A Study in Kidney Transplant Subjects to Investigate the Optimal Suppression of Immunity to Help Prevent Kidney Rejection

NCT ID: NCT00717470

Last Updated: 2024-11-01

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

PHASE4

Total Enrollment

1252 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-14

Study Completion Date

2010-03-02

Brief Summary

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To compare how well the new formulation of Tacrolimus® used once daily, in combination with other drugs helps prevent the rejection of a new kidney after transplantation compared to the twice daily dose of Tacrolimus

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

PREVENTION

Blinding Strategy

NONE

Study Groups

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Prograf + MMF + Steroids

oral

Group Type ACTIVE_COMPARATOR

Prograf®

Intervention Type DRUG

oral

Mycophenolate Mofetil

Intervention Type DRUG

oral

methylprednisolone / prednisone

Intervention Type DRUG

oral

Advagraf (dose 1) + MMF + steroids

oral

Group Type ACTIVE_COMPARATOR

Advagraf®

Intervention Type DRUG

oral

Mycophenolate Mofetil

Intervention Type DRUG

oral

methylprednisolone / prednisone

Intervention Type DRUG

oral

Advagraf (dose 2) + MMF + steroids

oral

Group Type ACTIVE_COMPARATOR

Advagraf®

Intervention Type DRUG

oral

Mycophenolate Mofetil

Intervention Type DRUG

oral

methylprednisolone / prednisone

Intervention Type DRUG

oral

Advagraf + MMF + Basilixmab + steroids

oral

Group Type ACTIVE_COMPARATOR

Advagraf®

Intervention Type DRUG

oral

Mycophenolate Mofetil

Intervention Type DRUG

oral

Simulect

Intervention Type DRUG

oral

methylprednisolone / prednisone

Intervention Type DRUG

oral

Interventions

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Prograf®

oral

Intervention Type DRUG

Advagraf®

oral

Intervention Type DRUG

Mycophenolate Mofetil

oral

Intervention Type DRUG

Simulect

oral

Intervention Type DRUG

methylprednisolone / prednisone

oral

Intervention Type DRUG

Other Intervention Names

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FK506 Tacrolimus MR4 FK506XL Tacrolimus extended release MMF basiliximab corticosteroids

Eligibility Criteria

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Inclusion Criteria

* End stage kidney disease and a suitable candidate for primary renal transplantation or re-transplantation (unless the graft was lost from rejection within 12 months)
* Receiving a kidney transplant from a cadaveric or living (non HLA identical) donor with compatible ABO blood type
* Female subject of childbearing potential must have a negative serum pregnancy test at enrollment and must agree to maintain effective birth control during the study

Exclusion Criteria

* Receiving or having previously received an organ transplant other than a kidney
* Cold ischemia time of the donor kidney \> 30 hours
* Receiving a graft from a non-heart-beating donor other than of Maastricht category 3 (withdrawn of support awaiting cardiac arrest)
* Significant liver disease, defined as having continuously elevated SGPT/ALT and/or SGOT/AST and/or total bilirubin levels ≥ 2 times the upper value of the normal range of the investigational site or is receiving a graft from a hepatitis C or B positive donor
* Requiring initial sequential or parallel therapy with immunosuppressive antibody preparation(s)
* Requiring ongoing dosing with a systemic immunosuppressive drug prior to transplantation.
* Significant, uncontrolled concomitant infections and/or severe diarrhea, vomiting, active upper gastro-intestinal tract malabsorption or active peptic ulcer
* Pregnant woman or breast-feeding mother
* Subject or donor known to be HIV positive
* Known allergy or intolerance to tacrolimus, macrolide antibiotics, corticosteroids, basiliximab or mycophenolate mofetil or any of the product excipients
* Diagnosis of new-onset malignancy prior to transplantation, with the exception of basocellular or squamous cell carcinoma of the skin which had been treated successfully
* Currently participating in another clinical trial, and/or has taken an investigational drug within 28 days prior to enrollment
* Any form of substance abuse, psychiatric disorder or condition which, in the opinion of the investigator, may complicate communication with the investigator
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Central Contact

Role: STUDY_CHAIR

Astellas Pharma Europe B.V.

Locations

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Buenos Aires, , Argentina

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Córdoba, , Argentina

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Innsbruck, , Austria

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Linz, , Austria

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Vienna, , Austria

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Brussels, , Belgium

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Brussels, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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Brno, , Czechia

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Hradec Kravlove, , Czechia

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Ostrava, , Czechia

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Prague, , Czechia

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Angers, , France

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Bordeaux, , France

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Brest, , France

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Créteil, , France

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La Tronche, , France

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Le Kremlin-Bicêtre, , France

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Limoges, , France

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Lyon, , France

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Nantes, , France

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Nice, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Rennes, , France

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Saint-Etienne, , France

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Strasbourg, , France

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Suresnes, , France

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Toulouse, , France

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Tours, , France

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Vandœuvre-lès-Nancy, , France

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Aachen, , Germany

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Berlin, , Germany

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Essen, , Germany

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Frankfurt, , Germany

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Freiburg I. Br, , Germany

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Halle, , Germany

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Hamburg, , Germany

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Hanover, , Germany

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Jena, , Germany

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Kaiserslautern, , Germany

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Kiel, , Germany

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Leipzig, , Germany

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München, , Germany

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Münster, , Germany

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Regensburg, , Germany

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Rostock, , Germany

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Tübingen, , Germany

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Athens, , Greece

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Thessaloniki, , Greece

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Budapest, , Hungary

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Szeged, , Hungary

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Dublin, , Ireland

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Ancona, , Italy

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Bologna, , Italy

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Milan, , Italy

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Padua, , Italy

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Roma, , Italy

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Siena, , Italy

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Treviso, , Italy

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Maastricht, , Netherlands

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Oslo, , Norway

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Bialystok, , Poland

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Gdansk, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Lisbon, , Portugal

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Porto, , Portugal

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Bucharest, , Romania

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Cluj-Napoca, , Romania

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Moscow, , Russia

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Moscow, , Russia

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Omsk, , Russia

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Saint Petersburg, , Russia

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Volgograd, , Russia

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Banska Bysterica, , Slovakia

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Košice, , Slovakia

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Cape Town, , South Africa

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Johannesburg, , South Africa

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A Coruña, , Spain

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Albacete, , Spain

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Alicante, , Spain

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Barakaldo-Vizcaya, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Cadiz, , Spain

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Granada, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Murcia, , Spain

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Oviedo, , Spain

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Palma de Mallorca, , Spain

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Pamplona, , Spain

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Salamanca, , Spain

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Seville, , Spain

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Valencia, , Spain

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Valencia, , Spain

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Zaragoza, , Spain

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Stockholm, , Sweden

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Uppsala, , Sweden

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Zurich, , Switzerland

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Birmingham, , United Kingdom

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Glasgow, , United Kingdom

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Leicester, , United Kingdom

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Manchester, , United Kingdom

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Countries

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Argentina Austria Belgium Czechia France Germany Greece Hungary Ireland Italy Netherlands Norway Poland Portugal Romania Russia Slovakia South Africa Spain Sweden Switzerland United Kingdom

References

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Albano L, Banas B, Klempnauer JL, Glyda M, Viklicky O, Kamar N; Optimising immunoSuppression After Kidney transplantation with ADVAGRAF Study Group. OSAKA trial: a randomized, controlled trial comparing tacrolimus QD and BD in kidney transplantation. Transplantation. 2013 Nov 27;96(10):897-903. doi: 10.1097/TP.0b013e3182a203bd.

Reference Type BACKGROUND
PMID: 23982340 (View on PubMed)

Kramer BK, Albano L, Banas B, Charpentier B, Backman L, Tedesco-Silva H Jr, Lehner F, Mondragon-Ramirez GA, Glyda M, Cassuto-Viguier E, Viklicky O, Mourad G, Rigotti P, Schleibner S, Kamar N. Efficacy of Prolonged- and Immediate-release Tacrolimus in Kidney Transplantation: A Pooled Analysis of Two Large, Randomized, Controlled Trials. Transplant Proc. 2017 Nov;49(9):2040-2049. doi: 10.1016/j.transproceed.2017.07.011.

Reference Type DERIVED
PMID: 29149958 (View on PubMed)

Related Links

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https://www.astellasclinicalstudyresults.com/study.aspx?ID=58

Link to results on Astellas Clinical Study Results website

Other Identifiers

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2007-005376-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PMR-EC-1210

Identifier Type: -

Identifier Source: org_study_id

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