A Study Looking at Kidney Function in Kidney Transplant Recipients Who Are Taking Anti-rejection Medication Including Tacrolimus and With or Without Sirolimus.

NCT ID: NCT01363752

Last Updated: 2024-10-31

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

853 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-08

Study Completion Date

2013-09-18

Brief Summary

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The purpose of this study is to compare the effect of two anti-rejection therapy regimens on kidney function in kidney transplant recipients.

Detailed Description

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This study will evaluate the potential to reduce nephrotoxic calcineurin inhibitors (CNI) therapy by lowering tacrolimus exposure from Advagraf® in combination with the non-nephrotoxic immunosuppressant sirolimus to avoid the risk of acute graft rejection, compared with an Advagraf® and Mycophenolate Mofetil (MMF) immunosuppressive regimen.

Conditions

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Kidney Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Advagraf + MMF + Steroids

Without sirolimus

Group Type ACTIVE_COMPARATOR

Advagraf

Intervention Type DRUG

oral

Mycophenolate Mofetil

Intervention Type DRUG

oral

Corticosteroids

Intervention Type DRUG

i.v. and oral

Advagraf + MMF + Steroids + Sirolimus

With sirolimus; MMF withdrawn on Day 28; Sirolimus introduced on Day 28

Group Type EXPERIMENTAL

Advagraf

Intervention Type DRUG

oral

Mycophenolate Mofetil

Intervention Type DRUG

oral

Sirolimus

Intervention Type DRUG

oral

Corticosteroids

Intervention Type DRUG

i.v. and oral

Interventions

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Advagraf

oral

Intervention Type DRUG

Mycophenolate Mofetil

oral

Intervention Type DRUG

Sirolimus

oral

Intervention Type DRUG

Corticosteroids

i.v. and oral

Intervention Type DRUG

Other Intervention Names

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FK506E Prolonged release tacrolimus CellCept Rapamune

Eligibility Criteria

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Inclusion Criteria

* End stage kidney disease and a suitable candidate for primary renal transplantation or re-transplantation (unless the graft was lost from rejection within 6 months)
* Receiving a kidney transplant from a deceased or living (non Human Leukocyte Antigen \[HLA\] identical) donor with compatible ABO blood type
* Female subject of childbearing potential has a negative serum or urine pregnancy test at enrollment
* Female and male subjects agree to maintain highly effective birth control during the study and for 90 days after discontinuation of dosing with study drugs. A highly effective method of birth control is defined as those which result in a low failure rate (CPMP/ ICH/ 286/ 95 modified) of less than 1% per year when used consistently and correctly such as implants, injectables, combined oral contraceptives, some Intrauterine Devises (IUDs), sexual abstinence or vasectomized partner

Exclusion Criteria

* Receiving or having previously received an organ transplant other than a kidney
* Cold ischemia time of the donor kidney \> 30 hours
* Panel Reactive Antibody (PRA) \>20%
* Receiving a graft from a non-heart-beating donor other than of Maastricht category 3 (withdrawal of support awaiting cardiac arrest)
* Significant liver disease, defined as having continuously elevated SGPT/ ALT and/ or SGOT/ AST and/ or total bilirubin levels ≥ 2 times the upper value of the normal range of the investigational site or is receiving a graft from a hepatitis C or B positive donor
* Requiring initial sequential or parallel therapy with immunosuppressive antibody preparation(s)
* Requiring ongoing dosing with a systemic immunosuppressive drug prior to transplantation (other than minimal levels of immunosuppression following failure of previous transplantation without nephrectomy)
* Significant, uncontrolled concomitant infections and/ or severe diarrhea, vomiting, active upper gastro-intestinal tract malabsorption or active peptic ulcer
* Pregnant woman or breast-feeding mother
* Subject or donor known to be HIV positive
* Known allergy or intolerance to tacrolimus, macrolide antibiotics, corticosteroids, sirolimus, MMF or any of the product excipients or iodine
* Evidence of malignant disease within the last 5 years, not including non-malignant skin cancers
* Currently participating in another clinical trial, and/ or has taken an investigational drug within 28 days prior to enrollment
* Unlikely to comply with the visits scheduled in the protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Use Central Contact

Role: STUDY_DIRECTOR

Astellas Pharma Europe Ltd.

Locations

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5042

New Lambton, , Australia

Site Status

5043

Perth, , Australia

Site Status

1141

Innsbruck, , Austria

Site Status

1142

Linz, , Austria

Site Status

1140

Vienna, , Austria

Site Status

3240

Minsk, , Belarus

Site Status

1241

Leuven, , Belgium

Site Status

1240

Liège, , Belgium

Site Status

Site 1441

Brno, , Czechia

Site Status

1440

Ostrava - Poruba, , Czechia

Site Status

1752

Amiens, , France

Site Status

1740

Brest, , France

Site Status

1742

Clermont-Ferrand, , France

Site Status

1746

Créteil, , France

Site Status

1750

Dijon, , France

Site Status

1741

Le Kremilin Bicetre Cedex, , France

Site Status

1749

Paris, , France

Site Status

1751

Toulouse, , France

Site Status

1748

Tours, , France

Site Status

1745

Vandœuvre-lès-Nancy, , France

Site Status

1541

Bochum, , Germany

Site Status

1542

Erlangen, , Germany

Site Status

1543

Essen, , Germany

Site Status

1544

Frankfurt, , Germany

Site Status

1545

Hannoversch Münden, , Germany

Site Status

1540

Hanover, , Germany

Site Status

1546

Heidelberg, , Germany

Site Status

1547

Kiel, , Germany

Site Status

1548

Leipzig, , Germany

Site Status

1549

München, , Germany

Site Status

1550

Münster, , Germany

Site Status

5441

Hong Kong, , Hong Kong

Site Status

1940

Budapest, , Hungary

Site Status

2144

Palermo, , Italy

Site Status

2143

Roma, , Italy

Site Status

2140

Siena, , Italy

Site Status

2440

Maastricht, , Netherlands

Site Status

2643

Katowice, , Poland

Site Status

2640

Lodz, , Poland

Site Status

2641

Poznan, , Poland

Site Status

2841

Kemerovo, , Russia

Site Status

2843

Moscow, , Russia

Site Status

2842

Omsk, , Russia

Site Status

2840

Vol'ginskiy, , Russia

Site Status

5245

Busan, , South Korea

Site Status

5243

Daegu, , South Korea

Site Status

5242

Seoul, , South Korea

Site Status

5241

Seoul, , South Korea

Site Status

5244

Seoul, , South Korea

Site Status

1640

Alicante, , Spain

Site Status

1641

Barcelona, , Spain

Site Status

1643

Santander, , Spain

Site Status

1642

Vizcaya, , Spain

Site Status

5343

Tainan City, , Taiwan

Site Status

5342

Taoyuan District, , Taiwan

Site Status

3042

Istanbul, , Turkey (Türkiye)

Site Status

3043

Istanbul, , Turkey (Türkiye)

Site Status

3044

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Australia Austria Belarus Belgium Czechia France Germany Hong Kong Hungary Italy Netherlands Poland Russia South Korea Spain Taiwan Turkey (Türkiye)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=261

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2010-019639-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PMR-EC-1212

Identifier Type: -

Identifier Source: org_study_id

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