Standard therapy
Drugcentre specific CNI-based triple drug immunosuppression
NCT Number: NCT01404325
This trial evaluated the efficacy of an everolimus-based quadruple low immunosuppressive regimen versus a standard immunosuppressive regimen concerning kidney function in lung transplant recipients.
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Notify Me18 year and older
All sexes
Interventional
Phase 3
Novartis Investigative Site, Berlin, Germany
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
centre specific CNI-based triple drug immunosuppression
quadruple immunosuppressive regimen consisting of everolimus, CNI, MPA and steroids
Other names: RAD001
Time frame: Month 12
Calculated Glomerular Filtration Rate (cGFR) according to Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) at 12 months The CKD-EPI equation, expressed as a single equation, is GFR = 141 × min(Scr/κ, 1)α × max(Scr/κ, 1)^-1.209 × 0.993Age × 1.018 (if female) × 1.159 (if black), where Scr is serum creatinine, κ is 0.7 for females and 0.9 for males, α is -0.329 for females and -0.411 for males, min indicates the minimum of Scr/ĸ or 1, and max indicates the maximum of Scr/κ or 1
Time frame: Month 1, 3, 6, 9, 12
Calculated Glomerular Filtration Rate (cGFR) according to Chronic Kidney Disease Epidemiology Collaboration (CKD EPI) at Month 1, 3, 6, 9 and 12. The CKD-EPI equation, expressed as a single equation, is GFR = 141 × min(Scr/κ, 1)α × max(Scr/κ, 1)^-1.209 × 0.993Age × 1.018 (if female) × 1.159 (if black), where Scr is serum creatinine, κ is 0.7 for females and 0.9 for males, α is -0.329 for females and -0.411 for males, min indicates the minimum of Scr/ĸ or 1, and max indicates the maximum of Scr/κ or 1
Time frame: Month 1, 3, 6, 9, 12
Calculated Glomerular Filtration Rate (cGFR) according to Cystatin C-based Hoek's formula at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Calculated Glomerular Filtration Rate (cGFR) Using Modification of Diet in Renal Disease (MDRD) Formula at Month 1, 3, 6, 9, 12 cGFR (in mL/min/1.73 m2) = 186.3*(C-1.154)*(A-0.203)*G*R where C = the serum concentration of creatinine (mg/dL), A = age (years), G = 0.742 when gender is female, otherwise G = 1, R = 1.21 when race is black, otherwise R = 1.
Time frame: Month 1, 3, 6, 9, 12
Calculated Glomerular Filtration Rate (cGFR) according to Cockcroft-Gault at Month 1, 3, 6, 9, 12 For men: GFR=(140-Age) x Body weight (kg) / 72 x Serum Creatinine (mg/dl) For women: GFR=0.85 (140 -Age) x Body weight(kg)/ 72 x Serum Creatinine (mg/dl)
Time frame: Baseline, Month 6, Month 12
Incidence of patients experiencing a decline in GFR of < 10, 10-15, 15-20, 20-25 and > 25 mL/min from Baseline to Month 6 and 12calculated by the CKD-EPI method. Participants are counted in each decline level observed for that participant; this means participants may be counted in more than 1 decline level.
Time frame: Month 6, Month 12
Incidence of renal replacement therapy at Month 6 and Month 12: There were no incidences in either group where renal replacement therapy was required
Time frame: Month 6, Month 12
Time to renal replacement therapy at Month 6 and Month 12: There were no incidences in either group where renal replacement therapy was required
Time frame: Month 6, Month 12
Incidence of acute rejection episodes at Month 6 and Month 12. This table counts multiple occurrences of rejection in the same patient as different incidents. Every incident is associated with both an A and a B classification.
Classification A: Acute Rejection Grade 0 - none, Grade 1-minimal, Grade 2- mild, Grade 3-moderate, Grade 4-Severe; Classification B: Airway Inflammation-Grade 0-none, Grade 1R-low grade, Grade 2R-high grade, Grade X-ungradeable
Time frame: Month 6, Month 12
Incidence of graft loss/re-transplantation at Month 6 and Month 12
Time frame: Month 6, Month 12
Incidence of Bronchiolitis obliterans syndrome (BOS) at Month 6 and Month 12 BOS 0 is FEV1 > 90% of baseline and FEF25-75% > 75% of baseline; BOS 0-p is FEV1 81-90% of baseline and/or FEF25-75% ≤ 75% of baseline; BOS 1 is FEV1 66-80% of baseline; BOS 2 is FEV1 51-65% of baseline; BOS 3 is FEV1 ≤ 50% of baseline
Time frame: Month 6, Month 12
Incidence of death at Month 6 and Month 12
Time frame: Month 6, Month 12
Quality of Life (QoL, SF36) at Month 6 and Month 12 Scores can range from a minimum of 0 (maximum disability) to a maximum of 100 (no disability).
Time frame: Month 6, Month 12
Exercise capacity (6MWT) at Month 6 and Month 12 Measured by the Borg Scale. THE BORG SCALE 0 is Nothing at all, 0.5 is Very, very slight (just noticeable); 1 is Very slight, 2 is Slight (light); 3 is Moderate; 4 is Somewhat severe; 5 is Severe (heavy), 7 is Very severe, 10 is Very, very severe (maximal)The higher the Borg score implies increased shortness of breath and/or increased fatigue.
Time frame: up to Month 12
Incidence of treated of arterial hypertension up to Month 12
Time frame: up to Month 12
Incidence of Diabetes Mellitus up to Month 12
Time frame: Month 1, 3, 6, 9, 12
Trough levels of everolimus at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Adherence to target ranges of everolimus at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Trough levels of Cyclosporine A (CsA) at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Adherence to target ranges of Cyclosporine A (CsA) at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Trough levels of Tacrolimus at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Adherence to target ranges of Tacrolimus at Month 1, 3, 6, 9, 12
Time frame: Month 12
Incidence of bacterial, viral, and fungal infections at Month 12
Time frame: Month 1, 3, 6, 9, 12
Triglyceride levels at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
Total Cholesterol levels at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
LDL Cholesterol levels at Month 1, 3, 6, 9, 12
Time frame: Month 1, 3, 6, 9, 12
HDL Cholesterol levels at Month 1, 3, 6, 9, 12
Novartis Pharmaceuticals
Industry
A 2-arm, Prospective, Randomized, Controlled, Open-label, 12 Month Phase III Trial to Evaluate the Efficacy Regarding Renal Function of Everolimus in Combination With a Centre Specific Standard Immunosuppressive Regimen Consisting of CNI, Purinantagonists and Steroids Versus a Standard Triple Immunosuppressive Regimen in Lung Transplant Recipients.
Acronym: 4EVERLUNG
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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