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Phase 4 Completed N=300 Randomized Treatment

Efficacy and Safety of Everolimus With Enteric-Coated Mycophenolate Sodium (EC-MPS) in a Cyclosporine Microemulsion-free Regimen Compared to Standard Therapy in de Novo Renal Transplant Patients

Renal Transplantation
Source: ClinicalTrials.gov NCT00154310 ↗
Enrolled (actual)
300
Serious AEs
65.3%
Results posted
May 2011
Primary outcomePrimary: Renal Function (Nankivell Formula) at Month 12 Post Transplantation. — 71.84; 61.24 mL/min /1.73m^2

Summary

The purpose of this study is to assess whether a calcineurin inhibitor (CNI)-free regimen with enteric-coated mycophenolate sodium (EC-MPS) and everolimus is as safe and well-tolerated as the standard regimen containing enteric-coated mycophenolate sodium (EC-MPS) and cyclosporine microemulsion, but results in better renal function.

Outcome Measures

OutcomeResultp-value
PRIMARY
Renal Function (Nankivell Formula) at Month 12 Post Transplantation.
71.84; 61.24
SECONDARY
Number of Participants With Occurrence of Biopsy Proven Acute Rejection (BPAR), Graft Loss or Death
15; 5; 139; 141; 0; 0
SECONDARY
Number of Participants With Occurrence of Treatment Failures
29; 23; 125; 123
SECONDARY
Changes in Cardiovascular Risk From Month 4.5 to Final Assessment at Month 12
0.5; 0.1; 0.0; 0.8; 0.4; 0.4
SECONDARY
Number of Participants Who Experienced an Adverse Event or Serious Adverse Event
155; 145; 95; 86

Eligibility Criteria

Inclusion Criteria

The following inclusion criteria had to be present at BL 1 (Screening visit prior to transplantation):

  • Males or females, aged 18 - 65 years
  • Recipients of de novo cadaveric, living unrelated or living related kidney transplants
  • Females capable of becoming pregnant must have a negative serum pregnancy test within 7 days prior to or at BL 1, and are required to practice an approved method of birth control for the duration of the study and for a period of 6 weeks following discontinuation of study medication, even where there has been a history of infertility
  • Patients who are willing and able to participate in the study and from whom written informed consent has been obtained

Of all patients included into the study at BL 1 (prior to transplantation), those who continued into the randomized study period had to meet the following condition at BL 2, prior to randomization:

  • Patients had to be on an immunosuppressive regimen with EC-MPS (target dose; 1440 mg/day, if tolerated; minimal dose: 720 mg/day), cyclosporine and corticosteroids
  • Patients with an actual serum creatinine = 25%
  • Patients with already existing antibodies against the HLA-type of the receiving transplant
  • Females of childbearing potential who are planning to become pregnant, who are pregnant and/or lactating, who are unwilling to use effective means of contraception

Of all patients included into the study at BL 1 (prior to transplantation), those who met one or more of the following criteria at BL 2, prior to randomization, should not continue into the randomized study period:

  • Graft loss or death
  • Changes to the immunosuppressive regimen prior to randomization due to immunologic reasons
  • Patients who suffered from severe rejection (>= BANFF II acute rejection), recurrent acute rejection, or steroid resistant acute rejection
  • Proteinuria > 1g/day

Other protocol-defined exclusion criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00154310). 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. Informational only — not medical advice.

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