A Study to Assess the Pharmacokinetics, Safety and Efficacy of Advagraf and Prograf in de Novo Liver Transplantation
MAIN
A Phase IV, Randomized, Open-label, Comparative, Single-center Study to Assess the Pharmacokinetics, Safety and Efficacy of Advagraf® (Modified Release Tacrolimus) and Prograf® (Tacrolimus) in de Novo Living Donor Liver Transplant Recipients
1 other identifier
interventional
100
1 country
1
Brief Summary
The purpose of this study is to investigate and compare the pharmacokinetic parameters of tacrolimus from Advagraf and Prograf in de nove living donor liver transplant recipients.
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 Apr 2011
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 12, 2011
CompletedFirst Posted
Study publicly available on registry
April 20, 2011
CompletedStudy Start
First participant enrolled
April 27, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 27, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
May 27, 2014
CompletedJuly 19, 2017
July 1, 2017
3.1 years
April 12, 2011
July 17, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
AUC0-24 (Area under the curve for 24 hours) of tacrolimus plasma concentration
Day 6 and day 21
Secondary Outcomes (4)
Cmax (maximum concentration) of tacrolimus plasma concentration
Day 6 and day 21
Incidence of the composite event: graft loss (defined as re-transplantation or death) or biopsy confirmed acute rejection (BCAR)
up to 24 weeks
Time to first incidence of the composite event: graft loss (defined as re-transplantation or death) or biopsy confirmed acute rejection (BCAR)
up to 24 weeks
Safety assessed by the incidence of adverse events and lab-tests
up to 24 weeks
Study Arms (2)
Arm 1
EXPERIMENTALIntravenous Prograf therapy followed by oral Advagraf therapy
Arm 2
ACTIVE COMPARATORIntravenous Prograf therapy followed by oral Prograf therapy
Interventions
Eligibility Criteria
You may qualify if:
- subject receiving a primary, partial liver graft from a living donor
- subject must receive the first dose of tacrolimus and corticosteroids after operation and are expected to be maintained on tacrolimus throughout the study. MMF could be combined
You may not qualify if:
- subjects receiving a multi-organ transplant or having previously received an organ transplant (including liver re-transplantation)
- subjects receiving an auxiliary graft or in whom a bio-artificial liver (cell system) has been used
- subjects allergic or intolerant to macrolide antibiotics or tacrolimus
- subjects requiring immunosuppressive treatment and / or systemic chemotherapy prior to transplantation
- subjects with malignancies or a history of malignancy within the last 5 years, with the exception of those with basalioma or squamous cell carcinoma of the skin
- subjects with systemic infection requiring treatment, except viral hepatitis
- subjects with severe diarrhoea, vomiting, active peptic ulcer or gastrointestinal disorder that may affect the absorption of tacrolimus
- subjects with serum creatinine \> 1.5mg/dl
- subjects taking or having taken potassium preserved diuretics
- subjects with any form of substance abuse, psychiatric disorder or condition which, in the opinion of the investigator, may complicate communication with the investigator
- subjects participating or having participated in another clinical trial and/or those taking or having taken an investigational / non-registered drug in the past 28 days
- subjects or donors known to be HIV positive
- donors known to be HBV, HCV positive and/or IgM positive of CMV, EBV
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Unknown Facility
Seoul, South Korea
Related Publications (1)
Shin MH, Song GW, Lee SG, Hwang S, Kim KH, Ahn CS, Moon DB, Ha TY, Jung DH, Park GC, Yun YI, Kim WJ, Kang WH, Kim SH, Jiang H, Lee S, Tak EY. Once-daily, prolonged-release tacrolimus vs twice-daily, immediate-release tacrolimus in de novo living-donor liver transplantation: A Phase 4, randomized, open-label, comparative, single-center study. Clin Transplant. 2018 Sep;32(9):e13376. doi: 10.1111/ctr.13376. Epub 2018 Aug 26.
PMID: 30098071DERIVED
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Use Central Contact
Astellas Pharma Inc
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
April 12, 2011
First Posted
April 20, 2011
Study Start
April 27, 2011
Primary Completion
May 27, 2014
Study Completion
May 27, 2014
Last Updated
July 19, 2017
Record last verified: 2017-07