Single Center Pilot Study of Corticosteroid Discontinuation in Liver Transplant Recipients
A Single Center, Pilot Study of Corticosteroid Discontinuation in Liver Transplant Recipients Utilizing a Tacrolimus/Mycophenolate Mofetil Based Maintenance Immunosuppression Protocol
1 other identifier
interventional
40
1 country
1
Brief Summary
To determine the safety and efficacy of early corticosteroid discontinuation in liver transplant recipients more than 90 days post transplant, utilizing a combination of two drugs (tacrolimus and mycophenolate mofetil) for maintenance immunosuppressant therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Oct 2002
Longer than P75 for phase_4
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
October 1, 2002
CompletedFirst Submitted
Initial submission to the registry
September 8, 2006
CompletedFirst Posted
Study publicly available on registry
September 11, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2008
CompletedResults Posted
Study results publicly available
December 29, 2015
CompletedDecember 29, 2015
November 1, 2015
5.3 years
September 8, 2006
December 19, 2013
November 23, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of Biopsy Confirmed Acute Rejection at 12 Months.
12 months
Secondary Outcomes (1)
Patient Survival.
12 months
Other Outcomes (1)
Time Post Transplant Corticosteroid Withdrawal
12 months
Study Arms (1)
Immunosuppression
EXPERIMENTALAll the patients who enroll in this study will receive the same medications (tacrolimus, mycophenolate mofetil, and a short course of steroids) to prevent rejection of the liver transplant. All participants will be gradually taken off prednisone if they are 90 days or longer post liver transplant and have not had a rejection in the last 30 days.
Interventions
Tacrolimus is a pill taken orally. Dose, frequency and duration will be decided by the study doctor on a case-by-case basis.
Mycophenolate mofetil is a pill taken orally. Dose, frequency and duration will be decided by the study doctor on a case-by-case basis.
Prednisone is a pill taken orally. Dose, frequency and duration will be decided by the study doctor on a case-by-case basis.
Eligibility Criteria
You may qualify if:
- Greater than 90 days post transplant.
- Free from rejection within the last 30 days.
- Patient with primary diagnosis of AIH will be evaluated on an individual basis.
- Negative pregnancy test.
- Practicing an acceptable method of birth control.
- Capable of providing written informed consent.
You may not qualify if:
- Rejection within the last 30 days.
- Patients with AIH unable to discontinue corticosteroids.
- Patients currently receiving systemic corticosteroids for other medical diseases in which the physician feels discontinuation is contraindicated.
- Known sensitivity or contraindication to tacrolimus or MMF.
- Kidney, pancreas, islet, heart, lung, or small bowel transplant recipient.
- Pregnant or lactating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Cincinnatilead
- Astellas Pharma Inccollaborator
Study Sites (1)
University of Cincinnati
Cincinnati, Ohio, 45267, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- E. Steve Woodle, MD
- Organization
- University of Cincinnati
Study Officials
- PRINCIPAL INVESTIGATOR
Steve Woodle, MD
University of Cincinnati
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, FACS
Study Record Dates
First Submitted
September 8, 2006
First Posted
September 11, 2006
Study Start
October 1, 2002
Primary Completion
January 1, 2008
Study Completion
January 1, 2008
Last Updated
December 29, 2015
Results First Posted
December 29, 2015
Record last verified: 2015-11