Trial Outcomes & Findings for Rituximab to Prevent Recurrence of Proteinuria (NCT NCT01164098)

NCT ID: NCT01164098

Last Updated: 2018-09-20

Results Overview

Primary Outcome - Maximum of the Urine Protein/Creatinine Ratio Observed Between Post-Transplant Days 3-30 will be compared between the two treatment arms using an intent-to-treat approach.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

30 participants

Primary outcome timeframe

between post-transplant day 3 and day 30

Results posted on

2018-09-20

Participant Flow

Participant milestones

Participant milestones
Measure
Rituximab
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Rituximab to Prevent Recurrence of Proteinuria

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rituximab
n=15 Participants
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
n=15 Participants
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
11 Participants
n=7 Participants
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
7 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
8 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: between post-transplant day 3 and day 30

Population: Intent-to-Treat Analysis

Primary Outcome - Maximum of the Urine Protein/Creatinine Ratio Observed Between Post-Transplant Days 3-30 will be compared between the two treatment arms using an intent-to-treat approach.

Outcome measures

Outcome measures
Measure
Rituximab
n=15 Participants
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
n=15 Participants
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Maximum of the Urine Protein/Creatinine Ratio Observed Between Post-Transplant Days 3-30.
1.44 ratio
Standard Error 1.33
2.85 ratio
Standard Error 1.52

SECONDARY outcome

Timeframe: Post-Transplant Months 3-12

Population: Intent-to-Treat Analysis

Maximum of the Urine Protein/Creatinine Ratio Observed Between Post-Transplant Months 3-12 will be compared between the two treatment arms using an intent-to-treat approach.

Outcome measures

Outcome measures
Measure
Rituximab
n=15 Participants
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
n=15 Participants
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Maximum of the Urine Protein/Creatinine Ratio Observed Between Post-Transplant Months 3-12
0.50 ratio
Standard Error 1.53
0.35 ratio
Standard Error 1.34

SECONDARY outcome

Timeframe: 12 months post-transplant

Population: Intent-to-Treat Analysis

Renal function as measured by eGFR (estimated glomerular filtration rate) using the MDRD formula

Outcome measures

Outcome measures
Measure
Rituximab
n=15 Participants
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
n=15 Participants
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Renal Function as Measured by eGFR (Estimated Glomerular Filtration Rate)
57.1 ml/min/1.73 m^2
Standard Error 8.4
66.9 ml/min/1.73 m^2
Standard Error 6.6

Adverse Events

Rituximab

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

No Rituximab

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rituximab
n=15 participants at risk
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
n=15 participants at risk
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Respiratory, thoracic and mediastinal disorders
Pneumonia
6.7%
1/15 • Number of events 1 • 1 year
0.00%
0/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary Edema
6.7%
1/15 • Number of events 1 • 1 year
0.00%
0/15 • 1 year

Other adverse events

Other adverse events
Measure
Rituximab
n=15 participants at risk
Participants will receive Rituximab post within 24 of Kidney Transplant Rituximab: Induction therapy
No Rituximab
n=15 participants at risk
Participants will not receive Rituximab within 24 hours of Kidney Transplant
Investigations
Abnormal GGT
6.7%
1/15 • 1 year
6.7%
1/15 • 1 year
Blood and lymphatic system disorders
Acute Anemia
6.7%
1/15 • 1 year
6.7%
1/15 • 1 year
Immune system disorders
Acute T Cell Mediated Rejection
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Blood and lymphatic system disorders
Anemia
20.0%
3/15 • 1 year
20.0%
3/15 • 1 year
Hepatobiliary disorders
Ascites
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Atelectasis
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Nervous system disorders
Bilateral Carpal Tunnel
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Infections and infestations
BK Virus Replication
20.0%
3/15 • 1 year
0.00%
0/15 • 1 year
Renal and urinary disorders
Bladder Spasm
6.7%
1/15 • 1 year
6.7%
1/15 • 1 year
Infections and infestations
C-Diff Infection
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Gastrointestinal disorders
Constipation
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Eye disorders
Decrease Vision
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Dehydration
20.0%
3/15 • 1 year
0.00%
0/15 • 1 year
Investigations
Elevated Creatinine
20.0%
3/15 • 1 year
40.0%
6/15 • 1 year
Reproductive system and breast disorders
Erectile Dysfunction
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Blood and lymphatic system disorders
Evacuation of Subcapsular Hematoma
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Flu Like Syndrome
13.3%
2/15 • 1 year
13.3%
2/15 • 1 year
Metabolism and nutrition disorders
Fluid Overload
13.3%
2/15 • 1 year
0.00%
0/15 • 1 year
Gastrointestinal disorders
Gastrointestinal Upset
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
General disorders
Generalized Body Pain
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Generalized Edema
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Scrotal Edema
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Edema Extremeties
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Metabolism and nutrition disorders
Bilateral Lower Extremities Edema
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Legs Edema
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Renal and urinary disorders
Acute Tubular Necrosis
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
General disorders
Chest Pain
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Nervous system disorders
Headache
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Vascular disorders
Hematuria
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Vascular disorders
Hemorrhoids
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Blood and lymphatic system disorders
Hypercoagulability
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Hyperkalemia
20.0%
3/15 • 1 year
13.3%
2/15 • 1 year
Metabolism and nutrition disorders
Hyperphosphatemia
0.00%
0/15 • 1 year
13.3%
2/15 • 1 year
Metabolism and nutrition disorders
Hypocalcemia
6.7%
1/15 • 1 year
26.7%
4/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Hypocapnia
0.00%
0/15 • 1 year
13.3%
2/15 • 1 year
Metabolism and nutrition disorders
Hypokalemia
6.7%
1/15 • 1 year
20.0%
3/15 • 1 year
Metabolism and nutrition disorders
Hypomagnesemia
33.3%
5/15 • 1 year
40.0%
6/15 • 1 year
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Hypophosphatemia
13.3%
2/15 • 1 year
6.7%
1/15 • 1 year
Psychiatric disorders
Insomnia
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Blood and lymphatic system disorders
Leukopenia
13.3%
2/15 • 1 year
6.7%
1/15 • 1 year
Metabolism and nutrition disorders
Metabolic acidosis
20.0%
3/15 • 1 year
13.3%
2/15 • 1 year
Gastrointestinal disorders
Mouth Ulcers
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Injury, poisoning and procedural complications
Motor Vehicle Accident
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Gastrointestinal disorders
Nausea
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Gastrointestinal disorders
Nausea and Vomiting
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Blood and lymphatic system disorders
Neutropenia
13.3%
2/15 • 1 year
53.3%
8/15 • 1 year
Injury, poisoning and procedural complications
Pain at Incision Site Radiating to Scrotal Area
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Reproductive system and breast disorders
Phimosis
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
6.7%
1/15 • 1 year
6.7%
1/15 • 1 year
Injury, poisoning and procedural complications
Post Surgical Pain
20.0%
3/15 • 1 year
13.3%
2/15 • 1 year
Renal and urinary disorders
Proteinuria
20.0%
3/15 • 1 year
26.7%
4/15 • 1 year
Infections and infestations
CMV Viremia
13.3%
2/15 • 1 year
6.7%
1/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Shortness of Breath
0.00%
0/15 • 1 year
13.3%
2/15 • 1 year
Vascular disorders
Steal Syndrome
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Musculoskeletal and connective tissue disorders
Swollen Right Lower Extremity
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Musculoskeletal and connective tissue disorders
Swollen Right Upper Extremity
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Injury, poisoning and procedural complications
T-Cell and Antibody Mediated Acute Rejection
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Renal and urinary disorders
Urinary Incontinence
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Renal and urinary disorders
Urinary Leak
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Infections and infestations
Urinary Tract Infection
6.7%
1/15 • 1 year
46.7%
7/15 • 1 year
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Tract Infection
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Infections and infestations
Vaginal Yeast Infection
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Infections and infestations
Viral Syndrome
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Gastrointestinal disorders
Vomiting and Diarrhea
6.7%
1/15 • 1 year
0.00%
0/15 • 1 year
Blood and lymphatic system disorders
Worsening Anemia
6.7%
1/15 • 1 year
13.3%
2/15 • 1 year
Vascular disorders
Worsening Hypertension
13.3%
2/15 • 1 year
26.7%
4/15 • 1 year
Endocrine disorders
Worsening Hyperglycemia
0.00%
0/15 • 1 year
6.7%
1/15 • 1 year
Injury, poisoning and procedural complications
Wound Infection
0.00%
0/15 • 1 year
13.3%
2/15 • 1 year

Additional Information

George W. Burke, M.D.

University of Miami

Phone: 3053555315

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place