BK Treatment Study

NCT ID: NCT01034176

Last Updated: 2017-04-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2012-10-31

Brief Summary

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Our hypothesis is that 30 days of oral levofloxacin (FDA approved antibiotic) in patients with persistent viremia (BK virus found in blood) will impair progress to BK virus induced kidney damage by significantly decreasing or eliminating BK virus in the blood.

Detailed Description

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Conditions

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BK Viremia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Levofloxacin

Levofloxacin 500 mg every day (dose adjusted for renal function) for 30 days

Group Type ACTIVE_COMPARATOR

levofloxacin

Intervention Type DRUG

500 mg tablet, daily, 30 days

placebo

placebo identical to levofloxacin drug daily for 30 days

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

no dose, tablet, daily, 30 days

Interventions

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levofloxacin

500 mg tablet, daily, 30 days

Intervention Type DRUG

placebo

no dose, tablet, daily, 30 days

Intervention Type DRUG

Other Intervention Names

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Levaquin

Eligibility Criteria

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Inclusion Criteria

* Living and cadaveric kidney transplant recipients over the age of 18 years with BK viremia

Exclusion Criteria

* Female patients of childbearing age who are pregnant or in whom adequate contraception cannot be maintained.
* Patients with active infections, history of malignancy/Posttransplant Lymphoproliferative Disease (PTLD) serologic positivity to HIV.
* Patients with evidence of urinary tract obstruction causing allograft dysfunction, unless corrected by time of enrollment.
* Patients with clinical or morphological evidence of recurrence of primary disease.
* Patients with a history of allergic reaction to quinolone antibiotics.
* Patients with history of prolong QT interval
* Patients with recurrent hypoglycemic episodes
* Patients with history of myasthenia gravis
* Patients taking Thioridazine
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Anil K. Chandraker, MD

Medical Director of Renal Transplantation

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anil Chandraker, MD

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Lahey Clinic Medical Center

Burlington, Massachusetts, United States

Site Status

UMASS Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Fletcher Allen Health Care/University of Vermont

Burlington, Vermont, United States

Site Status

University of Wisconsin Hospital

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Leung AY, Chan MT, Yuen KY, Cheng VC, Chan KH, Wong CL, Liang R, Lie AK, Kwong YL. Ciprofloxacin decreased polyoma BK virus load in patients who underwent allogeneic hematopoietic stem cell transplantation. Clin Infect Dis. 2005 Feb 15;40(4):528-37. doi: 10.1086/427291. Epub 2005 Jan 21.

Reference Type BACKGROUND
PMID: 15712075 (View on PubMed)

Randhawa PS. Anti-BK virus activity of ciprofloxacin and related antibiotics. Clin Infect Dis. 2005 Nov 1;41(9):1366-7; author reply 1367. doi: 10.1086/497080. No abstract available.

Reference Type BACKGROUND
PMID: 16206122 (View on PubMed)

Wajih Z, Karpe KM, Walters GD. Interventions for BK virus infection in kidney transplant recipients. Cochrane Database Syst Rev. 2024 Oct 9;10(10):CD013344. doi: 10.1002/14651858.CD013344.pub2.

Reference Type DERIVED
PMID: 39382091 (View on PubMed)

Lee BT, Gabardi S, Grafals M, Hofmann RM, Akalin E, Aljanabi A, Mandelbrot DA, Adey DB, Heher E, Fan PY, Conte S, Dyer-Ward C, Chandraker A. Efficacy of levofloxacin in the treatment of BK viremia: a multicenter, double-blinded, randomized, placebo-controlled trial. Clin J Am Soc Nephrol. 2014 Mar;9(3):583-9. doi: 10.2215/CJN.04230413. Epub 2014 Jan 30.

Reference Type DERIVED
PMID: 24482066 (View on PubMed)

Other Identifiers

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2009p000020

Identifier Type: -

Identifier Source: org_study_id

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