Study of Efficacy, Safety, Tolerability, Pharmacokinetic (PK) and Pharmacodynamic (PD) of an Anti-CD40 Monoclonal Antibody, CFZ533, in Kidney Transplant Recipients

NCT ID: NCT03663335

Last Updated: 2022-06-13

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

418 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-28

Study Completion Date

2021-10-29

Brief Summary

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The purpose of this study is to investigate the safety, efficacy, pharmacokinetics (PK) and pharmacodynamics (PD) of three CFZ533 dose regimens in kidney transplant recipients.

This study will allow assessment of the ability of CFZ533 to replace Calcineurin inhibitors (CNIs) in terms of anti-rejection efficacy, while providing better renal function with a better safety and tolerability profile. Results of this study will be used to inform the CFZ533 dose and regimen selection for investigation in later phases of clinical development.

Detailed Description

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Conditions

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Kidney Transplant Rejection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study CCFZ533A2201 is a randomized, 60-month, active-controlled, partially-blinded, multicenter, dose range finding study to evaluate the efficacy, safety, tolerability, PK and PD of CFZ533 in 2 different cohorts, as compared to standard of care comprised of tacrolimus, MMF and corticosteroids.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Arm 1/Cohort 1

CFZ533 dose A+ MMF + Corticosteroids

Group Type EXPERIMENTAL

CFZ533 - MMF - CS

Intervention Type BIOLOGICAL

Comparison with standard of care immunosuppression

Arm 2/Cohort 1

CFZ533 dose B + MMF + Corticosteroids

Group Type EXPERIMENTAL

CFZ533 - MMF - CS

Intervention Type BIOLOGICAL

Comparison with standard of care immunosuppression

Arm 3/Cohort 1

Control/Standard of Care: TAC + MMF + Corticosteroids

Group Type ACTIVE_COMPARATOR

Tacrolimus - MMF - +/- corticosteroids

Intervention Type DRUG

Standard of care immunosupprevive regimen

Arm 1/Cohort 2

CFZ533 dose C + MMF ± Corticosteroids

Group Type EXPERIMENTAL

CFZ533 - MMF - CS

Intervention Type BIOLOGICAL

Comparison with standard of care immunosuppression

Arm 2/Cohort 2

Tac + MMF ± Corticosteroids

Group Type ACTIVE_COMPARATOR

Tacrolimus - MMF - +/- corticosteroids

Intervention Type DRUG

Standard of care immunosupprevive regimen

Interventions

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CFZ533 - MMF - CS

Comparison with standard of care immunosuppression

Intervention Type BIOLOGICAL

Tacrolimus - MMF - +/- corticosteroids

Standard of care immunosupprevive regimen

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent obtained before any assessment.
* Male or female patient ≥ 18 years old.
* Up to date vaccination as per local immunization schedules.
* Recipients of a kidney transplant
* Recipients of a primary kidney transplant from a heart-beating deceased, living unrelated or non-HLA identical living related donors.

Exclusion Criteria

* Multi-organ transplant recipients or prior kidney transplant.
* Recipients of an organ from a non-heart beating donor.
* Recipient of an organ from an HLA identical living related donor.
* ABO incompatible or complement-dependent lymphocytotoxic (CDC) crossmatch positive transplant
* Recipients of kidneys from donors who are older than 65 years.
* Recipients of kidneys from donors with terminal serum creatinine \> 2 mg/dL.
* Patients at high immunological risk for rejection
* Patient who is anti-HIV positive, HBsAg-positive or anti-HCV positive (without proof of sustained viral response (SVR) after anti-HCV treatment).
* Recipient of a kidney from a donor who tests positive for HIV, HBsAg/HBc positive or HCV.
* A negative Epstein Barr virus (EBV) test.
* Evidence of advanced liver disease (Child-Pugh C), or any sign of liver decompensation.
* Patient with severe systemic infections, current or within the two weeks prior to randomization.
* History of malignancy of any organ system, treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases, with the exception of localized excised non-melanomatous skin lesions.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Novartis Investigative Site

Los Angeles, California, United States

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San Francisco, California, United States

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Aurora, Colorado, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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Kansas City, Kansas, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Detroit, Michigan, United States

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St Louis, Missouri, United States

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Durham, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Dallas, Texas, United States

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Seattle, Washington, United States

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Buenos Aires, , Argentina

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Corrientes, , Argentina

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Córdoba, , Argentina

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Camperdown, New South Wales, Australia

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Adelaide, South Australia, Australia

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Clayton, Victoria, Australia

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Leuven, , Belgium

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Porto Alegre, Rio Grande do Sul, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Vancouver, British Columbia, Canada

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Prague, , Czechia

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Bordeaux, , France

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Créteil, , France

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Grenoble, , France

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Lyon, , France

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Nantes, , France

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Paris, , France

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Toulouse, , France

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Tours, , France

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Regensburg, Bavaria, Germany

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Berlin, , Germany

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Dresden, , Germany

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Erlangen, , Germany

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Essen, , Germany

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Hamburg, , Germany

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Heidelberg, , Germany

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Mainz, , Germany

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Budapest, , Hungary

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Debrecen, , Hungary

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Milan, MI, Italy

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Roma, RM, Italy

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Nagakute, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Sapporo, Hokkaido, Japan

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Sapporo, Hokkaido, Japan

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Yokohama, Kanagawa, Japan

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Kumamoto, Kumamoto, Japan

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Tomigusuku, Okinawa, Japan

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Suita, Osaka, Japan

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Osaka, , Japan

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Riga, , Latvia

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Utrecht, The Netherlands, Netherlands

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Groningen, , Netherlands

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Rotterdam, , Netherlands

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Oslo, , Norway

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Seoul, , South Korea

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Palma de Mallorca, Balearic Islands, Spain

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Barcelona, Catalonia, Spain

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Barcelona, Catalonia, Spain

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Barcelona, Catalonia, Spain

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L'Hospitalet de Llobregat, Catalonia, Spain

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Zaragoza, , Spain

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Gothenburg, , Sweden

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Uppsala, , Sweden

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Bern, , Switzerland

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Glasgow, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Countries

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United States Argentina Australia Belgium Brazil Canada Czechia France Germany Hungary Italy Japan Latvia Netherlands Norway South Korea Spain Sweden Switzerland United Kingdom

Other Identifiers

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2017-003607-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CCFZ533A2201

Identifier Type: OTHER

Identifier Source: secondary_id

03663335

Identifier Type: OTHER

Identifier Source: secondary_id

CCFZ533A2201

Identifier Type: -

Identifier Source: org_study_id

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