Regimen Optimization Study

NCT ID: NCT02137239

Last Updated: 2021-06-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2019-05-02

Brief Summary

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Patients who undergo a kidney transplant require prolonged therapy with drugs that suppress the immune system (called immunosuppressive regimens) to stop the immune system from attacking the transplanted kidney in order to limit damage to or the possibility of rejecting the transplanted kidney. The purpose of this study is to evaluate benefits and risks of two immunosuppressive regimens (belatacept with everolimus or tacrolimus with mycophenolate mofetil) following thymoglobulin induction and rapid corticosteroid withdrawal.

Detailed Description

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Calcineurin inhibitor (CNI)

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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Belatacept + Everolimus

Thymoglobulin (i.v. infusion) induction, daily (or less frequently, as tolerated) not to exceed 10 days, to reach a total cumulative dose between 3.0 and 5.5 mg/kg; belatacept (infusion) regimen of 10 mg/kg i.v. on Day 1, Weeks 1, 2, 4, 8 and 12 post transplant and then a maintenance dose of 5 mg/kg every 4 weeks after 12 weeks post transplant; everolimus (tablet) daily dosing at 3.0 mg/day, 2 divided doses, starting on Day 3 dosing adjusted based on blood sample tests; methylprednisolone (infusion) prior to each Thymoglobulin infusion and prednisone (tablet), once methylprednisolone is no longer needed. (Corticosteroids to be discontinued by Day 7 or as soon thereafter as thymoglobulin infusions are completed)

Group Type EXPERIMENTAL

Thymoglobulin

Intervention Type DRUG

Belatacept

Intervention Type DRUG

Corticosteroids

Intervention Type DRUG

Everolimus(EVL)

Intervention Type DRUG

Tacrolimus + Mycophenolate mofetil

Thymoglobulin (i.v. infusion) induction, daily (or less frequently, as tolerated) not to exceed 10 days, to reach a total cumulative dose between 3.0 and 5.5 mg/kg; tacrolimus (tablet) daily dosing beginning at 0.1 mg/kg/day, then adjusted based on blood sample tests; MMF (tablet) daily dosing between 0.5 to 2.0 g/day divided in 2 doses (up to 3 g/day if African Americans/Blacks); methylprednisolone (infusion) prior to each Thymoglobulin infusion and prednisone (tablet), once methylprednisolone is no longer needed. (Corticosteroids to be discontinued by Day 7 or as soon thereafter as thymoglobulin infusions are completed)

Group Type EXPERIMENTAL

Thymoglobulin

Intervention Type DRUG

mycophenolate mofetil(MMF)

Intervention Type DRUG

Corticosteroids

Intervention Type DRUG

Tacrolimus(TAC)

Intervention Type DRUG

Interventions

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Thymoglobulin

Intervention Type DRUG

Belatacept

Intervention Type DRUG

mycophenolate mofetil(MMF)

Intervention Type DRUG

Corticosteroids

Intervention Type DRUG

Everolimus(EVL)

Intervention Type DRUG

Tacrolimus(TAC)

Intervention Type DRUG

Other Intervention Names

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ATG Nulojix CellCept Methylprednisolone Prednisone Certican® Zortress® Prograf

Eligibility Criteria

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Inclusion Criteria

* Men and women, aged 18 to 75
* Serologic test results are positive for past exposure to Epstein Barr Virus (EBV+)
* Diagnosed with end stage renal disease (ESRD) and scheduled to undergo transplantation of a non-HLA identical, living or standard criteria deceased donor kidney

Exclusion Criteria

* Primary cause of ESRD is: primary focal segmental glomerulosclerosis; or Type I or II membranoproliferative glomerulonephritis; or Hemolytic Uremic Syndrome / Thrombotic Thrombocytopenic Purpura
* Had a previous graft loss due to acute rejection
* At increased immunologic risk of graft loss due to panel reactive antibodies (PRA) \>20% or need for desensitization therapy
* Scheduled to receive a: kidney from identical twin; or paired kidney; or kidney from a Cytomegalovirus(CMV) positive donor when recipient is CMV negative; or kidney from an extended criteria donor
* Have a body mass index (BMI) of \> 35 kg/m2 for nondiabetics or \> 30 kg/m2 for diabetics
* Diagnosed as Hepatitis B positive; or Hepatitis C positive; or HIV positive; or currently or previously active or inadequately treated latent
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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California Institute Of Renal Research

San Diego, California, United States

Site Status

California Pacific Medical Center

San Francisco, California, United States

Site Status

University Of Colorado

Aurora, Colorado, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

MedStar Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Emory Univeristy

Atlanta, Georgia, United States

Site Status

University Of Illinois

Chicago, Illinois, United States

Site Status

Tulane Medical Center

New Orleans, Louisiana, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Saint Barnabas Medical Center

Livingston, New Jersey, United States

Site Status

Erie County Medical Center

Buffalo, New York, United States

Site Status

Wake Forest University School Of Medicine

Winston-Salem, North Carolina, United States

Site Status

Central PA Transplant Foundation

Harrisburg, Pennsylvania, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Inova Fairfax Hospital

Falls Church, Virginia, United States

Site Status

Swedish Medical Center - Swedish Colon and Rectal Clinic - First Hill (Northwest Colon and Rectal Cl

Seattle, Washington, United States

Site Status

Sanatorio Parque S.A.

Rosario, Santa Fe Province, Argentina

Site Status

Clinica Privada Velez Sarsfield

Córdoba, , Argentina

Site Status

Clinica De Nefrologia, Urologia Y Enf. Cardiovasculares

Sante Fe, , Argentina

Site Status

Countries

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United States Argentina

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2013-002090-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

IM103-177

Identifier Type: -

Identifier Source: org_study_id

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