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Phase 2 N=130 Randomized Treatment

Steroid-Free Versus Steroid-Based Immunosuppression in Pediatric Renal (Kidney) Transplantation

Kidney Diseases · Kidney Transplantation · Kidney Transplant · Renal Transplantation · Renal Transplant

Enrolled (actual)
130
Serious AEs
86.2%
Results posted
Jul 2013
Primary outcome: Primary: The Difference in Linear Growth by Treatment Assignment at 1 Year Post Kidney Transplantation — 0.37; 0.35 Standard Deviation Score (SDS) — p=0.79

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Daclizumab (Drug); Mycophenolate mofetil (MMF) (Drug); Prednisone (Drug); Tacrolimus (Drug); Ganciclovir (Drug); Valganciclovir (Drug); Trimethoprim and sulfamethoxazole (Drug)
Age
Pediatric, Adult
Sex
All
Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Primary completion
Sep 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
The Difference in Linear Growth by Treatment Assignment at 1 Year Post Kidney Transplantation
0.37; 0.35 0.79
PRIMARY
Comparison by Treatment Assignment in the Number of Biopsy-Proven Acute Rejections Within 12 Months Post Kidney Transplantation
18; 19 0.85

Summary

Over the last 40 years, corticosteroids (steroids) have been an important part of drug regimens used to prevent organ rejection and to maintain the immune health of individuals who have received organ transplants. Unfortunately, the negative physical effects of steroids can be severe, especially in children. The purpose of this study is to determine the safety and effectiveness of a steroid-free treatment regimen for children and adolescents who have received kidney (renal) transplants.

Eligibility Criteria

Inclusion Criteria

  • Primary recipient of a kidney transplant
  • Meets site-specific transplant criteria
  • Panel Reactive Antibody (PRA) of 20% or less
  • Willing to use acceptable forms of contraception
  • Parent or guardian willing to provide informed consent, if applicable

Exclusion Criteria

  • Previous treatment with steroids within 6 months prior to transplantation
  • Received en-bloc kidney or other kidney that does not meet protocol-specified requirements
  • Received an organ from an human leukocyte antigen (HLA) identical donor or a non-heart-beating donor
  • Received a solid organ other than a kidney
  • Received a bone marrow or hematopoietic stem cell transplant
  • Received a repeat kidney transplant
  • Currently receiving an investigational pharmacologic or biologic agent
  • Human Immunodeficiency virus (HIV) infected or infected with another immunodeficiency virus
  • Hypersensitivity to murine products or the study drugs or their formulations
  • Inability to measure height accurately
  • Pregnant or breastfeeding
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00141037). 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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