Comparing Everolimus and Sirolimus in Renal Transplant Recipients
A Prospective, Randomized, Single Center Pilot Study Comparing Patient and Graft Survival, Adverse Events and Tolerability of Zortress® (Everolimus) Versus Rapamune® (Sirolimus) in Combination With Low Dose Neoral® (Cyclosporine) Dosed by C2 Monitoring, in Deceased and Living Donor Renal Transplant Recipients Under a Thymoglobulin® (Antithymocyte Globulin) and Rapid Steroid Induction Protocol.
1 other identifier
interventional
60
1 country
1
Brief Summary
This study is being done to compare the effectiveness and safety of two different kidney transplant immunosuppression drugs, Zortress (the study drug) and Rapamune (which is used in the current standard immunosuppression regimen).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2013
Longer than P75 for not_applicable
1 active site
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
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 20, 2013
CompletedFirst Posted
Study publicly available on registry
November 5, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 11, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 31, 2019
CompletedResults Posted
Study results publicly available
November 30, 2021
CompletedOctober 21, 2022
November 1, 2021
4.8 years
October 20, 2013
September 30, 2021
October 19, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Participants With Composite Endpoint of Graft Survival (Non-death Censored) and Biopsy Proven Acute Rejection at 1 Year
The primary objective of this pilot study will be to determine equivalency of Zortress® as compared to Rapamune® when used in our de novo immunosuppression regimen following renal transplantation. The primary endpoint will be a composite endpoint of graft survival (non-death censored) and biopsy proven acute rejection at 1 year. The primary outcome of immunosuppressive protection would be studied in our Thymoglobulin and rapid steroid discontinuation protocol, with "half-dose" Neoral as described above.
1 Year
Study Arms (2)
Zortress (Everolimus)
ACTIVE COMPARATORZortress will be started on day of transplant and initially dosed at 0.75 mg twice a day (12 hours apart) dosed simultaneously with Neoral.
Rapamune (Sirolimus)
ACTIVE COMPARATORRapamune will be dosed on day of transplant at 5 mg/d, decreasing to 3 mg/d.
Interventions
0.75mg twice a day, Orally, starting on day of transplant
5mg, Orally, starting on day of transplant; decreasing to 3mg
Eligibility Criteria
You may qualify if:
- Patients must give written informed consent before any assessment is performed.
- Primary renal transplant recipients between ages 18 and 75 years of age.
- Females capable of becoming pregnant must have a negative pregnancy test prior to transplantation and practice an effective form of birth control for the duration of the study and 12 weeks after discontinuation of the study drug if applicable.
You may not qualify if:
- Total cholesterol \> 300 mg/dl or triglycerides \> 400 mg/dl despite lipid lowering therapy
- Pre-existing bone marrow suppression (White Blood Cell count of \< 3000, platelets \< 100,000)
- Active infection (Hepatitis B Virus, HIV)
- Malignancy (except for adequately treated squamous or basal cell skin carcinoma) unless patient has written clearance from an Oncologist or if patient has had no malignancy for at least 2 years prior to the transplant
- Allergy or intolerance to Zortress, Rapamune, cyclosporine, or Anti-thymocyte globulin
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ohio State Universitylead
- Novartiscollaborator
Study Sites (1)
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director of Research Operations
- Organization
- Division of Transplant Surgery OSUMC
Study Officials
- PRINCIPAL INVESTIGATOR
Amer Rajab, MD
OSU Wexner Medical Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 20, 2013
First Posted
November 5, 2013
Study Start
October 1, 2013
Primary Completion
July 11, 2018
Study Completion
August 31, 2019
Last Updated
October 21, 2022
Results First Posted
November 30, 2021
Record last verified: 2021-11