A Study to Assess the Efficacy and Safety of Alefacept in Kidney Transplant Recipients

NCT ID: NCT00617604

Last Updated: 2016-02-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Study Completion Date

2009-09-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to determine whether alefacept is effective and well tolerated when used with a combination of tacrolimus, mycophenolate mofetil and steroids versus a combination therapy of placebo, tacrolimus and steroids in the prevention of kidney transplant rejection.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

De Novo Kidney Transplantation

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Placebo

Participants received placebo administered intra-operatively as an intravenous (IV) bolus on Day 0, another IV bolus on Day 3 and weekly subcutaneous injections thereafter for 12 weeks. Participants also received tacrolimus, mycophenolate mofetil (MMF) and steroid treatment.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

IV and subcutaneous injection

Tacrolimus

Intervention Type DRUG

The initial daily dose was 0.2 mg/kg orally given in 2 doses commencing 24 hours after completion of surgery.

Mycophenolate Mofetil

Intervention Type DRUG

Mycophenolic mofetil was administered as 750 mg twice per day orally

Steroids

Intervention Type DRUG

Methylprednisolone or equivalent:

Day 0: 500 - 1000 mg IV bolus Day 1: 125 - 250 mg IV bolus

Prednisone or equivalent:

Days 2 - 14: 20 - 30 mg orally Days 15 - 28: 10 - 20 mg orally Days 29 - 60: 10 - 15 mg orally Days 61 onwards: 5 - 10 mg orally

Alefacept

Participants received 7.5 mg alefacept administered intra-operatively as an IV bolus on Day 0, another 7.5 mg IV bolus on Day 3, and weekly subcutaneous injections of 15 mg alefacept thereafter for 12 weeks. Participants also received tacrolimus, MMF and steroid treatment.

Group Type EXPERIMENTAL

Alefacept

Intervention Type DRUG

IV and subcutaneous injection

Tacrolimus

Intervention Type DRUG

The initial daily dose was 0.2 mg/kg orally given in 2 doses commencing 24 hours after completion of surgery.

Mycophenolate Mofetil

Intervention Type DRUG

Mycophenolic mofetil was administered as 750 mg twice per day orally

Steroids

Intervention Type DRUG

Methylprednisolone or equivalent:

Day 0: 500 - 1000 mg IV bolus Day 1: 125 - 250 mg IV bolus

Prednisone or equivalent:

Days 2 - 14: 20 - 30 mg orally Days 15 - 28: 10 - 20 mg orally Days 29 - 60: 10 - 15 mg orally Days 61 onwards: 5 - 10 mg orally

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Alefacept

IV and subcutaneous injection

Intervention Type DRUG

placebo

IV and subcutaneous injection

Intervention Type DRUG

Tacrolimus

The initial daily dose was 0.2 mg/kg orally given in 2 doses commencing 24 hours after completion of surgery.

Intervention Type DRUG

Mycophenolate Mofetil

Mycophenolic mofetil was administered as 750 mg twice per day orally

Intervention Type DRUG

Steroids

Methylprednisolone or equivalent:

Day 0: 500 - 1000 mg IV bolus Day 1: 125 - 250 mg IV bolus

Prednisone or equivalent:

Days 2 - 14: 20 - 30 mg orally Days 15 - 28: 10 - 20 mg orally Days 29 - 60: 10 - 15 mg orally Days 61 onwards: 5 - 10 mg orally

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Amevive

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Subject with end stage kidney disease who is a suitable candidate for primary kidney transplantation or retransplantation
* Male or female subject at least 18 years of age and younger than 65 years
* Subject receiving a kidney transplant from a non-human leucocyte antigen (HLA) identical living donor or deceased HLA identical/non-HLA identical donor between 5 and 59 years of age with compatible ABO blood type (Blood group system A, B, AB and 0)

Exclusion Criteria

* Subject has a panel reactivity antibody grade \> 20% in the previous 6 months and/or had had a previous graft survival shorter than 1 year due to immunological reasons
* Subject received a kidney transplant from a non-heart beating donor
* Subject has received a kidney transplant from a 50 - 59 year old donor with two of the following three factors: history of hypertension, cerebrovascular accident as cause of death, final pre-procurement serum creatinine \> 1.5 mg/dL (united network for organ sharing \[UNOS\] expanded criteria donor)
* Cold ischemia time of the donor kidney is ≥ 30 hours
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Central Contact

Role: STUDY_CHAIR

Astellas Pharma Europe B.V.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Vienna, , Austria

Site Status

Brussels, , Belgium

Site Status

Brussels, , Belgium

Site Status

Ghent, , Belgium

Site Status

Leuven, , Belgium

Site Status

Liège, , Belgium

Site Status

Prague, , Czechia

Site Status

Créteil, , France

Site Status

Le Kremlin-Bicêtre, , France

Site Status

Montpellier, , France

Site Status

Nantes, , France

Site Status

Nice, , France

Site Status

Paris, , France

Site Status

Toulouse, , France

Site Status

Bochum, , Germany

Site Status

Regensburg, , Germany

Site Status

Budapest, , Hungary

Site Status

Bologna, , Italy

Site Status

Padua, , Italy

Site Status

Rome, , Italy

Site Status

Siena, , Italy

Site Status

Maastricht, , Netherlands

Site Status

Bydgoszcz, , Poland

Site Status

Poznan, , Poland

Site Status

Szczecin, , Poland

Site Status

Barcelona, , Spain

Site Status

Llobregat, , Spain

Site Status

Madrid, , Spain

Site Status

Málaga, , Spain

Site Status

Santander, , Spain

Site Status

Gothenburg, , Sweden

Site Status

Uppsala, , Sweden

Site Status

Manchester, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Austria Belgium Czechia France Germany Hungary Italy Netherlands Poland Spain Sweden United Kingdom

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2007-002092-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

0485-CL-E201

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.