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OpenTrials
Completed

NCT Number: NCT01011205

Phase 3b Study to Evaluate Advagraf in Combination With Mycophenolate Mofetil and Basiliximab in Liver Transplantation

Comparison of 3 dosing regimens of Advagraf to determine if there is a dosing regimen which may have the potential to cause fewer kidney problems.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

160, Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Undergoing orthotopic liver or split liver allograft transplantation
  • Female subject of childbearing potential must have a negative serum or urine pregnancy test at enrollment and must agree to maintain effective birth control during the study

Exclusion criteria

  • Receiving a multi-organ transplant or having previous received an organ transplant (including liver re-transplantation)
  • Receiving an auxiliary graft or in whom a bio-artificial liver (cell system) has been used
  • Receiving ABO incompatible graft or a graft from a non heart beating donor
  • Ongoing dosing with systemic corticosteroids
  • Subjects with systemic infection requiring treatment except viral hepatitis
  • Diagnosis of new-onset malignancy prior to transplantation, with the exception of basocellular or squamous cell carcinoma of the skin which had been treated successfully. However, subjects with primary liver carcinoma can be included if they meet the following criteria:
  • < 3 nodes
  • no node larger than 5 cm
  • no metastases
  • no vascular tumoral invasion
  • Significant, uncontrolled concomitant infections and/or severe diarrhea, vomiting, active upper gastro-intestinal tract malabsorption or active peptic ulcer
  • Subject or donor known to be HIV positive
  • Known allergy or intolerance to tacrolimus, macrolide antibiotics, corticosteroids, basiliximab or mycophenolate mofetil or any of the product excipients
  • Pregnant woman or breast-feeding mother
  • Currently participating in another clinical trial, and/or has taken an investigational drug within 28 days prior to enrollment
  • Unlikely to comply with the Visits scheduled in the protocol
  • Any unstable medical condition that could interfere with the study objectives in the opinion of the Investigator
  • Receiving prohibited concomitant therapy, or received prohibited concomitant therapy within 28 days prior to enrollment
  • Any form of substance abuse, psychiatric disorder or condition which, in the opinion of the Investigator, may complicate communication with the Investigator

Treatment and study plan

Advagraf

Drug

Capsule

Other names: MR4, FK506E, tacrolimus modified release

Mycophenolate mofetil

Drug

Solution for infusion

Other names: MMF

Basiliximab

Drug

IV infusion

Other names: Simulect

Corticosteroids

Drug

IV bolus

Other names: Methylprednisolone or equivalent

Primary outcomes

  1. Glomerular filtration rate (GFR) at 24 Weeks after transplantation estimated using the MDRD4 formula

    Time frame: 24 weeks

Secondary outcomes

  1. Incidence of and time to first incidence of the composite event: graft loss (defined as re-transplantation or death) or biopsy confirmed acute rejection (BCAR)

    Time frame: 24 weeks

  2. GFR at 24 Weeks after transplantation measured by Iothalamate clearance

    Time frame: 24 weeks

  3. GFR at 24 Weeks after transplantation estimated using a Cystatin C based formula

    Time frame: 24 weeks

  4. Creatinine clearance at 24 Weeks after transplantation estimated using the Cockcroft and Gault formula

    Time frame: 24 weeks

  5. Incidence of and time to first incidence of acute rejection

    Time frame: 24 weeks

  6. Incidence of and time to first incidence of corticosteroid-resistant acute rejection

    Time frame: 24 weeks

  7. Overall frequency of acute rejection episodes

    Time frame: 24 weeks

  8. Incidence of and time to first incidence of biopsy confirmed acute rejection

    Time frame: 24 weeks

  9. Incidence of and time to first incidence of biopsy confirmed corticosteroid-resistant acute rejection

    Time frame: 24 weeks

  10. Overall frequency of biopsy confirmed acute rejection episodes

    Time frame: 24 weeks

  11. Severity of biopsy confirmed acute rejection episodes

    Time frame: 24 weeks

Sponsors and collaborators

Lead sponsor

Astellas Pharma Inc

Industry

Registry information

Official study title

A Multicenter, Three Arm, Randomized, Open Label Clinical Study to Compare Renal Function in Liver Transplant Recipients Receiving an Immunosuppressive Regimen of Advagraf (Immediately or Delayed Post-transplant) and MMF With or Without a Monoclonal Anti-IL2R Antibody (Basiliximab)

Acronym: DIAMOND

Important dates

Study start
2009
Primary completion
2013
Study completion
2013
First posted
Nov 11, 2009
Registry last updated
Nov 1, 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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