inclusion Criteria

* Participants must be undergoing their first cardiac allograft transplant
* Women of childbearing potential must have a negative serum pregnancy test within 48 hours prior to transplantation
* Women of childbearing potential must use two reliable forms of contraception simultaneously. Effective contraception must be used before beginning study drug therapy, and for 4 months following discontinuation of study drug therapy
* Participants and/or their guardians must be willing and be capable of understanding risks and comply with the purpose of the study

Exclusion Criteria

* Previous organ transplants
* Participants receiving multiple organs
* Participants requiring ventricular assist device (VAD) upon completion of transplantation surgery
* Women lactating, pregnant or of childbearing potential not using, or who are unwilling to use two reliable forms of contraception simultaneously during the study
* History of a psychological illness or condition which would interfere with the participant's ability to understand the requirements of the study
* White blood count =\<2500/mm\^3, platelets =\<50,000/mm\^3 or hemoglobin =\<6 g/dL
* HIV-1, the presence of positive HBsAg, or chronic active hepatitis C
* Active peptic ulcer disease
* Severe diarrhea or other gastrointestinal disorders which might interfere with their ability to absorb oral medication
* Malignancies within the past 5 years, excluding skin carcinoma that have been adequately treated
* Participants who have received within the past 30 days or require concomitant treatment with other investigational drugs or immunosuppressive medications that are prohibited for this study
* Inability to start microemulsion form of cyclosporine within 72 hours
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Birmingham, Alabama, United States

Site Status

Los Angeles, California, United States

Site Status

Tampa, Florida, United States

Site Status

Louisville, Kentucky, United States

Site Status

Baltimore, Maryland, United States

Site Status

Boston, Massachusetts, United States

Site Status

Boston, Massachusetts, United States

Site Status

Ann Arbor, Michigan, United States

Site Status

Minneapolis, Minnesota, United States

Site Status

Albuquerque, New Mexico, United States

Site Status

New York, New York, United States

Site Status

Durham, North Carolina, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Cleveland, Ohio, United States

Site Status

Portland, Oregon, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Pittsburgh, Pennsylvania, United States

Site Status

Charleston, South Carolina, United States

Site Status

Dallas, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Houston, Texas, United States

Site Status

Salt Lake City, Utah, United States

Site Status

Madison, Wisconsin, United States

Site Status

Milwaukee, Wisconsin, United States

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London, Ontario, Canada

Site Status

Ottawa, Ontario, Canada

Site Status

Frankfurt am Main, , Germany

Site Status

Hanover, , Germany

Site Status

Gothenburg, , Sweden

Site Status

Countries

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United States Canada Germany Sweden

Other Identifiers

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NR15880

Identifier Type: -

Identifier Source: org_study_id

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