Study Of The Safety And Efficacy Of Conversion From A CNI To Sirolimus In Renally-Impaired Heart Transplant Recipients

NCT ID: NCT00369382

Last Updated: 2011-05-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

121 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2010-05-31

Brief Summary

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The primary purpose of this study is to determine whether converting from calcineurin inhibitor (CNI) therapy to sirolimus therapy will be more effective than continuing calcineurin inhibitor therapy with respect to renal function in cardiac transplant recipients with mild to moderate renal dysfunction.

Detailed Description

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Conditions

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Graft Rejection Kidney Failure

Keywords

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Heart Transplant Kidney Failure

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

Group 1: Continuation of CNI regimen

Group Type ACTIVE_COMPARATOR

cyclosporine or tacrolimus

Intervention Type DRUG

Cyclosporine and tacrolimus are provided by the sites and dosed to achieve a target trough level determined by the investigator; therefore, form, dosage, and frequency are site and patient specific. Duration should be 52 weeks on-therapy.

2

Group 2: (CNI-Free) Conversion to SRL-based regimen

Group Type EXPERIMENTAL

sirolimus

Intervention Type DRUG

Oral (1 and 2 mg) tablets, dosing should be once daily to achieve a target trough level of 7- 15 ng/mL. Duration should be 52 weeks on-therapy.

Interventions

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cyclosporine or tacrolimus

Cyclosporine and tacrolimus are provided by the sites and dosed to achieve a target trough level determined by the investigator; therefore, form, dosage, and frequency are site and patient specific. Duration should be 52 weeks on-therapy.

Intervention Type DRUG

sirolimus

Oral (1 and 2 mg) tablets, dosing should be once daily to achieve a target trough level of 7- 15 ng/mL. Duration should be 52 weeks on-therapy.

Intervention Type DRUG

Other Intervention Names

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Brand names for cyclosporine are Neoral®, Sandimmune®, and Gengraf®; brand names for tacrolimus are Prograf® and Adagraf™. Rapamune®

Eligibility Criteria

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Inclusion Criteria

* Cardiac transplant recipients age 18 years or older receiving cyclosporine or tacrolimus since the time of transplant.
* 12 months after cardiac transplantation but less than 96 months post-transplantation.

Exclusion Criteria

* Multiple-organ transplant recipients (such as heart-lung, heart-kidney, or heart after kidney transplant recipients).
* Prior or current use of sirolimus or everolimus unless administration was part of a "CNI holiday" lasting no more than 10 days.
* History of acute rejection within the last 3 months, malignancy within the last 5 years (except for adequately treated basal cell or squamous cell carcinoma of the skin), and human immunodeficiency virus (HIV) patients.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wyeth is now a wholly owned subsidiary of Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Pfizer, Inc

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Pfizer Investigational Site

Tampa, Florida, United States

Site Status

Pfizer Investigational Site

Rochester, Minnesota, United States

Site Status

Pfizer Investigational Site

New York, New York, United States

Site Status

Pfizer Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

Pfizer Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

Pfizer Investigational Site

Pittsburgh, Pennsylvania, United States

Site Status

Pfizer Investigational Site

Houston, Texas, United States

Site Status

Pfizer Investigational Site

Norfolk, Virginia, United States

Site Status

Pfizer Investigational Site

Darlinghurst, New South Wales, Australia

Site Status

Pfizer Investigational Site

Vienna, , Austria

Site Status

Pfizer Investigational Site

Montreal, Quebec, Canada

Site Status

Pfizer Investigational Site

Québec, Quebec, Canada

Site Status

Pfizer Investigational Site

Sainte-Foy, Quebec, Canada

Site Status

Pfizer Investigational Site

Epsom, Auckland, New Zealand

Site Status

Pfizer Investigational Site

Auckland, New Zealand, New Zealand

Site Status

Pfizer Investigational Site

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Pfizer Investigational Site

Santander, Cantabria, Spain

Site Status

Pfizer Investigational Site

La Coru?a, La Coru?a, Spain

Site Status

Pfizer Investigational Site

Madrid, Madrid, Spain

Site Status

Pfizer Investigational Site

Seville, Sevilla, Spain

Site Status

Pfizer Investigational Site

Valencia, Valencia, Spain

Site Status

Pfizer Investigational Site

Barcelona, , Spain

Site Status

Pfizer Investigational Site

Bern, , Switzerland

Site Status

Countries

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United States Australia Austria Canada New Zealand Spain Switzerland

References

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Zuckermann A, Keogh A, Crespo-Leiro MG, Mancini D, Vilchez FG, Almenar L, Brozena S, Eisen H, Tai SS, Kushwaha S. Randomized controlled trial of sirolimus conversion in cardiac transplant recipients with renal insufficiency. Am J Transplant. 2012 Sep;12(9):2487-97. doi: 10.1111/j.1600-6143.2012.04131.x. Epub 2012 Jul 9.

Reference Type DERIVED
PMID: 22776430 (View on PubMed)

Related Links

Other Identifiers

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B1741006

Identifier Type: OTHER

Identifier Source: secondary_id

0468E7-408

Identifier Type: -

Identifier Source: org_study_id