A Trial Comparing Prograf and Neoral Use in Kidney Transplant Recipients of Hispanic Ethnicity

NCT ID: NCT00983645

Last Updated: 2016-06-03

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-10-31

Study Completion Date

2013-03-31

Brief Summary

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This study aims to compare outcomes in renal transplant recipients in the hispanic population based on their immunosuppressant regimens.

Detailed Description

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This study aims to include Hispanics who have undergone a renal transplant to determine the specific outcome after renal transplantation, assuming that ethnic groups require different immunosuppressant regimens. Trough levels in transplant recipients determine the dosing requirements for Tacrolimus and Cyclosproine. It has been recently found, however, that testing cyclosporine levels in the blood 2 hours after taking cyclosporine is more effective in dosing cyclosprine for renal transplant patients than trough levels. The specific study aims include comparing the cyclosporine monitoring in patients with trough and C2 levels, and adjusting immunosuppression based on C2 levels.

Conditions

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Renal Transplant Rejection

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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Neoral

Neoral is a pill indicated for the prophylaxis of organ rejection in kidney transplants

Group Type ACTIVE_COMPARATOR

Neoral

Intervention Type DRUG

Cyclosporine (Neoral) starting dose 3mg/kg PO BID

Prograf

Prograf is a medication used for the prophylaxis of rejection in allogeneic kidney transplants and may be used concomitantly with adrenal corticosteroids.

Group Type ACTIVE_COMPARATOR

Prograf

Intervention Type DRUG

Tacrolimus (Prograf) starting dose 0.05-0.15 mg/kg PO BID

Interventions

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Prograf

Tacrolimus (Prograf) starting dose 0.05-0.15 mg/kg PO BID

Intervention Type DRUG

Neoral

Cyclosporine (Neoral) starting dose 3mg/kg PO BID

Intervention Type DRUG

Other Intervention Names

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Tacrolimus Cyclosporine

Eligibility Criteria

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Inclusion Criteria

* Cadaveric or Living Donors
* 18 years old or greater
* Primary renal transplants
* Hispanic ethnicity

Exclusion Criteria

* Prior renal transplant
* Multi-organ transplant
* Recipient with history of Diabetes Mellitus
* PRA \> 20%
* Cold Ischemia Time \> 24 hours
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Loma Linda University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pedro Baron, MD

Role: PRINCIPAL_INVESTIGATOR

Loma Linda University

Locations

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Loma Linda University Medical Center

Loma Linda, California, United States

Site Status

Countries

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United States

References

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Neylan JF. Racial differences in renal transplantation after immunosuppression with tacrolimus versus cyclosporine. FK506 Kidney Transplant Study Group. Transplantation. 1998 Feb 27;65(4):515-23. doi: 10.1097/00007890-199802270-00011.

Reference Type BACKGROUND
PMID: 9500626 (View on PubMed)

First MR, Gerber DA, Hariharan S, Kaufman DB, Shapiro R. Posttransplant diabetes mellitus in kidney allograft recipients: incidence, risk factors, and management. Transplantation. 2002 Feb 15;73(3):379-86. doi: 10.1097/00007890-200202150-00011.

Reference Type BACKGROUND
PMID: 11884934 (View on PubMed)

Jindal RM, Hjelmesaeth J. Impact and management of posttransplant diabetes mellitus. Transplantation. 2000 Dec 15;70(11 Suppl):SS58-63. No abstract available.

Reference Type BACKGROUND
PMID: 11152233 (View on PubMed)

Knoll GA, Bell RC. Tacrolimus versus cyclosporin for immunosuppression in renal transplantation: meta-analysis of randomised trials. BMJ. 1999 Apr 24;318(7191):1104-7. doi: 10.1136/bmj.318.7191.1104.

Reference Type BACKGROUND
PMID: 10213717 (View on PubMed)

Pirsch JD, Miller J, Deierhoi MH, Vincenti F, Filo RS. A comparison of tacrolimus (FK506) and cyclosporine for immunosuppression after cadaveric renal transplantation. FK506 Kidney Transplant Study Group. Transplantation. 1997 Apr 15;63(7):977-83. doi: 10.1097/00007890-199704150-00013.

Reference Type BACKGROUND
PMID: 9112351 (View on PubMed)

Other Identifiers

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53271

Identifier Type: -

Identifier Source: org_study_id

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