AADAPT - Analysis of Advagraf Dose Adaptation Post Transplantation
AADAPT
Prospective Pharmacokinetic and Pharmacogenetic Analysis of Advagraf After Transplantation
1 other identifier
interventional
45
1 country
4
Brief Summary
A pharmacokinetics and pharmacogenetics study to complement the current knowledge of tacrolimus prolonged release (Advagraf®) in the immediate post-transplantation period and at steady-state (M3 post transplantation) and to improve the optimal dose of Advagraf® based on tacrolimus AUC estimated by two Limited Samples Strategies during the first 3 months after renal transplantation. Data obtained with tacrolimus prolonged release will be compared with those of tacrolimus immediate release (Prograf®)
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 2011
4 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
First Submitted
Initial submission to the registry
September 15, 2011
CompletedFirst Posted
Study publicly available on registry
September 16, 2011
CompletedStudy Start
First participant enrolled
October 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedMarch 31, 2026
March 1, 2026
1.6 years
September 15, 2011
March 26, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
AUC 0-24h of tacrolimus at Day 8 and Day 84
3 months
Secondary Outcomes (1)
AUC 24h of tacrolimus using limited samples strategies (LSS) at Day 8 and Day 84
3 months
Study Arms (2)
Advagraf
EXPERIMENTALPrograf
ACTIVE COMPARATORInterventions
Other Names: * FK506E * MR4 * tacrolimus modified/prolonged release Drug: MPA Solution for infusion and per os Other Name: Mycophenolate Mofetil or Mycophenolic Acid Drug: Basiliximab IV infusion Other Name: Simulect Drug: Corticosteroids per os Other Name: Methylprednisolone or equivalent
Other Names: * FK506E * MR4 * tacrolimus Drug: MPA Solution for infusion and per os Other Name: Mycophenolate Mofetil or Mycophenolic Acid Drug: Basiliximab IV infusion Other Name: Simulect Drug: Corticosteroids per os Other Name: Methylprednisolone or equivalent
Eligibility Criteria
You may qualify if:
- Adult recipients aged between 18 to 70
- Primary renal transplantation
- Cadaver or living transplantation or living (non HLA identical) donor with compatible ABO blood type.
- absence of anti-LHA antibodies in lymphocytotoxicity and Luminex
- Negative cross-match in cytotoxicity
- Negative pregnancy test for female patients of childbearing potential, and agreement to practice effective birth control during the study
You may not qualify if:
- Combined transplantation
- Renal bigraft
- History of any other transplantation
- Receiving a graft from a non-heart-beating donor.
- Requiring ongoing dosing with a systemic immunosuppressive drug prior to transplantation
- Patient who received within one month prior to study an inductor of CYP50 3A or requiring during the study an inhibitor of CYP50 3A or of P-gp.
- Significant, uncontrolled concomitant infections and/or severe diarrhoea, vomiting, active upper gastro-intestinal tract malabsorption or active peptic ulcer
- Subject or donor known to be HIV positive
- Active viral hepatitis (VHB, VHC) at randomisation
- Known allergy or intolerance to tacrolimus, macrolide antibiotics, corticosteroids, or mycophenolate mofetil or any of the product excipients
- Diagnosis of new-onset malignancy prior to transplantation, with the exception of basocellular or squamous cell carcinoma of the skin which had been treated successfully.
- Current participation in any other clinical study
- Any clinical condition which, in the opinion of the investigator, would not allow safe completion of the study
- Patient not able to comply with the study procedures
- Breast-feeding mother
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Hôpital Bicêtre
Le Kremlin-Bicêtre, France
CHU de Nice
Nice, 06200, France
CHU de Rangueil
Toulouse, France
CHRU Tours Hôpital Bretonneau
Tours, France
Related Publications (1)
Kramer BK, Albano L, Banas B, Charpentier B, Backman L, Tedesco-Silva H Jr, Lehner F, Mondragon-Ramirez GA, Glyda M, Cassuto-Viguier E, Viklicky O, Mourad G, Rigotti P, Schleibner S, Kamar N. Efficacy of Prolonged- and Immediate-release Tacrolimus in Kidney Transplantation: A Pooled Analysis of Two Large, Randomized, Controlled Trials. Transplant Proc. 2017 Nov;49(9):2040-2049. doi: 10.1016/j.transproceed.2017.07.011.
PMID: 29149958RESULT
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elisabeth CASSUTO, PH
Centre Hospitalier Universitaire de Nice
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 15, 2011
First Posted
September 16, 2011
Study Start
October 1, 2011
Primary Completion
May 1, 2013
Study Completion
July 1, 2013
Last Updated
March 31, 2026
Record last verified: 2026-03