Once Daily Immunosuppression Regimen

NCT ID: NCT03555448

Last Updated: 2025-01-22

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-04

Study Completion Date

2023-11-10

Brief Summary

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The purpose of this research study is to determine whether an immunosuppressive maintenance regimen of Envarsus/azathioprine compared to a tacrolimus/ mycophenolic acid regimen is associated with better compliance, tolerability, and lower biopsy proven rejection.

Detailed Description

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Conditions

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Kidney Transplant; Complications

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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Once daily regimen

Once daily medication regimen (Envarsus and azathioprine)

Group Type ACTIVE_COMPARATOR

Once daily immunosuppression regimen

Intervention Type DRUG

Intervention focuses on the type of regimen, in this case the intervention arm will receive a once daily regimen for immunosuppression compared to the twice daily regimen.

Twice daily regimen

Twice daily medication regimen (Tacrolimus and mycophenolic acid)

Group Type ACTIVE_COMPARATOR

Twice daily immunosuppression regimen

Intervention Type DRUG

This is the arm which we are designating the standard, which will be the comparison to the active drug arm.

Interventions

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Once daily immunosuppression regimen

Intervention focuses on the type of regimen, in this case the intervention arm will receive a once daily regimen for immunosuppression compared to the twice daily regimen.

Intervention Type DRUG

Twice daily immunosuppression regimen

This is the arm which we are designating the standard, which will be the comparison to the active drug arm.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \>/= 18 years old
* Kidney transplant recipient
* Thymoglobulin induction

Exclusion Criteria

* Non-renal organ transplant
* Combined organ transplant
* Inability to receive Envarsus after transplant
* Discharged to acute care facility after transplant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Veloxis Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rowena Delos Santos

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Washington University

St Louis, Missouri, United States

Site Status

Countries

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United States

References

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Budde K, Bunnapradist S, Grinyo JM, Ciechanowski K, Denny JE, Silva HT, Rostaing L; Envarsus study group. Novel once-daily extended-release tacrolimus (LCPT) versus twice-daily tacrolimus in de novo kidney transplants: one-year results of Phase III, double-blind, randomized trial. Am J Transplant. 2014 Dec;14(12):2796-806. doi: 10.1111/ajt.12955. Epub 2014 Oct 2.

Reference Type BACKGROUND
PMID: 25278376 (View on PubMed)

Bunnapradist S, Ciechanowski K, West-Thielke P, Mulgaonkar S, Rostaing L, Vasudev B, Budde K; MELT investigators. Conversion from twice-daily tacrolimus to once-daily extended release tacrolimus (LCPT): the phase III randomized MELT trial. Am J Transplant. 2013 Mar;13(3):760-9. doi: 10.1111/ajt.12035. Epub 2012 Dec 21.

Reference Type BACKGROUND
PMID: 23279614 (View on PubMed)

Jamieson NJ, Hanson CS, Josephson MA, Gordon EJ, Craig JC, Halleck F, Budde K, Tong A. Motivations, Challenges, and Attitudes to Self-management in Kidney Transplant Recipients: A Systematic Review of Qualitative Studies. Am J Kidney Dis. 2016 Mar;67(3):461-78. doi: 10.1053/j.ajkd.2015.07.030. Epub 2015 Sep 11.

Reference Type BACKGROUND
PMID: 26372087 (View on PubMed)

Laliberte F, Nelson WW, Lefebvre P, Schein JR, Rondeau-Leclaire J, Duh MS. Impact of daily dosing frequency on adherence to chronic medications among nonvalvular atrial fibrillation patients. Adv Ther. 2012 Aug;29(8):675-90. doi: 10.1007/s12325-012-0040-x. Epub 2012 Aug 15.

Reference Type BACKGROUND
PMID: 22898791 (View on PubMed)

Rostaing L, Bunnapradist S, Grinyo JM, Ciechanowski K, Denny JE, Silva HT Jr, Budde K; Envarsus Study Group. Novel Once-Daily Extended-Release Tacrolimus Versus Twice-Daily Tacrolimus in De Novo Kidney Transplant Recipients: Two-Year Results of Phase 3, Double-Blind, Randomized Trial. Am J Kidney Dis. 2016 Apr;67(4):648-59. doi: 10.1053/j.ajkd.2015.10.024. Epub 2015 Dec 22.

Reference Type BACKGROUND
PMID: 26717860 (View on PubMed)

Vrijens B, Heidbuchel H. Non-vitamin K antagonist oral anticoagulants: considerations on once- vs. twice-daily regimens and their potential impact on medication adherence. Europace. 2015 Apr;17(4):514-23. doi: 10.1093/europace/euu311. Epub 2015 Feb 17.

Reference Type BACKGROUND
PMID: 25694538 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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201803162

Identifier Type: -

Identifier Source: org_study_id

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