Thymoglobulin Versus Alemtuzumab Versus Daclizumab in Living Donor Renal Transplantation

NCT ID: NCT01046955

Last Updated: 2010-01-12

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

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-11-30

Study Completion Date

2008-12-31

Brief Summary

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The purpose of this study is to observe in a randomized prospective study the effectiveness and toxicity of Thymoglobulin vs. Campath-1H used for induction therapy in recipients of living donor (LD) kidneys, compared with the investigators standard treatment protocol of Zenapax® and maintenance immunosuppression.

Detailed Description

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To observe in a randomized prospective pilot study the effectiveness and toxicity of Thymoglobulin vs. Campath-1H used for induction therapy in recipients of living donor (LD) kidneys, compared with our standard treatment protocol of Zenapax® and maintenance immunosuppression (vide infra).

To determine the effect different antibody induction regimen on the lymphoid cell subsets of the immune system in kidney allograft recipients peripheral blood and bone marrow aspirates will be tested at surgery before transplantation and at intervals post operatively.

To treat renal transplant patients successfully in the absence of long-term calcineurin inhibition to determine if there are beneficial effects on the prevention of chronic allograft nephropathy.

Conditions

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End-Stage Renal Disease Living Donors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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1mg/kg Thymoglobulin

LD kidneys receiving 1mg/kg Thymoglobulin for 7 days starting at the day of surgery.

Group Type ACTIVE_COMPARATOR

Anti-Thymocyte Globulin vs Campath-1H vs Daclizumab

Intervention Type DRUG

comparison of induction therapies.

Campath-1H at 0.3 mg/kg

Recipients of LD kidneys receiving Campath-1H at 0.3 mg/kg once on the day of surgery and again 3 days post-operatively.

Group Type ACTIVE_COMPARATOR

Anti-Thymocyte Globulin vs Campath-1H vs Daclizumab

Intervention Type DRUG

comparison of induction therapies.

Zenapax 1 mg/kg

Recipients of LD kidneys receiving Zenapax 1mg/kg on the day of surgery followed by the same dose every 2 weeks for a total of 5 dosages.

Group Type ACTIVE_COMPARATOR

Anti-Thymocyte Globulin vs Campath-1H vs Daclizumab

Intervention Type DRUG

comparison of induction therapies.

Interventions

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Anti-Thymocyte Globulin vs Campath-1H vs Daclizumab

comparison of induction therapies.

Intervention Type DRUG

Other Intervention Names

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Thymoglobulin Zenapax

Eligibility Criteria

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Inclusion Criteria

* Age \>14 years
* Weight \>40 kg
* Primary renal allograft:living related (non HLA identical) and unrelated donor
* Negative standard cross match for T-cells
* Signed and dated consent form

Exclusion Criteria

* Patient has previously received or is receiving an organ transplant other than kidney
* Patient has received a kidney transplant from a non-heart beating donor
* Patient has received an ABO incompatible donor kidney
* Recipient or donor is seropositive for human immunodeficiency virus (HIV)
* Patient has a current malignancy or a history of malignancy
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role collaborator

University of Miami

OTHER

Sponsor Role lead

Responsible Party

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University of Miami

Principal Investigators

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George W Burke, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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University of Miami Jackson Memorial Hospital

Miami, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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20010704

Identifier Type: -

Identifier Source: org_study_id

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