Liver Spare the Nephron (STN) Study - A Study of CellCept (Mycophenolate Mofetil) and Sirolimus in Recipients of a Liver Transplant

NCT ID: NCT00118742

Last Updated: 2010-08-03

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

293 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-08-31

Study Completion Date

2008-12-31

Brief Summary

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This two-arm study will assess the efficacy and safety of a long-term calcineurin inhibitor-free maintenance regimen with CellCept and sirolimus in recipients of an orthotropic liver transplant. Patients will be randomized to receive either CellCept 1-1.5 g twice daily (BID) + tacrolimus + cyclosporine, or CellCept 1-1.5 g BID + sirolimus. The anticipated time on study treatment is 1 to 2 years, and the target sample size is 100 to 500 individuals.

Detailed Description

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Conditions

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Liver 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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CellCept + CNI (tacrolimus or cyclosporine)

Group Type EXPERIMENTAL

mycophenolate mofetil [CellCept]

Intervention Type DRUG

1-1.5 g orally or intravenously twice daily

Tacrolimus

Intervention Type DRUG

As prescribed, for 12 months

Cyclosporine

Intervention Type DRUG

As prescribed, for 12 months

CellCept + sirolimus

Group Type ACTIVE_COMPARATOR

mycophenolate mofetil [CellCept]

Intervention Type DRUG

1-1.5 g orally or intravenously twice daily

Sirolimus

Intervention Type DRUG

2-4 mg orally once daily for 9-11 months

Interventions

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mycophenolate mofetil [CellCept]

1-1.5 g orally or intravenously twice daily

Intervention Type DRUG

Tacrolimus

As prescribed, for 12 months

Intervention Type DRUG

Cyclosporine

As prescribed, for 12 months

Intervention Type DRUG

Sirolimus

2-4 mg orally once daily for 9-11 months

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients 18-74 years of age
* Single primary liver transplant from a deceased donor
* CellCept plus tacrolimus or cyclosporine from time of transplantation (within 72 hours)
* Patients with hepatitis C-positive status may be entered if they have had an intraoperative (back table) biopsy of the transplanted liver or will have a biopsy at the time of randomization. This is not required for patients negative for hepatitis C.

Exclusion Criteria

* Liver allograft from a living donor or a split liver
* Multiple organ transplant
* Dialysis therapy for \>14 days from transplantation to randomization
* History of malignancy in the last 5 years (except hepatoma or non-melanoma skin cancer)
* Previous sirolimus therapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

74 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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Hoffmann-La Roche

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Birmingham, Alabama, United States

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Phoenix, Arizona, United States

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La Jolla, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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San Francisco, California, United States

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Denver, Colorado, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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New Orleans, Louisiana, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Burlington, Massachusetts, United States

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Detroit, Michigan, United States

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Minneapolis, Minnesota, United States

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Rochester, Minnesota, United States

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St Louis, Missouri, United States

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Newark, New Jersey, United States

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Hawthorne, New York, United States

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New York, New York, United States

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New York, New York, United States

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New York, New York, United States

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Chapel Hill, North Carolina, United States

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Cleveland, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Richmond, Virginia, United States

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Madison, Wisconsin, United States

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Edmonton, Alberta, Canada

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Halifax, Nova Scotia, Canada

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London, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Countries

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United States Canada

Other Identifiers

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ML18423

Identifier Type: -

Identifier Source: org_study_id

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