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

NCT ID: NCT00121810

Last Updated: 2011-04-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

305 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-08-31

Study Completion Date

2009-11-30

Brief Summary

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This 2-arm study recruited kidney transplant patients who were receiving standard care of calcineurin inhibitors (CNIs, tacrolimus or cyclosporine), CellCept (1.0-1.5 g twice daily) and corticosteroids. They were either randomized to continue this regimen, or CNI therapy was discontinued and replaced by sirolimus therapy (in combination with CellCept and corticosteroids). The effect of these 2 regimens on efficacy, safety and kidney function was evaluated. The anticipated time on study treatment was 1-2 years, and the target sample size was 100-500 individuals.

Detailed Description

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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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1

Group Type EXPERIMENTAL

mycophenolate mofetil [CellCept]

Intervention Type DRUG

1.0-1.5 g oral dose twice daily

Corticosteroids

Intervention Type DRUG

As prescribed

Sirolimus

Intervention Type DRUG

As prescribed

2

Group Type ACTIVE_COMPARATOR

mycophenolate mofetil [CellCept]

Intervention Type DRUG

1.0-1.5 g oral dose twice daily

Corticosteroids

Intervention Type DRUG

As prescribed

Calcineurin inhibitors

Intervention Type DRUG

As prescribed

Interventions

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mycophenolate mofetil [CellCept]

1.0-1.5 g oral dose twice daily

Intervention Type DRUG

Corticosteroids

As prescribed

Intervention Type DRUG

Calcineurin inhibitors

As prescribed

Intervention Type DRUG

Sirolimus

As prescribed

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients 18-75 years of age
* Kidney transplant 30-180 days post-transplantation
* Receipt of cyclosporine or tacrolimus, CellCept, and corticosteroids for greater than 14 days prior to study entry
* No known contraindications to sirolimus

Exclusion Criteria

* Multiple organ transplant recipients or secondary kidney transplant recipients
* Corticosteroid-resistant rejection episode within 90 days prior to study entry or corticosteroid-sensitive rejection episode within 30 days prior to study entry
* More than 1 biopsy-proven episode of acute rejection prior to study entry
* Treated with sirolimus before the study
* Organ transplant or expected organ transplant, other than kidney
* History of malignancy in the last 5 years (except successfully treated localized non-melanotic skin cancer)
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 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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Bakersfield, California, United States

Site Status

Los Angeles, California, United States

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Los Angeles, California, United States

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Palo Alto, California, United States

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Riverside, 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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Denver, Colorado, United States

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Hartford, Connecticut, United States

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

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Atlanta, Georgia, United States

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Maywood, Illinois, United States

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Indianapolis, Indiana, United States

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Indianapolis, Indiana, United States

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Iowa City, Iowa, United States

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Lexington, Kentucky, 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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Detroit, Michigan, United States

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Camden, New Jersey, United States

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Livingston, New Jersey, 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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Durham, North Carolina, United States

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Cincinnati, Ohio, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Sioux Falls, South Dakota, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Galveston, Texas, United States

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San Antonio, Texas, United States

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Charlottesville, Virginia, United States

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Countries

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United States

Other Identifiers

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ML17140

Identifier Type: -

Identifier Source: org_study_id

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