Safety/Efficacy of Induction Agents With Tacrolimus, MMF, and Rapid Steroid Withdrawal in Renal Transplant Recipients

NCT ID: NCT00113269

Last Updated: 2011-08-11

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

501 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-05-31

Study Completion Date

2009-03-31

Brief Summary

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The purpose of this study is to compare the safety and efficacy of different induction agents (alemtuzumab, basiliximab or rabbit anti-thymocyte globulin) in renal transplant recipients treated with tacrolimus, mycophenolate mofetil (MMF) and a rapid steroid withdrawal.

Detailed Description

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A 2 arm (1 Active, 1 Active Control) study is to compare the safety and efficacy of different induction agents (alemtuzumab, basiliximab or rabbit anti-thymocyte globulin) in renal transplant recipients treated with tacrolimus, MMF and a rapid steroid withdrawal.

Conditions

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Kidney Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Alemtuzumab High-Risk Patients

Alemtuzumab, tacrolimus, mycophenolate mofetil and steroids; High risk patients: Panel reactive antibody ≥ 20% or re-transplant or African American

Group Type EXPERIMENTAL

tacrolimus

Intervention Type DRUG

oral

alemtuzumab

Intervention Type DRUG

Intravenous (IV)

mycophenolate mofetil

Intervention Type DRUG

oral

steroids

Intervention Type DRUG

IV and/or oral

Conventional High-Risk Patients

Rabbit anti-thymocyte globulin, tacrolimus, mycophenolate mofetil and steroids; High risk patients: Panel reactive antibody ≥ 20% or re-transplant or African American

Group Type ACTIVE_COMPARATOR

rabbit anti-thymocyte globulin

Intervention Type DRUG

IV

tacrolimus

Intervention Type DRUG

oral

mycophenolate mofetil

Intervention Type DRUG

oral

steroids

Intervention Type DRUG

IV and/or oral

Alemtuzumab Low- Risk Patients

Alemtuzumab, tacrolimus, mycophenolate mofetil and steroids; Low risk patients: Panel reactive antibody \< 20% and first transplant and non-African American

Group Type EXPERIMENTAL

tacrolimus

Intervention Type DRUG

oral

alemtuzumab

Intervention Type DRUG

Intravenous (IV)

mycophenolate mofetil

Intervention Type DRUG

oral

steroids

Intervention Type DRUG

IV and/or oral

Conventional Low-Risk Patients

Basiliximab, tacrolimus, mycophenolate mofetil and steroids; Low risk patients: Panel reactive antibody \< 20% and first transplant and non-African American

Group Type ACTIVE_COMPARATOR

basiliximab

Intervention Type DRUG

IV

tacrolimus

Intervention Type DRUG

oral

mycophenolate mofetil

Intervention Type DRUG

oral

steroids

Intervention Type DRUG

IV and/or oral

Interventions

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basiliximab

IV

Intervention Type DRUG

rabbit anti-thymocyte globulin

IV

Intervention Type DRUG

tacrolimus

oral

Intervention Type DRUG

alemtuzumab

Intravenous (IV)

Intervention Type DRUG

mycophenolate mofetil

oral

Intervention Type DRUG

steroids

IV and/or oral

Intervention Type DRUG

Other Intervention Names

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simulect Thymoglobulin Prograf, FK506 campath MMF CellCept

Eligibility Criteria

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Inclusion Criteria

* Recipient of a primary or re-transplanted deceased donor kidney or a primary or re-transplanted non-human leukocyte antigen (HLA) living donor kidney (ie., HLA identical or 0 antigen mismatch deceased donor kidneys are allowed).

Exclusion Criteria

* Patient has previously received an organ transplant other than a kidney
* Patient receiving chronic steroid therapy at time of transplant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Astellas Pharma Global Development

Principal Investigators

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Central Contact

Role: STUDY_DIRECTOR

Astellas Pharma Global Development

Locations

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Birmingham, Alabama, United States

Site Status

Los Angeles, California, United States

Site Status

Palo Alto, California, United States

Site Status

San Diego, California, United States

Site Status

San Francisco, California, United States

Site Status

San Francisco, California, United States

Site Status

Denver, Colorado, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Miami, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

Chicago, Illinois, United States

Site Status

Chicago, Illinois, United States

Site Status

Livingston, New Jersey, United States

Site Status

New Brunswick, New Jersey, United States

Site Status

Hawthorne, New York, United States

Site Status

New York, New York, United States

Site Status

New York, New York, United States

Site Status

Chapel Hill, North Carolina, United States

Site Status

Durham, North Carolina, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Portland, Oregon, United States

Site Status

Danville, Pennsylvania, United States

Site Status

Harrisburg, Pennsylvania, United States

Site Status

Charleston, South Carolina, United States

Site Status

San Antonio, Texas, United States

Site Status

Salt Lake City, Utah, United States

Site Status

Madison, Wisconsin, United States

Site Status

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Hanaway MJ, Woodle ES, Mulgaonkar S, Peddi VR, Kaufman DB, First MR, Croy R, Holman J; INTAC Study Group. Alemtuzumab induction in renal transplantation. N Engl J Med. 2011 May 19;364(20):1909-19. doi: 10.1056/NEJMoa1009546.

Reference Type BACKGROUND
PMID: 21591943 (View on PubMed)

Related Links

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http://www.astellas.us/docs/prograf.pdf

Link to Prescribing Information

Other Identifiers

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20-04-003

Identifier Type: -

Identifier Source: org_study_id

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