A Study of CellCept (Mycophenolate Mofetil) Combined With Calcineurin Inhibitors in Liver Transplant Patients.
A Randomized, Open Label Study Comparing the Effect of CellCept Combined With 2 Regimens of Reduced Calcineurin Inhibitors on Kidney Function in Liver Transplant Patients
1 other identifier
interventional
87
1 country
11
Brief Summary
This 2 arm study will compare the efficacy and safety of switching to CellCept combined with different regimens of reduced calcineurin inhibitors (CNI) in patients with liver transplants. Patients currently receiving CNI treatment will be randomized into one of 2 groups to receive either 1) CellCept 2.0g/day po bid + 50% reduction of CNI from baseline or 2) CellCept 2.0g/day po bid + \>=75% reduction of CNI from baseline. The anticipated time on study treatment is 1 year, and the target sample size is \<100 individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started May 2008
Typical duration for phase_4
11 active sites
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
May 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 16, 2008
CompletedFirst Posted
Study publicly available on registry
July 17, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2011
CompletedResults Posted
Study results publicly available
September 29, 2014
CompletedSeptember 29, 2014
September 1, 2014
3.2 years
July 16, 2008
June 4, 2014
September 23, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Decrease in Glomerular Filtration Rate (GFR) of Greater Than 20%
The percentage of participants with a greater than 20% decrease of GFR during the 1-year period following regimen adjustment. Cockcroft and Gault formula was used for calculated creatinine clearance.
Week 52
Secondary Outcomes (6)
Percentage of Participants With Graft Loss or Death at Week 52
Week 52
Percentage of Participants With Biopsy-Proven Acute Rejection (BPAR) at Week 52
Week 52
Changes From Baseline in Creatinine Clearance (Milliliters Per Minute [mL/Min])
Baseline and Weeks 16, 28, and 40
Change From Baseline in Corrected Creatinine Clearance (mL/Min) at Week 52
Week 52
Percentage Change in Creatinine Clearance From Baseline
Weeks 16, 28, 40, and 52
- +1 more secondary outcomes
Study Arms (2)
MMF, 50% CNI Reduction
EXPERIMENTALParticipants received mycophenolate mofetil (MMF), 1.5 to 2.0 grams (g) daily, orally (PO), twice per day (BID) from baseline (BL) to Week 52. Participants also received a 50 percent (%) reduced dose of calcineurin inhibitor (CNI) from BL to Week 52.
MMF, ≥75% CNI Reduction
EXPERIMENTALParticipants received MMF, 1.5 to 2.0 g daily, PO, BID from BL to Week 52. Participants also received a 75% reduced dose of CNI from BL to Week 52.
Interventions
1.5 to 2.0 g daily PO BID
Eligibility Criteria
You may qualify if:
- adult patients, \>=18 years of age;
- single organ recipients of liver allograft;
- CNI-based immunosuppressive regimen prior to study entry and regimen adjustment;
- \>=6 months post-transplant, with renal dysfunction (serum creatinine 140-300micromol/L at entry);
- negative pregnancy test for women of childbearing potential; contraception must be taken before beginning study drug therapy and until 6 weeks after last dose of study medication.
You may not qualify if:
- treatment with CellCept or any other product which delivers mycophenolic acid within the 3 months prior to the recent switch to CellCept relevant for enrollment;
- known contraindications to CNI, corticosteroids or CellCept.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
Unknown Facility
Beijing, 100039, China
Unknown Facility
Beijing, 100054, China
Unknown Facility
Changsha, 410013, China
Unknown Facility
Chengdu, 610041, China
Unknown Facility
Chongqing, 400038, China
Unknown Facility
Guangzhou, 510080, China
Unknown Facility
Jiangsu, 210029, China
Unknown Facility
Shanghai, 200003, China
Unknown Facility
Shanghai, 200080, China
Unknown Facility
Tianjin, 300192, China
Unknown Facility
Xi'an, 710032, China
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffman-LaRoche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 16, 2008
First Posted
July 17, 2008
Study Start
May 1, 2008
Primary Completion
July 1, 2011
Study Completion
July 1, 2011
Last Updated
September 29, 2014
Results First Posted
September 29, 2014
Record last verified: 2014-09