Comparison of Efficacy and Safety of Treatment With a Calcineurin Inhibitor (CNI)Versus a CNI-free Treatment in Renal Transplantation (CIME) (CIME)
Randomized, Multicenter, Open-label, Comparative Study of Efficacy and Safety of Treatment With a Calcineurin Inhibitor (CNI), Associating Myfortic ® and Neoral ® Compared to a CNI-free Treatment, Combining Myfortic ® and Certican ® , in Adult Patients With de Novo Renal Transplant
The main objective of this protocol is to compare the impact on renal function of two different immunosuppressive regimens in patients with de novo renal transplant.
Renal function will be accurately evaluated by measuring the clearance of iohexol.
The protocol will also evaluate the efficacy and safety in a short term of these two different immunosuppressive regimens.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Amiens, France, 80000
- Nephrology department, Hospital University of Amiens
-
Montpellier, France, 34285
- Nephrology Department, University Hospital of Montpellier
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Males and Females aged between 18 and 70.
- Patient receiving a first or second kidney transplant from a deceased donor, living related or unrelated.
- Patient with a maximum PRA <20%.
- Patient wishing and being able to participate fully to the study, and having given a written consent.
- Patient covered by a social insurance or beneficiary of such a regime.
- Women of childbearing age must use a recognized method of contraception throughout the study period and continue for 8 weeks after discontinuation of study treatment.
Exclusion Criteria:
- Patient receiving a kidney from a heart attack donor , or an ABO incompatible donor or a donor with a positive T-cross match.
- Patient with a maximum PRA> 20% twice.
- Cold ischemic time > 36 hours.
- Patients with thrombocytopenia (<75000/mm3), neutropenia (<1 500 / mm3), leukopenia (<2 500 / mm3) or a hemoglobin concentration <8 g / dl, at inclusion visit.
- Patient with severe hyperlipidemia: total cholesterol ≥ 9 mmol / l (≥ 3.50 g / l) and / or triglycerides ≥ 8.5 mmol/l (≥ 7.5 g / l) despite appropriate lipid-lowering therapy.
- Patient with known HIV positive status, know active hepatitis B or C. Recipients of an organ from a donor with positive HIV status, hepatitis B or hepatitis C are excluded.
- Patient with severe systemic infections requiring continued therapy.
- Treatment with an experimental drug within 4 weeks before the first dose of study treatment.
- Patient for whom the initial disease or other pathology requires a long-term corticosteroid treatment.
- Patient with a history of hypersensitivity or known contra-indications for macrolide or inhibitors of mTORs drugs; drugs similar to Myfortic ® (ERL080) or other components of the formulation such as lactose, or cyclosporine, or prednisone (Cortancyl ®), or Thymoglobuline ® or Iohexol.
- Patient with a malignant disease or a history of malignancy over the past 5 years except squamous-cell or basal cell carcinoma wich was excised.
- Medical condition or surgical procedure, except transplantation, which could exclude the patient in the opinion of the investigator.
- Patient with symptoms of mental or significant somatic illness. Disability to cooperate or communicate with the investigator.
- Pregnant, sucking or of childbearing age and refusing or being unable to use a recognized contraceptive method.
- Patient under guardianship, or any patient protected by law.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Cyclosporin + Mycophenolate mofetil
|
antirejection drug, renal transplantation
|
|
Experimental: Everolimus + mycophenolate mofetil
|
antirejection drug, renal transplantation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Evolution of glomerular filtration rate measured by clearance of iohexol
Time Frame: one year
|
one year
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Renal Insufficiency
- Peptides
- Amino Acids, Peptides, and Proteins
- Organic Chemicals
- Fatty Acids
- Lipids
- Acids, Acyclic
- Carboxylic Acids
- Polycyclic Compounds
- Macrolides
- Lactones
- Macrocyclic Compounds
- Peptides, Cyclic
- Sirolimus
- Caproates
- Cyclosporins
- Everolimus
- Mycophenolic Acid
- Cyclosporine
Other Study ID Numbers
Other Study ID Numbers
- PI10-PR-CHOUKROUN
- 2011-001385-18 (EudraCT Number)
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