- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00223678
Mycophenolate Mofetil and Rapamycin as Secondary Intervention vs. Continuation of Calcineurin Inhibitors in Patients at Risk for Chronic Renal Allograft Failure
Study Overview
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient is the recipient of a cadaveric or living donor renal transplant.
- Patient was > 12 years of age at the time of transplant.
- Patient is at least 3 months post-transplant.
- Patient has been on a calcineurin inhibitor based immunosuppression since the transplant.
Patient has one of the following risk factors for chronic renal allograft failure:
I. Serum creatinine > 2.0 mg/dL 3 months or later post-transplant in males patients.
II. Serum creatinine > 1.7 mg/dL 3 months or later post-transplant in female patients.
III. Serum > 30% increased over post discharge nadir.
- Patients had a renal biopsy that shows chronic allograft nephropathy.
- Patient or legal guardian had signed and dated an Institutional Review Board (IRB) approved informed consent document and is willing and able to follow study procedures.
If female and of child bearing potential, patient has a negative pregnancy test and agrees to practice effective birth control while receiving mycophenolate mofetil (MMF), Rapamycin and other immunosuppressants.
-
Exclusion Criteria:
- Patient is the recipient of a solid organ transplant other than the kidney.
- Patient is dialysis dependent.
- Patient has recurrence of primary renal disease, or de novo renal disease.
- Patient has an estimated creatinine clearance <25ml/min calculated using the Cockcroft/Gault formula.
- Patient has changed maintenance immunosuppressant therapy (e.g., azathioprine to MMF) within three months of randomization.
- Baseline biopsy shows acute rejection Banff Grade > Class 2 (IIB).
- Patient required anti-lymphocyte therapy to treat rejection found on baseline biopsy.
- Patient has received an investigational immunosuppressant within three months.
- Patient is pregnant or lactating.
- Patient is a known carrier of any of the HIV viruses.
- Patient has known hypersensitivity to Rapamycin, or any of the excipients of the drug.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: 1
pt will switch from calcineurin inhibitor (CYA, prograf) to Rapamycin
|
Rapamycin will start within 24 hours of last calcineurin inhibitors (Cya, Prograf).
Initial dose of Rapamune 10mg will be given for 3 days and then dose will be adjusted to attain a target whole blood trough of 5-15
Other Names:
|
No Intervention: 2
Patient will remain on calcineruin inhibitor
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Graft Survival
Time Frame: 3 years
|
3 years
|
Collaborators and Investigators
Investigators
- Principal Investigator: Anthony Langone, M.D., Vanderbilt University
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 000294
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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