Comparative Efficacy of Mizoribine With Mycophenolate Mofetil for Living Related Kidney Transplantation Recipients

NCT ID: NCT06114953

Last Updated: 2023-11-02

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

152 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2025-03-01

Brief Summary

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This prospective, randomized controlled study is intended to enroll 152 patients in the early stages of donor kidney transplantation at six clinical centers in China between January 2023 and January 2024. All patients meeting the inclusion criteria were randomly assigned 1:1 to either Mizoribine or Mycophenolate Mofetil for 12 months. At the baseline of follow-up (before enrollment) and each follow-up point, all clinical indicators of patients were recorded to measure the therapeutic effect.

Detailed Description

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This is a multi-center, prospective, non-inferior, randomized controlled clinical study. The sick individuals and their families participating in the trial voluntarily participate and sign the "informed consent" under the premise of fully understanding the treatment plan; The treatment plan was approved by the hospital ethics committee.

A total of 152 patients from six centers nationwide will be enrolled starting from the date when the center's ethics are officially approved. The qualified recipients of donor kidney transplantation were randomly assigned 1:1 to the control group and the experimental group. The control group was treated with glucocorticoid + MPA+ tacrolimus for 12 months, and the experimental group was treated with glucocorticoid +MZR+ tacrolimus for 12 months. All subjects were followed up on the day of renal transplantation, at 1, 2 weeks and 1, 2, 3, 6, 9 and 12 months after the operation: history collection, incidence of acute rejection, survival rate of recipients, survival rate of transplanted kidney, liver and kidney function, blood routine and urine routine; Cytomegalovirus (CMV)-DNA and BK virus (BKV)-DNA copy levels were detected in blood at 1, 3, 6, 9, and 12 months after renal transplantation to assess CMV and BKV infection. Adverse reactions were recorded during follow-up.

Conditions

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Kidney Transplant Immunosuppression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Experimental group: glucocorticoid, mizoribine, tacrolimus; Control group: glucocorticoid, mycophenolate mofetil.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mizoribine group

Mizoribine, glucocorticoid, tacrolimus

Group Type EXPERIMENTAL

Mizoribine

Intervention Type DRUG

Mizoribine+glucocorticoid+tacrolimus after kidney transplantation

Mycophenolate group

Mycophenolate mofetil, glucocorticoid, tacrolimus

Group Type ACTIVE_COMPARATOR

Mycophenolate Mofetil

Intervention Type DRUG

Mycophenolate Mofetil+glucocorticoid+tacrolimus after kidney transplantation

Interventions

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Mizoribine

Mizoribine+glucocorticoid+tacrolimus after kidney transplantation

Intervention Type DRUG

Mycophenolate Mofetil

Mycophenolate Mofetil+glucocorticoid+tacrolimus after kidney transplantation

Intervention Type DRUG

Other Intervention Names

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Mycophenolate Acid

Eligibility Criteria

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Inclusion Criteria

* 1\) After donor kidney transplantation;
* 2\) Adult recipients aged 18-75 years, regardless of gender;
* 3\) First-time kidney transplant recipients;
* 4\) Voluntarily sign written informed consent.

Exclusion Criteria

* 1\) Multiple organ transplantation;
* 2\) DSA positive patients had ABO incompatibility and PRA\>30%;
* 3\) Recipients with active signs of infection;
* 4\) Recipients with leukocyte counts below 3,000/mm3;
* 5\) Pregnant women, breastfeeding women or women who do not wish to use appropriate contraceptive methods during the study period;
* 6\) Patients with severe gastrointestinal diseases and active peptic ulcer disease;
* 7\) suffering from any mental illness;
* 8\) Patients with severe heart disease and abnormal heart function;
* 9\) Subjects who are known to be allergic to the test drug;
* 10\) Recipients judged unsuitable for inclusion by other competent physicians.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lee's Pharmaceutical Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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TAO LIN, Doctor

Role: STUDY_CHAIR

West China Hospital

Locations

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The Second Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status RECRUITING

Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status RECRUITING

First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status NOT_YET_RECRUITING

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Beijing Friendship Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

West China Hospital, Sichuan University

Chengdu, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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SHI JI HAN, Master

Role: CONTACT

13929517813

Facility Contacts

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XUYONG SUN, Doctor

Role: primary

YULIN NIU, Doctor

Role: primary

GUIWEN FENG, Doctor

Role: primary

WEIJIE ZHANG, Doctor

Role: primary

YICHEN ZHU, Doctor

Role: primary

TAO LIN, Doctor

Role: primary

References

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Shi Y, Liu H, Chen XG, Shen ZY. Efficacy and Safety of Mizoribine Combined With Tacrolimus in Living Donor Kidney Transplant Recipients: 3-Year Results by a Chinese Single Center Study. Transplant Proc. 2019 Jun;51(5):1337-1342. doi: 10.1016/j.transproceed.2019.03.014.

Reference Type RESULT
PMID: 31155174 (View on PubMed)

Ju MK, Huh KH, Park KT, Kim SJ, Cho BH, Kim CD, So BJ, Kang CM, Lee S, Joo DJ, Kim YS. Mizoribine versus mycophenolate mofetil in combination therapy with tacrolimus for de novo kidney transplantation: evaluation of efficacy and safety. Transplant Proc. 2013 May;45(4):1481-6. doi: 10.1016/j.transproceed.2012.12.028.

Reference Type RESULT
PMID: 23726602 (View on PubMed)

Huh KH, Lee JG, Ha J, Oh CK, Ju MK, Kim CD, Cho HR, Jung CW, Lim BJ, Kim YS; RECORD Study. De novo low-dose sirolimus versus mycophenolate mofetil in combination with extended-release tacrolimus in kidney transplant recipients: a multicentre, open-label, randomized, controlled, non-inferiority trial. Nephrol Dial Transplant. 2017 Aug 1;32(8):1415-1424. doi: 10.1093/ndt/gfx093.

Reference Type RESULT
PMID: 28810721 (View on PubMed)

Wajih Z, Karpe KM, Walters GD. Interventions for BK virus infection in kidney transplant recipients. Cochrane Database Syst Rev. 2024 Oct 9;10(10):CD013344. doi: 10.1002/14651858.CD013344.pub2.

Reference Type DERIVED
PMID: 39382091 (View on PubMed)

Other Identifiers

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BRDN-LEES-2023-10

Identifier Type: -

Identifier Source: org_study_id

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