Steroid Withdrawal Immunosuppression After Renal Transplantation
Prospective Controlled Protocol for 3 Months Steroid Withdrawal With Tacrolimus, Basiliximab, and Mycophenolate Mofetil in Renal Transplant Recipients
1 other identifier
interventional
30
1 country
1
Brief Summary
The investigators analyze the clinical outcome of steroid withdrawal protocol starting at 3 months after kidney transplantation using tacrolimus, Mycophenolate Mofetil (MMF), and basiliximab. This study is an open-label, prospective, controlled clinical trial in a single center. Those patients who fulfill the entry criteria could enter in this prospective controlled trial of steroid withdrawal three months after transplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started May 2008
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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedFirst Submitted
Initial submission to the registry
February 15, 2012
CompletedFirst Posted
Study publicly available on registry
March 12, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2012
CompletedMarch 12, 2012
March 1, 2012
1.4 years
February 15, 2012
March 7, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
the incidence of biopsy-confirmed acute rejection.
The primary efficacy variable was the incidence of biopsy-confirmed acute rejection.
12 months
Secondary Outcomes (2)
death, graft loss
12 months
adverse events and serious adverse events
6 months , 12 months
Study Arms (1)
steroid withdrawal
NO INTERVENTIONThe clinical outcome after kidney transplantation, under the immunosuppression of steroid withdrawal starting at 3 months post-transplantation using tacrolimus, mycophenolate mofetil, and basilixumab should be analyzed.
Interventions
Those patients who fulfill the entry criteria enter in this prospective controlled trial of steroid withdrawal starting at three months after transplantation
Eligibility Criteria
You may qualify if:
- Patients aged more than 13 years who received a primary kidney transplant
- Subject who is using CNI ± purine synthesis inhibitor + steroid without change within the past 3 months (except the dosage)
- serum creatinine \< 2 mg/dL and the variation of serum creatinine \< 30% during the past 3 months
- Proteinuria ≤ 1g quantified by 24 hour urine or spot urine protein/creatinine ratio \< 1.0
- Subjects who agree with written informed consent
You may not qualify if:
- Subjects who received combined non-renal transplantation.
- Subject who received re-transplantation
- Deceased donor without a heartbeat
- Patients with hypersensitivity to Mycophenolate sodium, Mycophenolate acid or Mycophenolate Mofetil or to any of the excipients.
- Patient with HGPRT(Hypoxanthin e-guanine phosphoribosyl-transferase) such as Lesch-Nyhan syndrome and kelley-Seegmiller syndrome.
- HLA-identical living related donor
- ABO blood group incompatible
- HIV, HBsAg, or HCV Ab tests (+)
- Abnormal liver function test (AST or ALT or total bilirubin\> upper normal limit x3) ANC \< 1,500/μL or WBC \< 2,500/μL or platelet \< 750,000/μL
- Women who are either pregnant, lactating, planning to become pregnant in the next 12 months.
- Subjects with history of cancer, except successfully treated, localized nonmelanocytic skin cancer Subjects with clinically significant infections within the past 3 months.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ajou University Hospital
Suwon, 443-749, South Korea
Related Publications (1)
Oh CK, Kim SJ, Kim JH, Lee JH. Prospective controlled protocol for three months steroid withdrawal with tacrolimus, basiliximab, and mycophenolate mofetil in renal transplant recipients. J Korean Med Sci. 2012 Apr;27(4):337-42. doi: 10.3346/jkms.2012.27.4.337. Epub 2012 Mar 21.
PMID: 22468094DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chang kwon oh, M.D.,Ph. D.
Department of surgery, Ajou University School of Medicine
Central Study Contacts
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
- Professor, Department of Surgery
Study Record Dates
First Submitted
February 15, 2012
First Posted
March 12, 2012
Study Start
May 1, 2008
Primary Completion
October 1, 2009
Study Completion
July 1, 2012
Last Updated
March 12, 2012
Record last verified: 2012-03