Status:

COMPLETED

Belatacept in Renal Transplantation With Intermediate Risk Maryland Aggregate Pathology Index (MAPI) Scores

Lead Sponsor:

University of Maryland

Collaborating Sponsors:

Bristol-Myers Squibb

Conditions:

End-Stage Renal Disease

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

This will be a pilot study to investigate the use of belatacept (BMS) therapy in kidney transplant patients who have a MAPI score of greater than or equal to 8. The MAPI (Maryland Aggregate Pathology ...

Eligibility Criteria

Inclusion

  • Male or female renal recipients 18-70 years of age undergoing primary kidney transplantation.
  • Recipients of deceased donor (including expanded criteria donor organs and deceased donor organs after cardiac death) with MAPI score ≥ 8.
  • Cold ischemic time less than 40 hours at time of reperfusion.
  • Negative serum pregnancy test for female patients.
  • Patients who can understand the purposes and risks of the study, provide informed consent, and can comply with the treatment and follow-up requirements.

Exclusion

  • Cold ischemic time (CIT) \> 40 hours
  • Patients who are sensitized with current PRA\>40%, ABO incompatible transplants, or T, or B cell crossmatch positive transplant.
  • Patients without antibody to EBV
  • Patients receiving multiple organ transplants.
  • Patients unable to take oral medication at time of randomization
  • Patient with a history of malignancy of any organ system, treated or untreated, within the past 2 years whether or not there is evidence of local recurrence or metastases, with the exception of carcinoma in situ
  • Patients who tested positive for HIV, Hepatitis C or Hepatitis B surface antigen.
  • Recipients of organs from donors who test positive for HIV, Hepatitis C or Hepatitis B surface antigen
  • Patients with a clinically significant systemic infection within 30 days prior to transplant
  • Patients who have cardiac failure at time of screening or any other severe cardiac disease as determined by the investigator
  • Patients with abnormal laboratory findings of clinical significance within 2 weeks of randomization which would interfere with the objectives of the study.
  • Females, pregnant or lactating, or are of childbearing potential unwilling to use an effective means of contraception or are planning to become pregnant.
  • Patient with active tuberculosis infection

Key Trial Info

Start Date :

March 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2018

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT01496417

Start Date

March 1 2012

End Date

March 1 2018

Last Update

June 14 2018

Active Locations (1)

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1

University of Maryland

Baltimore, Maryland, United States, 21201