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A Study to Assess the Safety and Efficacy of a Tacrolimus Based Immunosuppressive Regimen in Stable Kidney Transplant Recipients Converted From Cyclosporine Based Immunosuppressive Regimen

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Astellas

Status and phase

Terminated
Phase 4

Conditions

Kidney Transplantation

Treatments

Drug: Tacrolimus

Study type

Interventional

Funder types

Industry

Identifiers

NCT02963103
PRG-KT-10-01

Details and patient eligibility

About

The objective of this study is to observe and evaluate the change in renal function following conversion from cyclosporine-based immunosuppressive regimen to tacrolimus-based one.

Enrollment

13 patients

Sex

All

Ages

20+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients received a kidney transplant at least 12 months before enrollment.
  • Patients whose dosage of previous immunosuppressants has not been changed and remained for at least 4 weeks before enrollment, and blood trough level of cyclosporine is 100 to 200 ng/mL.
  • Patients who have the side effects (hypertension, hyperlipidemia, gingival hyperplasia and hypertrichosis/hirsutism) during use of cyclosporine.
  • Serum creatinine < 2.3 mg/dl at enrollment
  • Female patients of childbearing potential must have a negative serum pregnancy test prior to enrollment, and agreed to use effective contraception during the trial.
  • Patients considered clinically stable

Exclusion criteria

  • Patients who have previously received an organ transplant other than a kidney.
  • Patients who have had acute transplant rejection within 12 weeks, or acute transplant rejection requiring antilymphocyte therapy within 24 weeks prior to enrollment.
  • Patients newly diagnosed malignant tumors after organ transplant, but the patients treated completely with basal or squamous cell carcinoma of the skin are excepted.
  • Patients who have an underlying disease such as focal segmental glomerulosclerosis (FSGS) or type II membranoproliferative glomerulonephritis (Type II MPGN).
  • Proteinuria > 2 g/24 hrs.
  • Patients who have "Creeping creatinine" (a 20% increase in their creatinine for six months before their enrollment).
  • Patients whose Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) is twice higher than the normal range in the center.
  • Patients who have liver cirrhosis.
  • Patients who are pregnant or breastfeeding.
  • Patients who had been HIV-positive.
  • Patients who have a known allergy to Prograf® or its ingredients, steroids or adjuvants.
  • Patients who have an unstable medical condition that may affect the evaluation of the study's objectives.
  • Patients who are receiving prohibited concomitant medications or who received those medications within 28 days of their enrollment.
  • Patients who are currently participating in another clinical trial or who received the investigational drug in another trial within 28 days of their enrollment.
  • Patients who are at the risk of drug abuse or mental disorders or communicate difficulties.

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

13 participants in 1 patient group

Tacrolimus group
Experimental group
Description:
oral
Treatment:
Drug: Tacrolimus

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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