Efficacy, Safety, Tolerability, Pharmacokinetics of Sotrastaurin-tacrolimus vs. Mycophenolic Acid-tacrolimus in de Novo Liver Transplant Patients
A 24-month Randomized Multicenter Study Evaluating Efficacy, Safety, Tolerability and Pharmacokinetics of Sotrastaurin and Tacrolimus vs. a Tacrolimus/Mycophenolate Mofetil-based Control Regimen in de Novo Liver Transplant Recipients
2 other identifiers
interventional
200
12 countries
39
Brief Summary
This study will assess the safety and efficacy of different doses of sotrastaurin when combined with tacrolimus for the prevention of acute rejection after de novo liver transplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Apr 2010
39 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
April 1, 2010
CompletedFirst Submitted
Initial submission to the registry
May 20, 2010
CompletedFirst Posted
Study publicly available on registry
May 21, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2012
CompletedDecember 22, 2020
November 1, 2016
2.3 years
May 20, 2010
December 15, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Occurrence of primary efficacy failure defined as composite efficacy endpoint (treated BPAR of Banff grade ≥ 1, graft loss, or death) in the different treatment arms.
Month 6
Secondary Outcomes (4)
Evaluate renal allograft function post-transplantation (estimated GFR by MDRD equation; estimated creatinine clearance by Cockcroft-Gault formula; serum creatinine).
Months 3, 6, 12, and 24
Occurrence of primary efficacy failure defined as composite efficacy endpoint (treated BPAR of Banff grade ≥ 1, graft loss, or death) in the different treatment arms.
Months 12, 24
Occurrence of rejection requiring T-cell depleting antibody, occurrence of treated biopsy-proven acute rejections of Banff grade ≥ 1 that is steroid-resistant
Months 6, 12, 24
Safety and tolerability ((serious) adverse events (specifically: gastrointestinal AEs and cardiac AEs, serious infections), laboratory abnormalities, vital signs, electrocardiograms, physical examination).
Months 3, 6, 12, 24
Study Arms (4)
Arm 1
ACTIVE COMPARATORMMF(1000mg bid) + tacrolimus + standard of care medications
Arm 2
EXPERIMENTALsotrastaurin (200mg bid) + tacrolimus + standard of care medications
Arm 3
EXPERIMENTALsotrastaurin (200mg bid) + tacrolimus + standard of care medications
Arm 4
EXPERIMENTALsotrastaurin (300 mg bid) + tacrolimus + standard of care medications
Interventions
MMF(1000mg bid) + tacrolimus + standard of care medications
sotrastaurin (200mg bid) + tacrolimus + standard of care medications
sotrastaurin (300 mg bid) + tacrolimus + standard of care medications
Eligibility Criteria
You may qualify if:
- Recipients of any race, 18 years or older
- Recipients of primary de novo orthotopic liver transplant from a deceased donor
- Recipients of a kidney with a cold ischemia time \< 30 hours
- HCV-negative recipients
You may not qualify if:
- Prior organ/cellular transplant or multiple organ transplant
- MELD-score \> 35
- HCC \> Milan criteria
- Donor age \< 12 years
- Cold ischemia \> 15 hours
- Patients who are treated with drugs that are strong inducers or inhibitors of cytochrome P450 3A4 (CYP3A4) or drugs with QT-prolonging properties
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (39)
Novartis Investigative Site
Los Angeles, California, 90095, United States
Novartis Investigative Site
San Francisco, California, 94143, United States
Novartis Investigative Site
Detroit, Michigan, 48202-2689, United States
Novartis Investigative Site
Minneapolis, Minnesota, 55455, United States
Novartis Investigative Site
Rochester, Minnesota, 55905, United States
Novartis Investigative Site
Cincinnati, Ohio, 45219, United States
Novartis Investigative Site
Dallas, Texas, 75246, United States
Novartis Investigative Site
Houston, Texas, 77030, United States
Novartis Investigative Site
CABA, Buenos Aires, C1118AAT, Argentina
Novartis Investigative Site
CABA, Buenos Aires, C1181ACH, Argentina
Novartis Investigative Site
San Martín, Buenos Aires, C1107BEA, Argentina
Novartis Investigative Site
Innsbruck, A-6020, Austria
Novartis Investigative Site
Vienna, A-1090, Austria
Novartis Investigative Site
Ghent, 9000, Belgium
Novartis Investigative Site
Leuven, 3000, Belgium
Novartis Investigative Site
London, Ontario, N6A 4G5, Canada
Novartis Investigative Site
Prague, Czech Republic, 140 21, Czechia
Novartis Investigative Site
Brno, 656 91, Czechia
Novartis Investigative Site
HUS, 00029, Finland
Novartis Investigative Site
Bordeaux, 33076, France
Novartis Investigative Site
Chambray-lès-Tours, 37044, France
Novartis Investigative Site
Créteil, 94000, France
Novartis Investigative Site
Paris, 75012, France
Novartis Investigative Site
Strasbourg, 67098, France
Novartis Investigative Site
Villejuif, 94805, France
Novartis Investigative Site
Berlin, 13353, Germany
Novartis Investigative Site
Essen, 45147, Germany
Novartis Investigative Site
Hamburg, 20246, Germany
Novartis Investigative Site
Hanover, 30625, Germany
Novartis Investigative Site
Heidelberg, 69120, Germany
Novartis Investigative Site
Regensburg, 93053, Germany
Novartis Investigative Site
Milan, MI, 20162, Italy
Novartis Investigative Site
Padua, PD, 35128, Italy
Novartis Investigative Site
Pisa, PI, 56124, Italy
Novartis Investigative Site
Seville, Andalusia, 41013, Spain
Novartis Investigative Site
L'Hospitalet de Llobregat, Catalonia, 08907, Spain
Novartis Investigative Site
A Coruña, Galicia, 15006, Spain
Novartis Investigative Site
Valencia, Valencia, 46026, Spain
Novartis Investigative Site
Zurich, 8091, Switzerland
Related Publications (1)
Pascher A, De Simone P, Pratschke J, Salame E, Pirenne J, Isoneimi H, Bijarnia M, Krishnan I, Klupp J. Protein kinase C inhibitor sotrastaurin in de novo liver transplant recipients: a randomized phase II trial. Am J Transplant. 2015 May;15(5):1283-92. doi: 10.1111/ajt.13175. Epub 2015 Feb 12.
PMID: 25677074RESULT
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
- STUDY DIRECTOR
Novartis Pharmceuticals
Novartis Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 20, 2010
First Posted
May 21, 2010
Study Start
April 1, 2010
Primary Completion
July 1, 2012
Study Completion
July 1, 2012
Last Updated
December 22, 2020
Record last verified: 2016-11