MPA PK Monitoring Strategy With MMF/FK Based Immunosuppression
Pilot Trial for Implementation of a Medroxyprogesterone(MPA)Pharmacokinetic(PK) Monitoring Strategy in Patients on Mycophenolate Mofetil(MMF)/FK Based Immunosuppression.
1 other identifier
interventional
22
1 country
1
Brief Summary
Individuals absorb Cellcept (MMF/Mycophenolate Mofetil) at different rates and it is difficult to determine an individuals level of Mycophenolate Mofetil (MMF, trade name Cellcept)from a single measurement. We will enroll 20 subjects. Plasma samples to be collected pre-MMF dose (trough level) and at 30 and 120 min after the morning dose of MMF.This will be done weekly for the first month and then monthly for the next 6 mths. We hope to use a calculation of the subjects total MMF level during the first month to set a trough target level to use during the next 6 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for early_phase_1
Started Aug 2005
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 16, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2006
CompletedJune 20, 2012
June 1, 2012
1.3 years
September 13, 2005
June 19, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Proportion of patients whose measured AUC falls within or outside the therapeutic MPA target range (30-60 mg/L/h) at any given follow up interval, as average over the whole time period.
7 months
Proportion of patients achieving one or more therapeutic level AUC.
7 months
Secondary Outcomes (5)
Incidence of acute rejection of transplanted kidney
7 months
Incidence of potentially MPA related toxicities
7 months
Number of dose changes needed to achieve MPA AUC target within the first month post-transplant
1 months
Number of dose changes needed to achieve the individualized MPA trough target levels following the first month.
6 months
To obtain 20 to 25 intraindividual correlation estimates (of one type or another) within each patient: trough vs. AUC.
7 months
Study Arms (1)
CellCept
OTHERCellCept + Prograf or Neoral + Steroids
Interventions
Targeted MPA exposure to 30-60 mg/L/h during the first month post-transplant.
Eligibility Criteria
You may qualify if:
- Male and female, age 18-80
- On Cellcept (MMF) and Prograf (tacrolimus) based immunosuppression
- Recipient of cadaveric or living donated kidney transplants
You may not qualify if:
- Documented non-compliance prior transplant
- Serum albumin \<2.5 mg/dl
- Primary non-function
- Not on Prograf
- Pregnant females
- Active serious digestive system disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Floridalead
- Hoffmann-La Rochecollaborator
Study Sites (1)
University of Florida
Gainesville, Florida, 32610, United States
Related Publications (1)
Guerra G, Srinivas TR, Schold JD, Eagan AE, Nawrocki, Shaw L, Kaplan B, Womer K, Meier-Kriesche HU. Prospective Blinded Pharmacokinetic Trial to Establish an Individualized MPA Trough Regimen. American Transplant Congress, San Francisco, California
BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Herwig-Ulf Meier-Kriesche, MD
University of Florida
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 16, 2005
Study Start
August 1, 2005
Primary Completion
November 1, 2006
Study Completion
November 1, 2006
Last Updated
June 20, 2012
Record last verified: 2012-06