ATG Versus Basiliximab in Kidney Transplant Displaying Low Immunological Risk But High Susceptibility to DGF

NCT ID: NCT02056938

Last Updated: 2017-11-21

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2017-02-28

Brief Summary

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The primary objective of the following randomized open label trial is to demonstrate how low immunological risk patients (no anti HLA immunization and first kidney transplantation) but diagnosed at high-risk of delayed graft function (assessed by DGFS score) could benefit from induction with ATG for preventing delayed graft function compared to Basiliximab.

Detailed Description

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Conditions

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Kidney Transplantation

Keywords

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Transplantation kidney delayed graft function induction therapy personalized medicine First kidney transplantation No anti HLA immunization prior transplantation Risk of DGF higher than 40% calculated byt he score DGFS

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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ATG

The first infusion of Thymoglobuline® begins before the kidney reperfusion. In case of a patient with a functional arteriovenous fistula or a high-flow venous catheter, the infusion of Thymoglobuline® can begin just after the randomization pre operatively. When the patient has no available arteriovenous fistula for the Thymoglobuline® infusion, it is necessary to install a high-flow vein (central vein) by the anesthesiologist, and to begin the perfusion as soon as possible intra-operatively before the reperfusion of the kidney. The dose of Thymoglobuline® per infusion is 1.5mg/kg. The duration of each infusion is between 6 to 24 hours.

The total duration of the Thymoglobuline® administration is 4 days (starting at and including the first day of the surgery).

Group Type EXPERIMENTAL

Anti-Thymocyte Globulins treatment

Intervention Type DRUG

Basiliximab

The first infusion of Simulect® begins within the two hours before the surgery. There is no need of central venous catheter or arteriovenous fistula to infuse the Simulect®. The duration of the infusion is 30 minutes. Each dose of Simulect® is 20 mg. The first infusion of Simulect® is displayed on Day 0 (within the two hours before the surgery) and the second infusion 3 days afterward (Day 4).

Group Type ACTIVE_COMPARATOR

Basiliximab treatment

Intervention Type DRUG

Interventions

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Anti-Thymocyte Globulins treatment

Intervention Type DRUG

Basiliximab treatment

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults
* First kidney transplantation
* No anti HLA immunization prior transplantation
* A risk of DGF higher than 40% calculated by the score DGFS (DGFS \>= 0.4)
* Written informed consent

Exclusion Criteria

* Previous or combined other transplantations
* Non heart beating donors
* Living donors
* Pre-emptive transplantation
* Patients on peritoneal dialysis
* Leucopenia lower than 3000/mm3
* Thrombopenia lower than 100 000/mm3
* Donor EBV positive / recipient EBV Negative
* Pregnant or lactating women
* Patients under guardianship
* Previous and current history of cancer and/or lymphoma
* Current history of HCV or HBV or HIV infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Magali GIRAL, Professor

Role: PRINCIPAL_INVESTIGATOR

Nantes universitary hospital

Locations

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Universitary hospital of Lyon

Lyon, , France

Site Status

Nantes Universitary hospital

Nantes, , France

Site Status

Universitary hospital of Nice

Nice, , France

Site Status

Necker Hospital

Paris, , France

Site Status

Countries

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France

References

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Chapal M, Foucher Y, Marguerite M, Neau K, Papuchon E, Daguin P, Morelon E, Mourad G, Cassuto E, Ladriere M, Legendre C, Giral M. PREventing Delayed Graft Function by Driving Immunosuppressive InduCtion Treatment (PREDICT-DGF): study protocol for a randomized controlled trial. Trials. 2015 Jun 23;16:282. doi: 10.1186/s13063-015-0807-x.

Reference Type DERIVED
PMID: 26099226 (View on PubMed)

Other Identifiers

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RC14_0051

Identifier Type: -

Identifier Source: org_study_id