Status:

COMPLETED

Effects of Mycophenolate Mofetil (MMF) On Anti-HLA (Human Leukocyte Antigen)Antibody Levels In Patients Awaiting Cadaveric Renal Transplant.

Lead Sponsor:

University of Washington

Collaborating Sponsors:

Hoffmann-La Roche

Conditions:

Kidney Failure, Chronic

Diabetic Nephropathies

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This is a 12-month, phase II, prospective, open label study, to evaluate the effect of mycophenolate mofetil (MMF) among patients on the kidney transplant list with high Panel of Reactive Antibody (PR...

Detailed Description

HYPOTHESIS: mycophenolate mofetil given over 8 months to highly sensitized subjects awaiting kidney transplant, will result in a decrement in the PRA by 10% or more in approximately 40% of patients. T...

Eligibility Criteria

Inclusion

  • Persons on the kidney transplant waiting list who are currently receiving hemodialysis
  • Age range 18 - 75
  • Outpatient status
  • Patients with a PRA over 50% for over 6 months
  • Patients with updated immunizations for tetanus, influenza, hepatitis B, pneumococcus
  • Patients with a PPD (purified protein derivative) test within the last 6 months. If subject has a prior history of TB (tuberculosis) or positive PPD, documentation of adequate treatment is required.
  • Women who are of childbearing potential must have a negative serum pregnancy test prior to being enrolled in the study and agree to use a medically acceptable method of contraception throughout the study.

Exclusion

  • Active infection
  • History of multiple recurrent infections defined as more than 3 urinary tract infections, 2 episodes of pneumonia or 3 episodes of otitis/sinusitis in one year, or more than two dialysis line or peritoneal infections within one year. Infection with HCV (hepatitis C virus) or HBV (hepatitis B virus) or HIV (human immunodeficiency virus).
  • Lack of documentation of PPD testing
  • Lack of documentation of treatment of a positive PPD
  • Pregnant or breast-feeding
  • Baseline leukopenia, WBC \< 4.0
  • Thrombocytopenia (platelet count \< 130) or difficult to treat anemia, HCT chronically \< 32 on intravenous iron and EPO (erythropoietin) therapy
  • Transfusion within 6 months

Key Trial Info

Start Date :

April 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2008

Estimated Enrollment :

45 Patients enrolled

Trial Details

Trial ID

NCT00446459

Start Date

April 1 2006

End Date

December 1 2008

Last Update

April 15 2010

Active Locations (1)

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1

Universtiy of Washington Medical Center

Seattle, Washington, United States, 98195