Evaluation of Thymoglobulin Induction and Reduced Doses of Calcineurin Inhibitors on Liver Transplant Rejection

NCT ID: NCT00117689

Last Updated: 2015-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-04-30

Study Completion Date

2007-12-31

Brief Summary

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This study involves the use of a drug called Thymoglobulin, which is approved in the US to treat kidney transplant rejection and in Canada to treat and prevent kidney transplant rejection. This study will evaluate the effect of Thymoglobulin induction therapy and reduced doses of calcineurin inhibitors on the incidence of liver rejection and will provide a basis for future evaluations of Thymoglobulin as an immunosuppressive agent to help decrease the incidence of liver transplant rejection. Subjects meeting all inclusion and exclusion criteria are eligible to participate in this study. Approximately 75 study subjects from up to 18 transplant centers in the United States and Canada will be enrolled in this 12-month study.

Detailed Description

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Conditions

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Liver Dysfunction Rejection, Transplant Transplantation, Liver

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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1

Standard (tacrolimus based standard therapy without induction)

Group Type EXPERIMENTAL

Thymoglobulin

Intervention Type BIOLOGICAL

Antibody inductions with tacrolimus and corticosteroid sparing maintenance therapy

Tacrolimus

Intervention Type DRUG

Between Day 3 the last dose of Thymoglobulin

Mycophenolate Mofetil

Intervention Type DRUG

for at least 1 month posttransplant

2 Standard of Care

Thymoglobulin with tacrolimus and corticosteroid sparing maintenance therapy

Group Type ACTIVE_COMPARATOR

Corticosteroid

Intervention Type DRUG

For a minimum of 3 months

Tacrolimus

Intervention Type DRUG

Between Day 3 the last dose of Thymoglobulin

Mycophenolate Mofetil

Intervention Type DRUG

for at least 1 month posttransplant

Interventions

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Thymoglobulin

Antibody inductions with tacrolimus and corticosteroid sparing maintenance therapy

Intervention Type BIOLOGICAL

Corticosteroid

For a minimum of 3 months

Intervention Type DRUG

Tacrolimus

Between Day 3 the last dose of Thymoglobulin

Intervention Type DRUG

Mycophenolate Mofetil

for at least 1 month posttransplant

Intervention Type DRUG

Other Intervention Names

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[Anti-thymocyte Globulin (rabbit)]

Eligibility Criteria

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Inclusion Criteria

* Primary liver transplant recipient with Model for End-Stage Liver Disease (MELD) criteria documentation
* Serum creatinine \> 1.5mg/dL at the time of transplant, or based on the value used to calculate the most recent pre-operative MELD Score for liver allocation
* Ages greater than or equal to 18 years
* If female, must not be lactating; must have a negative serum beta-human chorionic gonadotropin (HCG) test within 7 days prior to Study Day 0 (Day of Transplant); and must agree to practice an acceptable and reliable form of contraception during the study
* Signed informed consent

Exclusion Criteria

* Living donor or multiple organ transplants
* Prior solid organ or bone marrow transplant recipient
* Fulminant hepatic failure
* Status 1 transplants
* ABO incompatible transplants
* Transplants utilizing livers from non heart-beating donors
* Liver transplant candidates with \> 6 weeks of analysis
* Donor with positive serology for hepatitis B surface antigen (HBsAg)
* Evidence of human immunodeficiency virus (HIV)
* Autoimmune hepatitis
* History of chronic steroid or immunosuppressant use in the 90 days prior to transplant, except for inhaled corticosteroids to treat asthma
* Recipient of investigational therapy within 90 days prior to transplant procedure
* Known contraindication to administration of rabbit anti-thymocyte globulin
* Acute viral illness
* History of malignancy within 5 years, with the exception of adequately treated localized squamous or basal cell carcinoma of the skin without evidence of recurrence, and/or hepatocellular carcinoma
* Illness other than primary liver disease (e.g. severe ischemic heart disease, left ventricular dysfunction, or pulmonary disease), which, in the opinion of the investigator, may significantly increase the risk of the transplantation procedure
* Current drug and alcohol abuse that, in the opinion of the investigator, puts subjects at risk for poor compliance (no drug test required)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Genzyme, a Sanofi Company

Locations

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University of Alabama, Birmingham

Birmingham, Alabama, United States

Site Status

USC University Hospital

Los Angeles, California, United States

Site Status

University of California, San Fransisco Hospital

San Francisco, California, United States

Site Status

University of Colorado Hospital and Health Sciences Center

Denver, Colorado, United States

Site Status

Mayo Clinic Jacksonville

Jacksonville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Fairview University Medical Center

Minneapolis, Minnesota, United States

Site Status

Washington University Medical Center

St Louis, Missouri, United States

Site Status

University of Nebraska

Omaha, Nebraska, United States

Site Status

Mount Sinai Medical Center

New York, New York, United States

Site Status

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

University of Texas Health Science Center at San Antonio, University Hospital

San Antonio, Texas, United States

Site Status

VCU Medical Center

Richmond, Virginia, United States

Site Status

Toronto University Hospital - UHN

Toronto, Ontario, Canada

Site Status

Royal Victoria Hospital

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

Related Links

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http://www.thymoglobulin.com/home/thymo_pdf_pi.pdf

US FDA Approved Full Prescribing Information for Thymoglobulin®

Other Identifiers

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Thymo102700103

Identifier Type: -

Identifier Source: org_study_id

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