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Completed

NCT Number: NCT01666951

Multicenter, Prospective, Rand, PK Study of LCP-Tacro™ Compared to Prograf® Capsules in De Novo Adult Kidney Transplant

The purpose of this study is to evaluate the pharmacokinetics of LCP-Tacro tablets administered once-daily compared to Prograf capsules administered twice-daily after kidney transplantation.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Clinical Investigative Site 000015, San Diego, California, United States

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About this study

This is a 2-arm , parallel group, prospective, double-blind, double-dummy, multicenter,clinical trial to evaluate the pharmacokinetics of LCP-Tacro tablets once daily in comparison to Prograf capsules twice-daily after kidney transplantation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Give written consent
  • Male and female subjects between the ages of 18 and 70 years, inclusive
  • Must be receiving primary or secondary renal allograft from a deceased donor or non- HLA identical living donor
  • WOCBP must have a negative pregnancy test
  • Must have negative cross-match test and be ABO-compatible
  • Must be able to swallow tablets and capsules

Exclusion criteria

  • Recipients of any previous nonrenal or concurrent transplant
  • Have panel reactive antibody >50%
  • Any condition that may affect study drug absorption BMI <18 kg/m2 or > 45 kg/m2
  • History of alcohol abuse with less than 6 months of sobriety
  • History of recreational drug abuse with less than 6 months of documented abstinence
  • Screening 12-lead ECG demonstrating CS abnormalities (including QTc prolongation)
  • WOCBP and are either pregnant, lactating, planning to become pregnant or with a positive serum or urine pregnancy test
  • Subjects (male or female) with reproductive potential who are unwilling/unable to use a double-barrier method
  • Oral temperature (prior to study drug dosing) of 38.0ºC or higher
  • CS active infections (eg, those requiring hospitalization, or as judged by the Investigator)
  • Known hereditary immunodeficiency
  • Malignancies or with a history of malignancies (within the last 5 years) with the exception of local, noninvasive, fully excised cutaneous basal cell carcinoma, cutaneous squamous cell carcinoma, or cervical carcinoma in situ
  • Expect to receive within 2 months after randomization, or have received within 3 months prior to screening, any of the following: sirolimus, everolimus, belatacept, or cyclophosphamide
  • Any psychiatric or medical condition that, in the Investigator's opinion, may put the subject at significant risk, may confound the study results, or may interfere significantly with the subject's participation in the study
  • Clinically symptomatic CHF or documented EJF of less than 45%
  • Significant COPD, pulmonary restrictive disease or significant pulmonary hypertension
  • Enrolled in another investigational drug or device study, or who are less than 30 days since discontinuing
  • Laboratory variables that are abnormal (outside laboratory reference range) and CS
  • Positive results of any of the following serological tests: human immunodeficiency virus (HIV)-1 antibody, hepatitis B virus (HBV) surface antigen (HBsAg), anti-hepatitis B core antibody (HBcAb), and anti-hepatitis C virus (HCV) antibody (HCV Ab)
  • Subjects who have had primary focal segmental glomerulosclerosis
  • Donor parameters must not include any of the following known conditions:

Donor with positive serological test result for HIV-1, HBV or HCV Donor with history of malignant disease (current or historical) Cold ischemia time >30 hours Non-heart-beating donor

Treatment and study plan

LCP-Tacro tablets

Drug

Tacrolimus

Other names: Prograf

Prograf

Drug

Tacrolimus

Other names: Prograf Capsules twice daily

Primary outcomes

  1. Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 1 days

    The pharmacokinetic parameter (AUC) was evaluated on Day 1 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.

  2. Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 14 days

    The pharmacokinetic parameter (AUC) was evaluated on Day 14 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.

  3. Pharmacokinetics (AUC) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 28 days

    The pharmacokinetic parameter (AUC) was evaluated on Day 28 in adult de novo kidney recipients. Samples were collected from 0 to 24 hours post dose.

  4. Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 1 days

    The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 1 in adult de novo kidney recipients.

  5. Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 14 days

    The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 14 in adult de novo kidney recipients.

  6. Pharmacokinetics (Cmax and C24) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 28 days

    The pharmacokinetic parameter (Cmax and C24) was evaluated on Day 28 in adult de novo kidney recipients.

  7. Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 1 days

    The pharmacokinetic parameter (Tmax) was evaluated on Day 1 in adult de novo kidney recipients.

  8. Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 14 days

    The pharmacokinetic parameter (Tmax) was evaluated on Day 14 in adult de novo kidney recipients.

  9. Pharmacokinetics (Tmax) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 28 days

    The pharmacokinetic parameter (Tmax) was evaluated on Day 28 in adult de novo kidney recipients.

  10. Pharmacokinetics (Fluctuation) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 14 days

    The pharmacokinetic parameter (Fluctuation) was evaluated on Day 14 in adult de novo kidney recipients.

  11. Pharmacokinetics (Fluctuation) of LCP-Tacro Compared to Prograf After Kidney Transplantation

    Time frame: 28 days

    The pharmacokinetic parameter (Fluctuation) was evaluated on Day 28 in adult de novo kidney recipients.

Other outcomes

  1. Daytime, Nighttime and Overnight Systolic Blood Pressure (SBP) on Day 14.

    Time frame: 14 days

    At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Days 14.

  2. Daytime, Nighttime Overnight Systolic Blood Pressure (SBP) on Day 28.

    Time frame: 28 days

    At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Day 28.

  3. Ratio of Nighttime to Daytime Systolic Blood Pressure (SBP) on Day 14.

    Time frame: 14 days

    At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Days 14.

  4. Ratio of Nighttime to Daytime Systolic Blood Pressure (SBP) on Day 28.

    Time frame: 28 days

    At selected sites, a 24-hour measurement of blood pressure will be performed to assess the variability (ei, "nighttime dipping") between the two Groups at Days 28.

  5. Evaluation of the Short-term Efficacy of LCP-Tacro After the Start of Dosing.

    Time frame: 30 days

    The efficacy is measured by the number of treatment failures defined as all-cause mortality, Graft Failure, Biopsy Proven Acute Rejection (BPAR) and Lost to follow up.

Sponsors and collaborators

Lead sponsor

Veloxis Pharmaceuticals

Industry

Registry information

Official study title

Ph 2 Double-blind, Double-dummy, Multicenter, Prospective, Rand Study of PK of LCP-Tacro™ Tablets Once Daily, Compared to Prograf® Caps, Twice Daily, for Prevention of Acute Allograft Rejection in De Novo Adult Kidney Transplant Recipients

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Aug 16, 2012
Registry last updated
Jul 7, 2015

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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