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Phase 4 N=501 Randomized Treatment

Safety/Efficacy of Induction Agents With Tacrolimus, MMF, and Rapid Steroid Withdrawal in Renal Transplant Recipients

Kidney Transplantation

Enrolled (actual)
501
Serious AEs
51.7%
Results posted
Jul 2011
Primary outcome: Primary: Patient Incidence of Biopsy-confirmed Acute Rejection (BCAR) at 6 Months — 6.2; 9.4; 1.9; 17.5 Percentage of Patients — p=0.4889

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
basiliximab (Drug); rabbit anti-thymocyte globulin (Drug); tacrolimus (Drug); alemtuzumab (Drug); mycophenolate mofetil (Drug); steroids (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Astellas Pharma Inc
Primary completion
Mar 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Patient Incidence of Biopsy-confirmed Acute Rejection (BCAR) at 6 Months
6.2; 9.4; 1.9; 17.5 0.4889
SECONDARY
Overall Patient Incidence of BCAR
15.7; 13.0; 9.8; 21.6 0.6533
SECONDARY
Efficacy Failure
22.9; 29.0; 15.9; 24.6 0.4087
SECONDARY
Clinically Treated Acute Rejection
22.9; 21.7; 12.8; 26.9 0.8742
SECONDARY
Time to First BCAR
226; 49; 469; 13
SECONDARY
Graft Survival at 12 Months
95.6; 92.1; 97.5; 95.1 0.4134
SECONDARY
Overall Graft Survival
88.6; 82.6; 90.9; 91.2 0.3155
SECONDARY
Patient Survival at 12 Months
98.6; 96.9; 98.1; 98.7 0.5265
SECONDARY
Overall Patient Survival
95.7; 89.9; 93.9; 95.3 0.1797
SECONDARY
Renal Function Abnormalities Based on Creatinine Clearance
0.882; 0.833; 0.906; 0.891; 0.976; 0.862 0.4735
SECONDARY
Renal Function Abnormalities Based on Serum Creatinine
151.7; 155.9; 139.0; 138.2; 136.6; 152.0 0.5231

Summary

The purpose of this study is to compare the safety and efficacy of different induction agents (alemtuzumab, basiliximab or rabbit anti-thymocyte globulin) in renal transplant recipients treated with tacrolimus, mycophenolate mofetil (MMF) and a rapid steroid withdrawal.

Eligibility Criteria

Inclusion Criteria

  • Recipient of a primary or re-transplanted deceased donor kidney or a primary or re-transplanted non-human leukocyte antigen (HLA) living donor kidney (ie., HLA identical or 0 antigen mismatch deceased donor kidneys are allowed).

Exclusion Criteria

  • Patient has previously received an organ transplant other than a kidney
  • Patient receiving chronic steroid therapy at time of transplant
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00113269). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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