Planned Conversion From TAC to SRL-based Regimen in de Novo Kidney Transplant Recipients

NCT ID: NCT01802268

Last Updated: 2013-03-01

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

320 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2012-10-31

Brief Summary

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Background Early conversion from calcineurin inhibitor to mammalian target of rapamycin inhibitor is one of the immunosuppressive strategies that have been investigated to mitigate long-term CNi associated adverse events. This study aims to evaluate the conversion from tacrolimus to sirolimus in de novo kidney transplant recipients.

This multicenter, open-label study, planned to enroll 297 patients initially treated with tacrolimus, enteric-coated mycophenolate sodium (1440 mg/day, orally) and prednisone. The primary objective is to show superior glomerular filtration rate in the SRL group at 24 months after transplantation.

Detailed Description

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Conditions

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Kidney Transplant

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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Sirolimus

Conversion from Tacrolimus to Sirolimus

Group Type ACTIVE_COMPARATOR

Conversion from Tacrolimus to Sirolimus

Intervention Type DRUG

Tacrolimus

Maintenance on tacrolimus

Group Type ACTIVE_COMPARATOR

Maintenance on tacrolimus

Intervention Type DRUG

Interventions

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Conversion from Tacrolimus to Sirolimus

Intervention Type DRUG

Maintenance on tacrolimus

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients older than 18 years,
* recipients of first kidney transplant from brain dead deceased or living related non-HLA identical donors not older than 65 years,
* patients had to receive an ABO compatible organ with a CDC negative crossmatch and a peak panel reactive antibody lower that 30%,
* all patients agreed to use contraceptive methods during the study and up to 3 months after study drug discontinuation.

Exclusion Criteria

* patients with chronic kidney diseases due to focal and segmental glomerulosclerosis and membranoproliferative glomerulonephritis,
* patients with active infection or positive for hepatitis B or C or human immunodeficiency viruses,
* patients with previous history of malignancy,
* patients with significant hematological or metabolic laboratorial abnormalities.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

Helio Tedesco Silva Junior

OTHER

Sponsor Role lead

Responsible Party

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Helio Tedesco Silva Junior

PhD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Helio T. Silva Junior, PhD

Role: PRINCIPAL_INVESTIGATOR

Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil

Claudia R. Felipe, PhD

Role: STUDY_CHAIR

Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil

Valter D. Garcia, PhD

Role: STUDY_CHAIR

Kidney & Pancreas Transplant Unit, Santa Casa de Misericordia, Porto Alegre, Brazil

Elias D. Neto, PhD

Role: STUDY_CHAIR

Renal Transplant Service, Hospital das Clínicas, University of São Paulo School of Medicine, São Paulo, Brazil

Mario A. Filho, PhD

Role: STUDY_CHAIR

Instituto de Urologia e Nefrologia & Medical School-FAMERP/HB-FUNFARME, São José do Rio Preto-SP, Brazil

Fabiana LC Cortieri, PhD

Role: STUDY_CHAIR

Hospital University Evangélico de Curitiba, Curitiba, Parana, Brazil

Deise BM Carvalho, PhD

Role: STUDY_CHAIR

Nephrology Service, Bonsucesso General Hospital. Rio de Janeiro, Brazil

Jose OM Pestana, PhD

Role: STUDY_DIRECTOR

Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil

Locations

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Hospital University Evangélico de Curitiba, Curitiba, Parana, Brazil

Curitiba, Paraná, Brazil

Site Status

Nephrology Service, Bonsucesso General Hospital. Rio de Janeiro, Brazil

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status

Kidney & Pancreas Transplant Unit, Santa Casa de Misericordia, Porto Alegre, Brazil

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Instituto de Urologia e Nefrologia & Medical School-FAMERP/HB-FUNFARME, São José do Rio Preto-SP, Brazil

São Jose Do Rio Preto, São Paulo, Brazil

Site Status

Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil

São Paulo, São Paulo, Brazil

Site Status

Renal Transplant Service, Hospital das Clínicas, University of São Paulo School of Medicine, São Paulo, Brazil.

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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0468E8-3328

Identifier Type: -

Identifier Source: org_study_id

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