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Completed

NCT Number: NCT02161237

Asian Study to Investigate Safety and Efficacy of Optimized Dosing of Advagraf in Kidney Transplantation

Primary purpose of this study is to compare renal function between subjects receiving optimized dose Advagraf® over 52 weeks after kidney transplantation and subjects receiving standard dose Advagraf®. Pilot results of safety and efficacy in optimized dose Advagraf® over 52 weeks after kidney transplantation will also be obtained.

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Key information

Age range

20 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Seoul, South Korea

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • End stage kidney disease and a suitable candidate for primary kidney transplantation or re-transplantation
  • Receiving a kidney transplant from a deceased or living donor with compatible ABO blood type
  • Female subject of childbearing potential must have a negative serum pregnancy test at enrollment and must agree to maintain effective birth control during the study. And, male subject of childbearing potential should agree to maintain effective birth control during the study

Exclusion criteria

  • Receiving or having previously received an organ transplant other than a kidney
  • Cold ischemia time of the donor kidney > 24 hours
  • Receiving a graft from a non-heart-beating donor other than of Maastricht category 3
  • Significant liver disease
  • Receiving a graft from a hepatitis C or B positive donor
  • Requiring on-going dosing with a systemic immunosuppressive drug prior to transplantation (e.g. for Lupus disease, FSGN etc) other than minimal levels of immunosuppressant following failure of a previous transplantation without nephrectomy
  • Significant, uncontrolled concomitant infections and/or severe diarrhea, vomiting, active upper gastro-intestinal tract mal absorption or active peptic ulcer
  • Subject or donor known to be HIV positive
  • Known allergy or intolerance to tacrolimus, macrolide antibiotics, steroids, lactose, basiliximab or MMF or any of the product excipient
  • Subject has malignant tumor
  • Currently participating in another clinical trial, and/or has taken an investigational drug within 12 weeks prior to the study
  • Subject with a high immunological risk

Treatment and study plan

ADVAGRAF®

Drug

oral

Other names: FK506, tacrolimus

Primary outcomes

  1. estimated GFR

    Time frame: at Week-52 after transplantation

Secondary outcomes

  1. creatinine clearance

    Time frame: at Week-52 after transplantation

  2. serum creatinine level

    Time frame: at Week-52 after transplantation

  3. Number of graft survival

    Time frame: at Week-52 after transplantation

  4. Subject survival

    Time frame: at Week-52 after transplantation

  5. number of biopsy-proven acute rejection

    Time frame: at Week-52 after transplantation

  6. Composite of graft loss, subject death and biopsy proven acute rejection

    Time frame: at Week-52 after transplantation

  7. Time to the first acute rejection

    Time frame: up to Week-52 after transplantation

  8. Time to the first steroid-resistant acute rejection

    Time frame: up to Week-52 after transplantation

  9. Severity of biopsy proven acute rejection

    Time frame: up to Week-52 after transplantation

    Severity is evaluated using Banff '07 Criteria

  10. Safety assessed by the incidence of adverse events, vital signs and lab tests

    Time frame: for 52 weeks after transplantation

Sponsors and collaborators

Lead sponsor

Astellas Pharma Inc

Industry

Registry information

Official study title

A Multi-center, Randomized, Open-label, Pilot and Exploratory Study Investigating Safety and Efficacy in OPTIMIZEd Dosing of Advagraf® Kidney Transplantation in Asia.

Acronym: OPTIMIZE

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Jun 11, 2014
Registry last updated
Oct 31, 2024

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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