- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01289301
Studying the Effect of Changing Immunosuppression in Case of Polyoma BK Virus Infection of the Renal Transplant (BKVIRUS)
February 2, 2011 updated by: Hannover Medical School
Polyomavirus BK Nephropathy After Renal Transplantation: Randomized Clinical Trial to Demonstrate That Switching to mTOR Inhibitor is More Effective Than a Reduction of Immunosuppressive Therapy
Polyomavirus BK nephropathy is a serious complication after renal transplantation leading to graft loss in 40% of cases.
Since no virustatic drug exists, the investigators want to study the best way to manage viral invasion by changing the immunosuppressive treatment comparing two treatment schemes.
The investigators hypothesis is that switching to an mTOR-based scheme is superior to a general decrease of a calcineurin inhibitor (CNI)-based scheme.
The study will be performed as a prospective, randomized, parallel group comparison.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
The study group (n=62) will be switched from CNI to everolimus while the control group (n=62) will get a general reduction of the CNI-based immunosuppression.
Follow-up and duration of intervention per patient will be 24 months, duration of the trial 72 months including 4 years of recruitment.
Study Type
Interventional
Enrollment (Anticipated)
124
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Anke Schwarz, Prof. Dr.
- Phone Number: +49 511 532 2329
- Email: schwarz.anke@mh-hannover.de
Study Contact Backup
- Name: Hermann Haller, Prof. Dr.
- Phone Number: +49 511 5326319
- Email: haller.hermann@mh-hannover.de
Study Locations
-
-
Baden-Württemberg
-
Freiburg, Baden-Württemberg, Germany, D-79104
- University Hospital Freiburg, Transplant Outpatient Clinic
-
Contact:
- Gerd Walz, Prof. Dr.
- Phone Number: 0761 2703250
- Email: gerd.walz@uniklinik-freiburg.de
-
-
Bayern
-
Erlangen, Bayern, Germany, D-91054
- University of Erlangen/ Nürnberg, Transplant Outpatient Clinic
-
Contact:
- Karl Hilgers, Prof. Dr.
- Phone Number: +49 9131 8536267
- Email: karl.hilgers@uk-erlangen.de
-
-
Niedersachsen
-
Hannover, Niedersachsen, Germany, D-30625
- Hannover Medical School, Transplant Outpatient Clinic
-
Contact:
- Anke Schwarz, Prof. Dr.
- Phone Number: +49 511 5322329
- Email: schwarz.anke@mh-hannover.de
-
Contact:
- Silvia Linnenweber, Dr.
- Phone Number: +49 511 5323000
- Email: linnenweber.silvia@mh-hannover.de
-
-
Ruhrgebiet
-
Essen, Ruhrgebiet, Germany, D-45122
- University of Essen, Transplant Outpatient Clinic
-
Contact:
- Oliver Witzke, Prof. Dr.
- Phone Number: +49 201 7231868
- Email: nephrologie@uk-essen.de
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- preceding renal transplantation
- functioning graft with a permanent creatinine clearance of more than 25mL/min
- biopsy-confirmed polyoma BK virus nephropathy
- age over 18 years old
Exclusion Criteria:
- allergy or non-tolerance of the study medication everolimus
- pregnancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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 |
---|---|
Experimental: mTOR-receiving arm
switching from calcineurin-inhibitor-based immunosuppression to mTOR-based immunosuppression
|
calcineurin-inhibitor based immunosuppression will be switched to immunosuppression based on m-TOR inhibitor (everolimus trough level 3-7ng/mL)
Other Names:
|
Active Comparator: calcineurin-inhibitor keeping arm
continuing calcineurin-inhibitor based immunosuppression
|
calcineurin inhibitor (cyclosporine or tacrolimus) will be continued (trough level 60-90ng/mL resp 3-7ng/mL)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
death or graft loss
Time Frame: 2 years of observation
|
after experimental intervention (switch to mTOR inhibitor in group 1) and control intervention (general reduction of immunosuppression) observation of graft function
|
2 years of observation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
decrease of polyomavirus serum PCR
Time Frame: 2 years
|
regular measurement of polyomavirus serum PCR (every 4 weeks to 3 months)
|
2 years
|
decrease of creatinine
Time Frame: 2 years observation
|
regular measurment of graft function (every 4 weeks to 3 months)
|
2 years observation
|
progression of chronic changes in renal histology
Time Frame: renal biopsy 3 months after intervention
|
renal rebiopsy and comparison of chronic changes in renal biopsy with the diagnostic renal biopsy
|
renal biopsy 3 months after intervention
|
number of rejections following intervention
Time Frame: 2 years after intervention
|
biopsy-verified rejections (graft biopsies on indication) may be a consequence of changement of immunosuppression and a side effect of it, rejections will be counted
|
2 years after intervention
|
increase of BKV-specific T-cells
Time Frame: 2 years observation
|
increase of BKV-specific T-cells are a sign of overcoming viral infection and will be counted regularly (every 3 to 6 months)
|
2 years observation
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Anke Schwarz, Prof. Dr., Hannover Medical School, Nephrology
- Principal Investigator: Hermann Haller, Prof. Dr., Hannover Medical School, Nephrology
- Study Chair: Silvia Linnenweber, Dr., Hannover Medical School, Nephrology
- Study Director: Armin Koch, Prof. Dr., Hannover Medical School, Biometry
- Study Director: Albert Heim, PD Dr., Hannover Medical School, Virology
- Study Chair: Verena Broecker, Dr., Hannover Medical School, Pathology
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2011
Primary Completion (Anticipated)
October 1, 2017
Study Completion (Anticipated)
October 1, 2018
Study Registration Dates
First Submitted
February 2, 2011
First Submitted That Met QC Criteria
February 2, 2011
First Posted (Estimate)
February 3, 2011
Study Record Updates
Last Update Posted (Estimate)
February 3, 2011
Last Update Submitted That Met QC Criteria
February 2, 2011
Last Verified
October 1, 2010
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Disease Attributes
- Infections
- Communicable Diseases
- Virus Diseases
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Dermatologic Agents
- Anti-Bacterial Agents
- Antibiotics, Antineoplastic
- Antifungal Agents
- Tacrolimus
- Everolimus
- Sirolimus
- Cyclosporine
- Cyclosporins
- Calcineurin Inhibitors
Other Study ID Numbers
- Polyoma IFB 29
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.
Clinical Trials on Virus Diseases
-
Institute of Tropical Medicine, BelgiumCompletedTransmission | Zika Virus | Zika Virus Disease | Virus SheddingBelgium
-
TakedaCompletedFlavivirus Infections | Healthy Participants | Virus, Zika | Zika Virus DiseaseUnited States, Puerto Rico
-
U.S. Army Medical Research and Development CommandActive, not recruiting
-
Emergent BioSolutionsCompletedZika Virus Infection | Zika Virus DiseaseCanada
-
U.S. Army Medical Research and Development CommandCompleted
-
National Institute of Allergy and Infectious Diseases...CompletedHealthy | Epstein Barr Virus InfectionUnited States
-
Valneva Austria GmbHEmergent BioSolutionsCompletedZika Virus Infection | Zika VirusUnited States
-
RTI InternationalEunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsUnknown
-
Merck Sharp & Dohme LLCCompletedVaricella Virus Infection
-
ModernaTX, Inc.RecruitingRespiratory Syncytial VirusCanada, United Kingdom, Japan, United States, Chile, Denmark, Panama, South Africa
Clinical Trials on mTOR inhibitor (everolimus)
-
PIQUR Therapeutics AGM.D. Anderson Cancer Center; Mayo Clinic; University College London Hospitals; Hospital... and other collaboratorsCompleted
-
Jiangsu Simcere Pharmaceutical Co., Ltd.Recruiting
-
A. Manzoni HospitalTerminated
-
University of MiamiRecruitingBreast Cancer | Metastatic Breast Cancer | ER-positive Breast Cancer | HER2-negative Breast CancerUnited States
-
NCIC Clinical Trials GroupCompleted
-
SWOG Cancer Research NetworkNational Cancer Institute (NCI)Active, not recruitingKidney CancerUnited States, Puerto Rico
-
Novartis PharmaceuticalsCompletedPancreatic Neuroendocrine TumorsChina
-
Memorial Sloan Kettering Cancer CenterM.D. Anderson Cancer Center; Novartis; Dana-Farber Cancer InstituteCompletedNeuroendocrine TumorsUnited States
-
M.D. Anderson Cancer CenterNovartis PharmaceuticalsCompletedSystemic MastocytosisUnited States
-
Johns Hopkins UniversityActive, not recruiting