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A Multicenter Study in Liver Transplant Patients Converted From Prograf® to Advagraf® During the First Post-transplantation Year (COBALT)

2019年3月25日 更新者:Astellas Pharma S.A.S.

A Cohort Study in Liver Transplant Patients Converted From a Tacrolimus Twice a Day (Prograf®) to Tacrolimus Once a Day (Advagraf®). French, Multisite, Observational Study

A study in which two groups of patients will be analysed; patients converted from Prograf to Advagraf within the first 3 months after transplantation and patients converted from Prograf to Advagraf between 3 months and 1 year after transplantation.

研究概览

地位

完全的

条件

研究类型

观察性的

注册 (实际的)

398

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Besancon、法国
        • Site
      • Bordeaux、法国
        • Site
      • Caen、法国
        • Site
      • Chambray les Tours、法国
        • Site
      • Clichy、法国
        • Site
      • Creteil、法国
        • Site
      • Grenoble、法国
        • Site
      • Lille、法国
        • Site
      • Limoges、法国
        • Site
      • Lyon 3、法国
        • Site
      • Lyon 4、法国
        • Site
      • Marseille、法国
        • Site
      • Montpellier、法国
        • Site
      • Nice、法国
        • Site
      • Paris、法国
        • Site
      • Rennes、法国
        • Site
      • Toulouse、法国
        • Site
      • Villejuif、法国
        • Site

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Liver transplant patients

描述

Inclusion Criteria:

  • Patient with a liver transplant performed in the previous year and for whom the conversion from Prograf® to Advagraf® was decided by the physician.

Exclusion Criteria:

  • Patient participating in an interventional clinical trial at the time of enrolment into the study.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 观测模型:队列
  • 时间观点:预期

队列和干预

团体/队列
干预/治疗
1:early conversion from Prograf® to Advagraf®
patients converted from Prograf® to Advagraf® in the first 3 months after transplantation
口服
其他名称:
  • 程序
  • FK506
  • Advagraf
2:late conversion from Prograf® to Advagraf®
patients converted from Prograf® to Advagraf® between 3 months and one year after transplantation
口服
其他名称:
  • 程序
  • FK506
  • Advagraf

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Conversion ratio of the daily dose of tacrolimus (mg Prograf® / mg Advagraf®)
大体时间:At baseline
Percentage of patients with a conversion ratio of tacrolimus dose of 1mg/1mg and percentage of patients with a ratio differing from 1mg/1mg
At baseline
Time of the first tacrolimus trough level (C0) after conversion
大体时间:From baseline to first determination of C0 (up to 6 months)
Number of days between the conversion date and the date of the first determination of C0 after conversion
From baseline to first determination of C0 (up to 6 months)
Number of additional visits considered by the physicians to be due to the conversion (if required)
大体时间:At 6 months and at 1 year follow-up visit
Percentage of patients with additional visit(s) and percentage of patients without an additional visit
At 6 months and at 1 year follow-up visit

次要结果测量

结果测量
措施说明
大体时间
Reasons for conversion
大体时间:At baseline
Number of pills, number of treatment intake, treatment compliance, physician request, patient request, safety of treatment, center practice
At baseline
Patient profile
大体时间:At baseline
Sociodemographic data, history of transplantation, comorbidities, complications after transplantation, risk factors, concomitant treatments (other than immunosuppressive protocols) and modification, if required, at 6 months and 1 year after conversion
At baseline
Collection of immunosuppressive protocol details
大体时间:At baseline, 6 months and 1 year follow-up visit
  • Date of initiation of treatment with Advagraf®
  • Target tacrolimus C0 (with Prograf® and with Advagraf® and recommendations for administration)
  • Daily dose of Advagraf®
  • Adjustments to Advagraf® dose since the previous visit: date, doses and reason for adjustment
  • Type and dose of immunosuppressive drugs combined with Advagraf®
  • Modification of the immunosuppressive regimen at 6 months and 1 year after conversion (if applicable) since the previous visit: date, modified treatment, type of modification, reason for modification
  • Immunosuppressive regimen at the end of the visit at 6 months and 1 year after conversion, modified treatment, type of modification, reason for modification
At baseline, 6 months and 1 year follow-up visit
Time to reach steady state
大体时间:From baseline to first determination of C0 (up to 6 months)
From baseline to first determination of C0 (up to 6 months)
Dose ratio at steady state
大体时间:From baseline and up to 6 months post-conversion
Ratio of daily dose of tacrolimus during achievement of steady state: mg Prograf® at conversion/mg Advagraf® during achievement of steady state. Percentage of patients with a ratio of 1mg/1mg and percentage of patients with a ratio differing from 1mg/1mg
From baseline and up to 6 months post-conversion
The Intra -Patient Variability (IPV) of tacrolimus in patients on Prograf® and Advagraf ®
大体时间:At baseline (Prograf) and during the 45 days after conversion (Advagraf)
At baseline (Prograf) and during the 45 days after conversion (Advagraf)
Latest available laboratory data with Prograf® before conversion and with Advagraf®
大体时间:At baseline, 6 months and 1 year follow-up visit
Values and dates for renal parameters, liver parameters, blood glucose and Hepatitis C viral load
At baseline, 6 months and 1 year follow-up visit
Compliance with treatment at conversion
大体时间:At baseline and at 1 year after conversion
Compliance with treatment at conversion (with Prograf® and only in group 2) and at 1 year after conversion (with Advagraf® for both groups) will be assessed using the Morisky questionnaire and a score will be calculated
At baseline and at 1 year after conversion
Patients' quality of life at conversion
大体时间:At baseline and at 1 year after conversion
Patients' quality of life at conversion (with Prograf® only in group 2) and at 1 year after conversion (with Advagraf® for both groups) will be assessed using the European Quality of Life-5 Dimensions 5 level (EQ5D-5L) questionnaire
At baseline and at 1 year after conversion
Rate of acute rejection proven by biopsy (BPAR), graft survival rate and patient survival rate
大体时间:6 months and 1 year
Will be assessed on the basis of the number of acute rejections confirmed by biopsy and recorded adverse events and adverse reactions
6 months and 1 year
Occurrence of adverse events and/or effects
大体时间:From baseline until 1 year follow-up visit
From baseline until 1 year follow-up visit

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 研究主任:Medical and Scientific Affairs Manager, Transplantation、Astellas Pharma S.A.S.

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2014年6月18日

初级完成 (实际的)

2017年5月3日

研究完成 (实际的)

2017年5月3日

研究注册日期

首次提交

2014年5月9日

首先提交符合 QC 标准的

2014年5月19日

首次发布 (估计)

2014年5月21日

研究记录更新

最后更新发布 (实际的)

2019年3月26日

上次提交的符合 QC 标准的更新

2019年3月25日

最后验证

2019年3月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

IPD 计划说明

Access to anonymized individual participant level data will not be provided for this trial as it meets one or more of the exceptions described on www.clinicalstudydatarequest.com under "Sponsor Specific Details for Astellas."

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

在美国制造并从美国出口的产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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