OPERA Study: A Study of Two Dosing Regimens of CellCept (Mycophenolate Mofetil) in Kidney Transplant Patients.

NCT ID: NCT02005562

Last Updated: 2015-11-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

252 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2009-03-31

Brief Summary

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This study will compare the incidence of acute clinical or subclinical rejection between immunosuppression with CellCept at a starting dose of 3mg po daily with therapeutic drug monitoring and standard immunosuppression with CellCept and a fixed dose of 2g po daily, in kidney transplant recipients receiving induction by anti-IRL2, cyclosporine therapy, and early discontinuation of steroids. Patients will be randomized to one of the two treatment arms. The anticipated time on study treatment is 52 weeks.

Detailed Description

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Conditions

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Kidney Transplantation

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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Mycophenolate Mofetil, Adapted Dose

Participants received 3 grams (g) mycophenolate mofetil (MMF) tablets per os (p.o.) in divided doses (every 12 hours \[q12h\]) adapted to mycophenolic acid (MPA) by area under the curve (AUC) beginning on the day of renal transplant, Day 0, or the day before, Day -1, and continuing through Week 52. In addition, induction by interleukin-2R (IL-2R) was administered at Day 0 per standard of care at the site at the investigator's discretion. At 72 hours post-transplantation, participants received cyclosporine 100-1500 nanograms (ng) per (/) milliliter (mL) from Day 0 to (-) Week 4, 800-1200 ng/mL from Week 4 - Week 12 and 500-800 ng/mL from Week 12 - Week 52. Solumedrol 500 mg intravenously (i.v.) was administered before or after the transplantation, and 0.5 milligrams (mg) per kilogram (kg) p.o. daily from Day 1 - Day 7.

Group Type EXPERIMENTAL

mycophenolate mofetil

Intervention Type DRUG

3 g p.o. in divided doses q12h beginning on the day of renal transplant, Day 0, or the day before, Day -1, and continuing to Week 52, adapted to MPA by AUC on Weeks 2, 6, 12, 26, and 52 to obtain AUC0-12 of 50 milligrams (mg) multiplied by (\*) height (h)/ liter(L).

anti-IL-2R

Intervention Type DRUG

Induction by IL-2R was administered at Day 0 per standard of care at the site at the investigators discretion.

methylprednisolone

Intervention Type DRUG

500 mg intravenous (i.v.) was administered before or after the transplantation, and 0.5 mg/kg p.o. daily from Day 1 to Day 7.

cyclosporine

Intervention Type DRUG

100-1500 nanograms (ng) per milliliter (mL) from Day 0 to Week 4, 800-1200 ng/mL from Week 4 to Week 12 and 500-800 ng/mL from Week 12 to Week 52

Mycophenolate Mofetil, Fixed Dose

Participants received 2 g MMF tablets p.o. in divided doses q12h beginning on the day of renal transplant, Day 0, or the day before, Day -1, and continuing through Week 52. In addition, induction by IL-2R was administered at Day 0 per standard of care at the site at the investigators discretion. At 72 hours post-transplantation, participants received cyclosporine 100-1500 ng/mL from Day 0 - Week 4, 800-1200 ng/mL from Week 4 - Week 12 and 500-800 ng/mL from Week 12 - Week 52. Solumedrol 500 mg i.v. was administered before or after the transplantation, and 0.5 mg/kg p.o. daily from Day 1 - Day 7.

Group Type ACTIVE_COMPARATOR

mycophenolate mofetil

Intervention Type DRUG

2 g p.o. in divided doses q12h beginning on the day of renal transplant, Day 0, or the day before, Day -1, and continuing to Week 52.

anti-IL-2R

Intervention Type DRUG

Induction by IL-2R was administered at Day 0 per standard of care at the site at the investigators discretion.

methylprednisolone

Intervention Type DRUG

500 mg intravenous (i.v.) was administered before or after the transplantation, and 0.5 mg/kg p.o. daily from Day 1 to Day 7.

cyclosporine

Intervention Type DRUG

100-1500 nanograms (ng) per milliliter (mL) from Day 0 to Week 4, 800-1200 ng/mL from Week 4 to Week 12 and 500-800 ng/mL from Week 12 to Week 52

Interventions

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mycophenolate mofetil

3 g p.o. in divided doses q12h beginning on the day of renal transplant, Day 0, or the day before, Day -1, and continuing to Week 52, adapted to MPA by AUC on Weeks 2, 6, 12, 26, and 52 to obtain AUC0-12 of 50 milligrams (mg) multiplied by (\*) height (h)/ liter(L).

Intervention Type DRUG

mycophenolate mofetil

2 g p.o. in divided doses q12h beginning on the day of renal transplant, Day 0, or the day before, Day -1, and continuing to Week 52.

Intervention Type DRUG

anti-IL-2R

Induction by IL-2R was administered at Day 0 per standard of care at the site at the investigators discretion.

Intervention Type DRUG

methylprednisolone

500 mg intravenous (i.v.) was administered before or after the transplantation, and 0.5 mg/kg p.o. daily from Day 1 to Day 7.

Intervention Type DRUG

cyclosporine

100-1500 nanograms (ng) per milliliter (mL) from Day 0 to Week 4, 800-1200 ng/mL from Week 4 to Week 12 and 500-800 ng/mL from Week 12 to Week 52

Intervention Type DRUG

Other Intervention Names

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CellCept CellCept Solumedrol

Eligibility Criteria

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Inclusion Criteria

* adult patients, aged 18-75 years of age;
* in receipt of first donor kidney;
* eligible to receive immunosuppressive treatment comprising IRL2, CellCept, cyclosporine and steroids;
* eligible to receive oral treatment from the first day post-transplantation.

Exclusion Criteria

* patients receiving a second or subsequent kidney transplant, or multi-organ transplant;
* history of malignancy in the last 5 years (except successfully treated squamous cell or basal cell cancer and cervical cancer in situ);
* patients with active hepatitis B and/or hepatitis C, or HIV infection.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_CHAIR

Hoffmann-La Roche

Locations

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Bordeaux, , France

Site Status

Brest, , France

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Clermont-Ferrand, , France

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Créteil, , France

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Dijon, , France

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La Tronche, , France

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Le Kremlin-Bicêtre, , France

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Lille, , France

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Limoges, , France

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Montpellier, , France

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Nantes, , France

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Nice, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Poitiers, , France

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Rennes, , France

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Salouël, , France

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Strasbourg, , France

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Suresnes, , France

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Toulouse, , France

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Tours, , France

Site Status

Vandœuvre-lès-Nancy, , France

Site Status

Countries

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France

Other Identifiers

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ML19912

Identifier Type: -

Identifier Source: org_study_id

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