Efficacy and Safety of Human Plasma-derived C1-esterase Inhibitor as add-on to Standard of Care for the Treatment of Refractory Antibody Mediated Rejection (AMR) in Adult Renal Transplant Recipients

NCT ID: NCT03221842

Last Updated: 2022-07-29

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-06

Study Completion Date

2021-01-20

Brief Summary

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This is a double-blind, randomized-withdrawal, placebo-controlled study in kidney transplant patients with AMR to evaluate the efficacy and safety of human plasma-derived C1-esterase inhibitor as add-on to standard of care (IVIG).

Detailed Description

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Conditions

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Antibody-mediated Rejection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Randomized-withdrawal
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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C1-INH

C1-esterase inhibitor

Group Type EXPERIMENTAL

C1-esterase inhibitor

Intervention Type DRUG

C1-esterase inhibitor is a human plasma-derived lyophilised powder for reconstitution

Placebo

Excipients of C1-INH plus albumin

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Excipients of C1-INH plus albumin

Interventions

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C1-esterase inhibitor

C1-esterase inhibitor is a human plasma-derived lyophilised powder for reconstitution

Intervention Type DRUG

Placebo

Excipients of C1-INH plus albumin

Intervention Type DRUG

Other Intervention Names

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C1-INH

Eligibility Criteria

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Inclusion Criteria

* Male or female at least 18 years of age;
* Evidence of at least one donor-specific antibody (DSA);
* Recipient of a kidney transplant;
* Achieved a steady-state, post-transplant eGFR ≥ 40 mL/min/1.73 m2 within 60 days of post-transplant OR a 50% increase in urine output with a 50% decrease in serum creatinine over the first 7 days post-transplant in subjects with slow or delayed graft function;
* Acute AMR.

Exclusion Criteria

* Recipient of an en bloc kidney transplant;
* Current active hepatitis C virus (HCV) infection;
* Active bacterial or fungal infection;
* Ongoing dialysis \>2 weeks;
* Known congenital bleeding or coagulopathy disorder;
* Current cancer or a history of cancer;
* Female subjects who are pregnant or breast feeding;
* Male or female subjects who are unwilling to use contraception or who are not surgically sterile.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CSL Behring

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Program Director

Role: STUDY_DIRECTOR

CSL Behring

Locations

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University of Alabama Hospital (at Birmingham)

Birmingham, Alabama, United States

Site Status

Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status

California Pacific

San Francisco, California, United States

Site Status

Yale New Haven Hospital

New Haven, Connecticut, United States

Site Status

University of Illinois Chicago

Chicago, Illinois, United States

Site Status

Brigham & Women's

Boston, Massachusetts, United States

Site Status

Mayo Clinic (Rochester)

Rochester, Minnesota, United States

Site Status

St. Barnabas Medical Center

Livingston, New Jersey, United States

Site Status

NYU

New York, New York, United States

Site Status

Columbia University

New York, New York, United States

Site Status

Vanderbilt University

Nashville, Tennessee, United States

Site Status

Houston Methodist

Houston, Texas, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Universitair Ziekenhuis Gasthuisberg

Leuven, , Belgium

Site Status

CHU de Bordeaux. Hôpital Pellegrin

Bordeaux, , France

Site Status

CHU de Grenoble - Hôpital Michalon

Grenoble, , France

Site Status

Centre Regional Hospitalier Universitaire de Lille

Lille, , France

Site Status

Hospital Edouard Herriot Lyon

Lyon, , France

Site Status

Hopital saint Louis Paris

Paris, , France

Site Status

Necker Hospital

Paris, , France

Site Status

CHU Rangueil

Toulouse, , France

Site Status

Charite Berline

Berlin, , Germany

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Guy's Hospital

London, , United Kingdom

Site Status

Countries

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United States Belgium France Germany Netherlands Spain United Kingdom

References

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Viklicky O, Slatinska J, Novotny M, Hruba P. Developments in immunosuppression. Curr Opin Organ Transplant. 2021 Feb 1;26(1):91-96. doi: 10.1097/MOT.0000000000000844.

Reference Type DERIVED
PMID: 33332922 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2017-000348-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CSL842_3001

Identifier Type: -

Identifier Source: org_study_id

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