Study to Compare the Pharmacokinetics of Tacrolimus in Stable Pediatric Allograft Recipients Converted From Prograf® to Advagraf®

NCT ID: NCT01294020

Last Updated: 2025-12-08

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

81 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-25

Study Completion Date

2025-11-03

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Parts A \& B: Conversion of stable pediatric allograft recipients from Prograf® immunosuppression to Advagraf® immunosuppression to compare exposure and one year follow-up for safety and efficacy.

Part C: Continuation of long-term follow-up and provision of ongoing study medication to subjects to whom Advagraf® is currently not available.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Part A: On Day 1 subjects will be converted from their routine Prograf®-based immunosuppressive regimen to a Prograf®-based immunosuppressive regimen supplied by the Sponsor as study medication and continue treatment until Day 7. The daily dose of the study medication must be the same \[1:1 (mg:mg)\] as the Prograf® dose received during the 30-day screening period.

On Day 7 the first 24 hour PK profile will be started. Samples will be taken over a 24 hour period and will be completed on Day 8.

On Day 8 subjects will be switched to once-daily Advagraf® on a 1:1 (mg:mg) total daily dose basis and continue treatment until Day 14.

On Day 14 the second 24-hour PK profile will be started. Samples will be taken over a 24-hour period and will be completed on Day 15.

Part B: One year follow-up period to evaluate safety and efficacy of tacrolimus when administered as an Advagraf®-based immunosuppressive regimen.

Part C: Continuation of long-term follow-up (from Day 365 onwards). Patients who have completed Part B and to whom continued treatment with Advagraf® is not currently available, will be offered participation in a continuation of long-term follow-up (Part C). Part C will continue until Advagraf® becomes available to these patients or these patients' discontinuation, whichever is the earliest.

Part C applies to patients in the following countries: United Kingdom, Czech Republic, Germany, Italy, and Poland only.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Intestine Transplantation Kidney Transplantation Lung Transplantation Liver Transplantation Heart Transplantation

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Tacrolimus Prolonged Release

Participants receive tacrolimus prolonged release once daily starting from day 1 for 4 weeks for in Part A, and continue to receive tacrolimus prolonged release once daily up to end of Part B of the study.

Group Type EXPERIMENTAL

Tacrolimus

Intervention Type DRUG

Oral capsule

Tacrolimus prolonged release

Intervention Type DRUG

Oral capsule

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Tacrolimus

Oral capsule

Intervention Type DRUG

Tacrolimus prolonged release

Oral capsule

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Prograf FK506 FK506E MR4 Advagraf tacrolimus modified release Astagraf XL Graceptor Prograf XL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Must be able to swallow intact study medication capsules
* Received a single solid organ transplant at least 6 months prior to entry into the study
* The subject's parent(s), or their legal representative(s), has been fully informed and has given written informed consent to participate in the study. The subject has given assent where applicable
* Has been receiving a Prograf® based immunosuppressive regimen for a minimum of 3 months
* Negative pregnancy test prior to enrolment (females)
* Must agree to practice effective birth control during the study
* Stable whole blood trough levels of tacrolimus in the range of 3.5 - 15ng/mL (+/-0.5ng/mL) and clinically stable in the opinion of the Investigator

Exclusion Criteria

* Previously received a multiple organ transplant
* Any rejection episode within 3 months prior to enrolment or within the last 6 months that required anti-lymphocyte antibody therapy, or 2 or more rejection episodes within the last 12 months
* Currently receiving Rapamycin, Certican or MPA (Myfortic®)
* Chronic dysfunction of the allograft, in the opinion of the Investigator
* Major changes in their immunosuppressive regimen within the last 3 months prior to entry into the study
* The subject is pregnant or breast feeding
Minimum Eligible Age

5 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Astellas Pharma Europe Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Use Central Contact

Role: STUDY_CHAIR

Astellas Pharma Europe Ltd.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Site BE21

Brussels, , Belgium

Site Status

Site BE22

Brussels, , Belgium

Site Status

Site CZ42

Prague, , Czechia

Site Status

Site FR34

Bron, , France

Site Status

Site FR35

Bron, , France

Site Status

Site FR31

Paris, , France

Site Status

Site FR32

Paris, , France

Site Status

Site FR33

Paris, , France

Site Status

Site DE41

Heidelberg, , Germany

Site Status

Site IT74

Bergamo, , Italy

Site Status

Site IT75

Palermo, , Italy

Site Status

Site PL51

Warsaw, , Poland

Site Status

Site PL52

Warsaw, , Poland

Site Status

Site GB62

Birmingham, , United Kingdom

Site Status

Site GB64

London, , United Kingdom

Site Status

Site GB61

Manchester, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Belgium Czechia France Germany Italy Poland United Kingdom

Related Links

Access external resources that provide additional context or updates about the study.

https://astellasclinicalstudyresults.com/study.aspx?ID=216

Link to results on Astellas Clinical Study Results website

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2010-020925-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2024-517571-20-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

PMR-EC-1206

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.