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Completed

NCT Number: NCT03099122

A Study of Thymoglobuline® Induction Therapy in Adult Recipients of Donated After Cardiac Death Kidney Transplant

Primary Objective:

To investigate the efficacy of the standard dose of Thymoglobuline® induction therapy for preventing acute rejection (AR) after transplantation among recipients of Donated after Cardiac Death (DCD) kidney transplant.

Secondary Objectives:

* To evaluate delayed graft function (DGF), graft and patient survival after kidney transplant. * To evaluate adverse events of Thymoglobuline® throughout the study. * To explore possible risk factors of AR and DGF in patients with DCD kidney transplant. * To evaluate AR and DGF under different risk stratifications and explore an description optimal induction therapy regimen for recipients of DCD kidney transplant.

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Key information

About this study

The total study duration per patient is 6.5 months.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female.
  • Patient is a Chinese recipient of kidney transplant for the first time.
  • Patient is a recipient of kidney allograft from Chinese donors donated after cardiac death (including kidney donated after brain death followed by circulatory death).
  • Recipient's age is between 18 to 65 years old (including 18 years).
  • Donor's age is more than 5 years old.
  • Recipient's weight is greater than or equal to 50 kg but less than or equal to 80 kg.
  • Patient fully understands the study and signs the informed consent form (ICF) prior to any study procedure.

Exclusion criteria

  • Patient is a multiple organ transplant recipient.
  • Recipient with previous kidney or other organ transplant history.
  • Recipient and donor have incompatible blood types.
  • Recipient and donor have 5 or 6 mismatched human leucocyte antigen (HLA).
  • Recipient is known to have an active infection or active chronic infection, or is seropositive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV Ab), or human immunodeficiency virus (HIV). (Serological test results within 12 months before transplantation are acceptable.)
  • Recipient with cytomegalovirus (CMV) immunoglobulin G (IgG) negative who receives an allograft from CMV IgG positive donor (CMV IgG [D+/R-]).
  • Any systemic infection requiring continuous treatment at enrolment, but prophylactic treatment of CMV and/or Pneumocystis carinii pneumonia (PCP) is allowed.
  • Recipient has severe thrombocytopenia or leucopenia before operation (platelet count <75,000/ul, or the number of white blood cells <3,000 cells/mm3).
  • Serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST) or gamma glutamine transferase (GGT) ≥3ULN (upper limit of normal) within 1 week before transplantation, and not normalized at time of transplantation.
  • Recipient has a history of malignancy within 5 years.
  • Recipient with history of allergy and anaphylaxes to rabbit proteins or to any excipients.
  • Recipient has known contraindications to the administration of Thymoglobuline®.
  • Recipient has taken other investigational drugs or prohibited therapy for this study within 1 month or 5 of half-lives from screening, whichever is longer.
  • Recipient has previously used Thymoglobuline®, or has participated in any clinical trial of any other medicine or device within 30 days before signing ICF.
  • Pregnant or lactating women.
  • Male and female patients do not agree to practice medically acceptable contraception (i.e., barrier or pharmacologic: male patient must use condoms or his female partner must take oral contraceptives; the male partner of a female patient must use condoms ) for at least 6 months following the study treatment.
  • Conditions/situations such as:
  • Recipient not suitable for participation, whatever the reason, as judged by the Investigator, including medical, clinical, or psychosocial conditions, or patient potentially at risk of noncompliance to study procedures.
  • Donor known or suspected to have active infection before donation (such as blood cultures positive, seropositive for hepatitis B surface antigen [HBsAg], or antibody against hepatitis C virus [HCVAb], or human immunodeficiency virus [HIV]) or hypersensitive recipients (eg, panel reactive antibody [PRA] positive) before transplantation, judged by the Investigator.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

Rabbit Anti-thymocyte Immunoglobulin

Biological

Pharmaceutical form: creamy-white powder

Route of administration: intravenous

Other names: Thymoglobuline

Tacrolimus

Drug

Pharmaceutical form: tablet

Route of administration: oral

methylprednisolone

Drug

Pharmaceutical form: powder

Route of administration: intravenous

Mycophenolate mofetil

Drug

Pharmaceutical form: capsule

Route of administration: oral

Mycophenolate Na

Drug

Pharmaceutical form: capsule

Route of administration: oral

Prednisone

Drug

Pharmaceutical form: tablet

Route of administration: oral

Primary outcomes

  1. Percentage of patients with biopsy-proven acute rejection events

    Time frame: 6 months

Secondary outcomes

  1. Percentage of delayed graft function events

    Time frame: 6 months

  2. Duration of delayed graft function events

    Time frame: 6 months

  3. Percentage of survived grafts

    Time frame: 6 months

  4. Percentage of survived patients

    Time frame: 6 months

  5. Assessment of acute rejection risk factors

    Time frame: 6 months

  6. Assessment of delayed graft function risk factors

    Time frame: 6 months

  7. Percentage of acute rejection events in different risk stratifications

    Time frame: 6 months

  8. Percentage of delayed graft function events in different risk stratifications

    Time frame: 6 months

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

A Prospective, Multi-center, Single-arm, Interventional Study of Thymoglobuline® Induction Therapy in Adult Recipients of Donated After Cardiac Death Kidney Transplant in China

Acronym: START-DCD

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Apr 4, 2017
Registry last updated
Apr 25, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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