Safety & Efficacy Of Eculizumab In The Prevention Of AMR In Sensitized Recipients Of A Kidney Transplant From A Deceased Donor
An Open-Label, Single-Arm, Multicenter Trial to Determine Safety and Efficacy of Eculizumab in the Prevention of Antibody Mediated Rejection (AMR) in Sensitized Recipients of a Kidney Transplant From a Deceased Donor.
2 other identifiers
interventional
80
6 countries
15
Brief Summary
Primary Objective: To evaluate the safety and potential efficacy of eculizumab to prevent AMR in sensitized recipients of deceased donor kidney transplants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Aug 2012
Longer than P75 for phase_2
15 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
March 27, 2012
CompletedFirst Posted
Study publicly available on registry
March 30, 2012
CompletedStudy Start
First participant enrolled
August 29, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 11, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
May 24, 2017
CompletedResults Posted
Study results publicly available
May 3, 2019
CompletedMay 3, 2019
January 1, 2019
2.8 years
March 27, 2012
May 25, 2018
January 30, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Post-transplantation Treatment Failure In The First 9 Weeks Post Transplantation
Results are reported for post-transplantation treatment failure and composite endpoints, defined as the occurrence of biopsy-proven acute antibody-mediated rejection (AMR), graft loss, death, or loss to follow-up (including discontinuation) in the first 9 weeks post transplantation. The diagnosis of acute AMR (occurring within the first 9 weeks post transplantation) was based on kidney allograft dysfunction and a biopsy performed due to suspected rejection, proteinuria, increased serum creatinine, or acute tubular necrosis. Treatment failure was the occurrence of at least 1 of the composite endpoint components by Week 9 post transplantation. A participant experiencing multiple events was only counted once for the composite endpoint.
Baseline, Week 9
Other Outcomes (2)
Cumulative Incidence Function (CIF) Of Other Adverse Events (AEs) Of Interest At Month 12
Baseline, Month 12
Participants That Developed Severe ACR (Other AE Of Interest) At Month 12
Baseline, Month 12
Study Arms (1)
Eculizumab
EXPERIMENTALEculizumab 1200 milligrams (mg) was administered intravenously (IV) over 25 to 45 minutes 1 hour prior to kidney allograft reperfusion. Eculizumab 900 mg was administered IV over 25 to 45 minutes on post-transplantation Days 1 and 7, and on post-transplantation Days 14, 21, and 28, plus or minus 2 days. Eculizumab 1200 mg was administered IV over 25 to 45 minutes on post-transplantation Days 35, 49, and 63, plus or minus 2 days.
Interventions
Eligibility Criteria
You may qualify if:
- Male or female participants ≥18 years old.
- Participants with Stage V chronic kidney disease who received a kidney transplant from a deceased donor to whom they were sensitized.
- History of prior exposure to HLA (human leukocyte antigen):
- Prior solid organ or tissue allograft
- Pregnancy
- Blood transfusion
- Prior exposure to specific donor's HLA
You may not qualify if:
- Has received treatment with eculizumab at any time prior to enrolling in this study.
- Blood type (A, B, and O blood glycoproteins-blood type) incompatible with deceased donor.
- History of severe cardiac disease.
- Prior splenectomy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (15)
Unknown Facility
Adelaide, 5000, Australia
Unknown Facility
Camperdown, 2050, Australia
Unknown Facility
Parkville, 3050, Australia
Unknown Facility
Bordeaux, 33076, France
Unknown Facility
Paris, 75010, France
Unknown Facility
Paris, 75743, France
Unknown Facility
Toulouse, 31059, France
Unknown Facility
Tours, 37044, France
Unknown Facility
Brescia, 25123, Italy
Unknown Facility
Padua, 35128, Italy
Unknown Facility
Barcelona, 08907, Spain
Unknown Facility
Gothenburg, 413 45, Sweden
Unknown Facility
Uppsala, 751 85, Sweden
Unknown Facility
Cambridge, CB2 2QQ, United Kingdom
Unknown Facility
London, SE1 9RT, United Kingdom
MeSH Terms
Interventions
Results Point of Contact
- Title
- Alexion Pharmaceuticals, Inc. (Sponsor)
- Organization
- Alexion Pharmaceuticals, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 27, 2012
First Posted
March 30, 2012
Study Start
August 29, 2012
Primary Completion
June 11, 2015
Study Completion
May 24, 2017
Last Updated
May 3, 2019
Results First Posted
May 3, 2019
Record last verified: 2019-01