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Phase 4 N=181 Randomized Prevention

Everolimus in de Novo Heart Transplant Recipients

Cardiac Transplantation

Enrolled (actual)
181
Serious AEs
36.5%
Results posted
Dec 2014
Primary outcome: Primary: Participants With at Least One Occurrence of Safety Composite Endpoint After 6 Months by Treatment Group — 40; 30 participants — p=0.1043

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Everolimus (Drug); Mycophenolate mofetil + Everolimus (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Novartis Pharmaceuticals
Primary completion
Dec 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Participants With at Least One Occurrence of Safety Composite Endpoint After 6 Months by Treatment Group
40; 30 0.1043
SECONDARY
Partcipants With at Least One Occurrence of Each Safety Composite Endpoint Event After 6 Months by Treatment Group
10; 8; 1; 1; 30; 18
SECONDARY
Hazard Cox's Model Analysis of Pericardial/Pleural Effusions
30; 18 0.0398 sig
SECONDARY
Absolute and Percent Frequencies of Patients With LDL ≥ 100 mg/mL at 1, 3 and 6 Months, by Treatment Group
41; 38; 37; 37; 34; 36
SECONDARY
Participants With CMV Infection and CMV Syndrome/Disease After 6 Months by Treatment Group
46; 63; 3; 6 0.0234 sig
SECONDARY
Participants With at Least One Occurrence of Composite Treatment Failure Events
33; 26 0.1966

Summary

The purpose of this study, in de novo heart transplant patients, is to evaluate whether delayed introduction of everolimus reduces the occurrence of wound healing problems, pericardial and/or pleural effusion and early acute renal insufficiency, as compared with immediate introduction of everolimus, in the firs six months after heart transplantation.

Eligibility Criteria

Inclusion criteria

  • Male or female cardiac transplant candidates 18-65 years of age undergoing primary heart transplantation.
  • Glomerular filtration rate (GFR by MDRD) ≥ 40 mL/min/1.73 m2 at randomization

Exclusion criteria

  • Patients who are recipients of multiple solid organ transplants
  • Patients who are HIV-positive or Hepatitis C positive (PCR only) or B-surface antigen positive;
  • Presence of Donor/Recipients serological mismatch for Hepatitis B or C;
  • Recipients of organ from donors positive for Hepatitis B-surface antigen;
  • Panel Reactive Antibodies (cytotoxicity method) > 30%.
  • Other protocol-defined inclusion/exclusion criteria may apply
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01017029). 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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