- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05293704
An Open Study on the Preventive Effect of Early Mizoribine Conversion on BKV Nephropathy in Renal Transplant Recipients
March 22, 2022 updated by: Lee's Pharmaceutical Limited
This study is divided into two parts: ① Part I was a retrospective observational study.
Kidney transplant recipients infected with BK virus (BKV) in the First Affiliated Hospital of Sun Yat-sen University from 2015 to 2021 were retrospectively collected and divided into case group and control group whether to convert MPA drug to mizoribine.
② The second part was a prospective, open and interventional clinical trial.
Thirty patients with positive urinary BK virus after kidney transplantation using Mycophenolic acid (MPA) were enrolled in the First Affiliated Hospital of Sun Yat-sen University.
All patients who met the inclusion criteria were treated with mizoribine to place MPA (Mycophenolate or mycophenolate sodium enteric coated tablets) for 12 months as directed.
At the baseline of follow-up (before enrollment) and at each follow-up point, clinical indicators of patients were recorded, and renal biopsy was performed to evaluate the occurrence of BKV nephropathy in patients with persistent elevated BK viruria or persistent BK viremia after conversion and patients with BK viruria after 12 months, and to judge the progress after early activation of BKV and the safety of mizoribine.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
This study is divided into two parts: ① Part I was a retrospective observational study.
Kidney transplant recipients infected with BK virus (BKV) in the First Affiliated Hospital of Sun Yat-sen University from 2015 to 2021 were retrospectively collected and divided into case group and control group whether to convert MPA drug to mizoribine.
The basic data of the two groups, the concentration of mizoribine, the clinical benefit after conversion and the outcome of BKV infection were analyzed, and the clinical improvement rate and preliminary safety of mizoribine conversion on BKV infection were determined.
② The second part was a prospective, open and interventional clinical trial.
Thirty patients with positive urinary BK virus after kidney transplantation using Mycophenolic acid (MPA) were enrolled in the First Affiliated Hospital of Sun Yat-sen University.
The patients and their families voluntarily participated in the experiment and signed the Informed Consent on the premise of fully understanding the treatment plan.
The treatment was approved by the hospital ethics Committee.
All patients who met the inclusion criteria were treated with MPA (Mycophenolate or mycophenolate sodium enteric coated tablets) replaced with mizoribine for 12 months.
At the baseline of follow-up (before enrollment) and at each follow-up point, clinical indicators of patients were recorded, and renal biopsy was performed to evaluate the occurrence of BKV nephropathy in patients with persistent elevated BK viruria or persistent BK viremia after conversion and patients with BK viruria after 12 months, and to judge the progress after early activation of BKV and the safety of mizoribine.
Study Type
Interventional
Enrollment (Anticipated)
30
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: Yang huan
- Phone Number: 15626450204
- Email: huan.yang@leespharm.com
Study Locations
-
-
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Guangzhou, China
- The First Affiliated Hospital of Sun Yat-sen University
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Contact:
- huan Yang
- Phone Number: 15626450204
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-
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:
- Kidney transplant recipients;
- Postoperative maintenance therapy with glucocorticoid + tacrolimus +MPA;
- Urinary BKV-DNA load ≥10^7/L;
- No gender limitation for recipients > 18 years of age;
- Voluntarily sign written informed consent.
Exclusion Criteria:
- Multiple organ transplantation;
- Acute rejection occurred within 1 week before enrollment;
- Recipients with signs of active infection;
- Recipients with white blood cell count below 3,000 /cubic metre;
- Women who are pregnant, breast-feeding, or unwilling to use appropriate contraceptive methods during the study period;
- Patients with serious gastrointestinal diseases and active peptic ulcer disease;
- Suffering from any mental illness;
- Patients with severe heart disease and abnormal cardiac function;
- Subjects with known allergy to the test drug;
- Other competent physicians judged that the recipients were not suitable for inclusion.
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: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants who had BKV-related nephropathy occurred
Time Frame: 12 month
|
During the follow-up, patients with urinary BKV-DNA increase of more than 10 times for 3 consecutive months after dressing change, or viremia (serum BKV-DNA load ≥10^4/ mL) for 3 consecutive months after dressing change, as well as patients with urinary BKV positive 12 months after dressing change, were evaluated by renal biopsy pathology.
The number of Participants who had BKV-related nephropathy occurred will be counted.(BKV
stands for BK polyoma virus)
|
12 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants in who Serum and urine BK viral load were cleared
Time Frame: 12 month
|
During the observation period, the presence of serum BKV and the corresponding BKV-DNA load of the subjects were recorded to determine the incidence and outcome of BKV.
|
12 month
|
Number of Participants with Acute rejection
Time Frame: 12 month
|
Diagnosis of acute rejection: including clinical diagnosis and pathological diagnosis.
If the serum creatinine increased by more than 20% within 72 hours, acute rejection was suspected, and ultrasound examination of the transplanted kidney was performed, and biopsy of the transplanted kidney was performed if necessary.
Acute rejection (BPAR) confirmed by biopsy needs to be diagnosed by a pathologist according to the classification criteria (1997 edition and subsequently updated).
If not confirmed by biopsy, acute rejection should be diagnosed based on the exclusion of other causes of elevated creatinine.
|
12 month
|
Number of Participants with Renal graft loss
Time Frame: 12 month
|
During the study, renal function was recorded, the survival of transplanted kidneys was counted and the survival rate of transplanted kidneys was calculated.
|
12 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Anticipated)
May 1, 2022
Primary Completion (Anticipated)
December 1, 2023
Study Completion (Anticipated)
May 1, 2024
Study Registration Dates
First Submitted
March 12, 2022
First Submitted That Met QC Criteria
March 22, 2022
First Posted (Actual)
March 24, 2022
Study Record Updates
Last Update Posted (Actual)
March 24, 2022
Last Update Submitted That Met QC Criteria
March 22, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urologic Diseases
- Kidney Diseases
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Anti-Bacterial Agents
- Antibiotics, Antineoplastic
- Antiprotozoal Agents
- Antiparasitic Agents
- Antimalarials
- Mizoribine
Other Study ID Numbers
- BLDN-LEES-2022-3
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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