Benefit of Early Protocol Biopsy and Treatment of Subclinical Rejection

NCT ID: NCT00885820

Last Updated: 2014-09-18

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

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-09-30

Study Completion Date

2006-01-31

Brief Summary

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This multicentre randomized, controlled trial (RCT) compared renal allograft histology and function in subjects treated with Tacrolimus + MMF + prednisone undergoing early protocol biopsies and treatment of subclinical rejection versus a non-protocol biopsy control group.

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

Protocol biopsies at 1, 2 and 3 months

Group Type EXPERIMENTAL

Tacrolimus

Intervention Type DRUG

Oral

MMF

Intervention Type DRUG

Oral

Corticosteroids (Prednisone)

Intervention Type DRUG

Oral

2

No protocol biopsies

Group Type ACTIVE_COMPARATOR

Tacrolimus

Intervention Type DRUG

Oral

MMF

Intervention Type DRUG

Oral

Corticosteroids (Prednisone)

Intervention Type DRUG

Oral

Interventions

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Tacrolimus

Oral

Intervention Type DRUG

MMF

Oral

Intervention Type DRUG

Corticosteroids (Prednisone)

Oral

Intervention Type DRUG

Other Intervention Names

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Prograf FK506 Cellcept Methylprednisolone Prednisone

Eligibility Criteria

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Inclusion Criteria

* Subject is the recipient of a first or second cadaveric or living donor mismatched (at least one mismatch) renal transplant
* If female and of child-bearing potential, subject has a negative pregnancy test and utilizes adequate contraceptive methods

Exclusion Criteria

* Recipients of a kidney from a donor over 65 years of age
* Recipient of non-related donor kidney with peak pre-transplant PRA \> 50
* Subject has lost a previous graft to rejection less than one year from transplant
* Subject who has received an investigational drug within three months prior to randomization
* Subjects who are pregnant or breastfeeding
* Subject receives a kidney lacking a pre-implantation biopsy
* Subject has significant disease or disability (e.g. malignancy or uncontrolled infection) which prevents adherence to the protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Canada, Inc.

INDUSTRY

Sponsor Role collaborator

Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Use Central Contact

Role: STUDY_DIRECTOR

Astellas Pharma Canada, Inc.

Locations

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Palo Alto, California, United States

Site Status

Calgary, Alberta, Canada

Site Status

Edmonton, Alberta, Canada

Site Status

Vancouver, British Columbia, Canada

Site Status

Vancouver, British Columbia, Canada

Site Status

Winnipeg, Manitoba, Canada

Site Status

Hamilton, Ontario, Canada

Site Status

Ottawa, Ontario, Canada

Site Status

Montreal, Quebec, Canada

Site Status

Montreal, Quebec, Canada

Site Status

Québec, Quebec, Canada

Site Status

Saskatoon, Saskatchewan, Canada

Site Status

Countries

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United States Canada

References

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Rush DN, Cockfield SM, Nickerson PW, Arlen DJ, Boucher A, Busque S, Girardin CE, Knoll GA, Lachance JG, Landsberg DN, Shapiro RJ, Shoker A, Yilmaz S. Factors associated with progression of interstitial fibrosis in renal transplant patients receiving tacrolimus and mycophenolate mofetil. Transplantation. 2009 Oct 15;88(7):897-903. doi: 10.1097/TP.0b013e3181b723f4.

Reference Type BACKGROUND
PMID: 19935461 (View on PubMed)

Other Identifiers

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FKC-008

Identifier Type: -

Identifier Source: org_study_id

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