Study to Evaluate the Efficacy and Safety of Tacrolimus in Kidney Transplant Recipients (BLOSSOM)
Multi Center Randomized Open-label Phase IV Study to Compare the Efficacy and Safety After Conversion to TacroBell SR Capsule or TacroBell Capsule in Renal Transplant Patients Undergoing Maintenance Therapy With Reference Tacrolimus
1 other identifier
interventional
184
1 country
1
Brief Summary
The purpose of this study is to evaluate the efficacy and Safety after conversion to TacroBell SR cap. or TacroBell cap. in patients who in renal transplant patients undergoing maintenance therapy with Reference Tacrolimus.
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 Dec 2018
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
December 17, 2018
CompletedFirst Submitted
Initial submission to the registry
January 8, 2020
CompletedFirst Posted
Study publicly available on registry
January 13, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2020
CompletedJanuary 13, 2020
January 1, 2020
1.6 years
January 8, 2020
January 9, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of composite efficacy failure (biopsy-confirmed acute rejection; TCMR, graft loss, death, or follow-up failure)
until 24 weeks
Secondary Outcomes (6)
Incidence of biopsy-confirmed acute rejection(TCMR, AMR)
until 24 weeks
Pathologic Results, Occurrence, Treatment Methods, and Results of Acute Rejection Confirmed by Biopsy
until 24 weeks
Survival rate of transplanted organ
until 24 weeks
Survival rate of Patients
until 24 weeks
Serum-Cr value
until 24 weeks
- +1 more secondary outcomes
Study Arms (2)
Once-Daily Tacrolimus
EXPERIMENTALExperimental arm: TacroBell SR Cap.
Twice a Day Tacrolimus
ACTIVE COMPARATORActive Comparator arm: TacroBell Cap.
Interventions
* Orally, once-daily in the morning * After first dose 0.2mg/kg, check the blood concentration of tacrolimus at each visit and adjust the dose to achieve the blood concentration maintaining at 3\~12ng/ml for 0 to 3months and then at 3\~8ng/ml for 3 to 6months of study treatment.
* Orally, twice a day in the morning and night * After first dose 0.1mg/kg, check the blood concentration of tacrolimus at each visit and adjust the dose to achieve the blood concentration maintaining at 7\~12ng/ml for 0 to 3months and then at 5\~8ng/ml for 3 to 6months of study treatment.
Eligibility Criteria
You may qualify if:
- Over 20 years old(male or female)
- Patients with eGFR (By CKD-EPI) ≥30mL/min/1.73m\^2 and spot urine P/C ratio≤0.5 at screening test
- Patients who are taking Tacrolimus twice a day for maintenance therapy and have Trough level of 3\~10ng/ml
- Agreement with written informed consent
You may not qualify if:
- Patients who have transplanted organs other than kidney
- Patients with acute rejection who have been clinically treated within the last month
- Patients who have changed their administration of adjuvant immunosuppressants and corticosteroids within the last month (dose change, discontinuation, etc.)
- Patients who have been diagnosed with cancer within the last 5 years (except skin cancer or thyroid cancer determined by the investigator that treatment has been completed)
- Patients deemed inappropriate for screening due to severe digestive disorders at screening
- Patients with severe systemic infections requiring treatment (transplantation may be possible after the infection is completely lost or controlled)
- Patients with genetic problems of galactose-intolerance, Lapp lactose deficiency or glucose-galactose malabsorption
- If the following cases occur during screening
- Treatment of active liver disease or increased one or more of the liver function tests (T-bilirubin, AST, ALT) levels more than three times the upper limit of normal range
- Patients with WBC \<2,500/mm\^3, PLT \<75,000/mm\^3, ANC \<1,300/μL
- Patients who have experienced hypersensitivity reactions or serious abnormalities with medicines used in this clinical trial or with similar chemical structures (Tacrolimus, etc.)
- Pregnant or lactating women
- Patients of childbearing potential who do not agree to the proper use of contraception during the trial
- Patients who received other investigational drugs within 4 weeks prior to consent of the document
- Patients unable to participate in the clinical trial due to the judgment of other investigators
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Catholic University of Korea, Seoul, St.Mary's Hospital.
Seoul, South Korea
Central Study Contacts
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
January 8, 2020
First Posted
January 13, 2020
Study Start
December 17, 2018
Primary Completion
July 30, 2020
Study Completion
November 30, 2020
Last Updated
January 13, 2020
Record last verified: 2020-01