Studying the Effect of Changing Immunosuppression in Case of Polyoma BK Virus Infection of the Renal Transplant

NCT ID: NCT01289301

Last Updated: 2011-02-03

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-31

Study Completion Date

2018-10-31

Brief Summary

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Polyomavirus BK nephropathy is a serious complication after renal transplantation leading to graft loss in 40% of cases. Since no virustatic drug exists, the investigators want to study the best way to manage viral invasion by changing the immunosuppressive treatment comparing two treatment schemes. The investigators hypothesis is that switching to an mTOR-based scheme is superior to a general decrease of a calcineurin inhibitor (CNI)-based scheme. The study will be performed as a prospective, randomized, parallel group comparison.

Detailed Description

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The study group (n=62) will be switched from CNI to everolimus while the control group (n=62) will get a general reduction of the CNI-based immunosuppression. Follow-up and duration of intervention per patient will be 24 months, duration of the trial 72 months including 4 years of recruitment.

Conditions

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Disorder Related to Renal Transplantation Immunosuppression Related Infectious Disease Virus Diseases

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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mTOR-receiving arm

switching from calcineurin-inhibitor-based immunosuppression to mTOR-based immunosuppression

Group Type EXPERIMENTAL

mTOR inhibitor (everolimus)

Intervention Type DRUG

calcineurin-inhibitor based immunosuppression will be switched to immunosuppression based on m-TOR inhibitor (everolimus trough level 3-7ng/mL)

calcineurin-inhibitor keeping arm

continuing calcineurin-inhibitor based immunosuppression

Group Type ACTIVE_COMPARATOR

cyclosporine or tacrolimus

Intervention Type DRUG

calcineurin inhibitor (cyclosporine or tacrolimus) will be continued (trough level 60-90ng/mL resp 3-7ng/mL)

Interventions

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mTOR inhibitor (everolimus)

calcineurin-inhibitor based immunosuppression will be switched to immunosuppression based on m-TOR inhibitor (everolimus trough level 3-7ng/mL)

Intervention Type DRUG

cyclosporine or tacrolimus

calcineurin inhibitor (cyclosporine or tacrolimus) will be continued (trough level 60-90ng/mL resp 3-7ng/mL)

Intervention Type DRUG

Other Intervention Names

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switch immunosuppression to everolimus keeping immunosuppression with calcineurin inhibitor cyclosporine tacrolimus

Eligibility Criteria

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Inclusion Criteria

* preceding renal transplantation
* functioning graft with a permanent creatinine clearance of more than 25mL/min
* biopsy-confirmed polyoma BK virus nephropathy
* age over 18 years old

Exclusion Criteria

* allergy or non-tolerance of the study medication everolimus
* pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hannover Medical School

OTHER

Sponsor Role lead

Responsible Party

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Medizinische Hochschule

Principal Investigators

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Anke Schwarz, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Hannover Medical School, Nephrology

Hermann Haller, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Hannover Medical School, Nephrology

Silvia Linnenweber, Dr.

Role: STUDY_CHAIR

Hannover Medical School, Nephrology

Armin Koch, Prof. Dr.

Role: STUDY_DIRECTOR

Hannover Medical School, Biometry

Albert Heim, PD Dr.

Role: STUDY_DIRECTOR

Hannover Medical School, Virology

Verena Broecker, Dr.

Role: STUDY_CHAIR

Hannover Medical School, Pathology

Locations

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University Hospital Freiburg, Transplant Outpatient Clinic

Freiburg im Breisgau, Baden-Wurttemberg, Germany

Site Status

University of Erlangen/ Nürnberg, Transplant Outpatient Clinic

Erlangen, Bavaria, Germany

Site Status

Hannover Medical School, Transplant Outpatient Clinic

Hanover, Lower Saxony, Germany

Site Status

University of Essen, Transplant Outpatient Clinic

Essen, Ruhrgebiet, Germany

Site Status

Countries

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Germany

Central Contacts

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Anke Schwarz, Prof. Dr.

Role: CONTACT

+49 511 532 2329

Hermann Haller, Prof. Dr.

Role: CONTACT

+49 511 5326319

Facility Contacts

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Gerd Walz, Prof. Dr.

Role: primary

0761 2703250

Karl Hilgers, Prof. Dr.

Role: primary

+49 9131 8536267

Anke Schwarz, Prof. Dr.

Role: primary

+49 511 5322329

Silvia Linnenweber, Dr.

Role: backup

+49 511 5323000

Oliver Witzke, Prof. Dr.

Role: primary

+49 201 7231868

Other Identifiers

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Polyoma IFB 29

Identifier Type: -

Identifier Source: org_study_id

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