Status:

UNKNOWN

Influence of Once-daily Versus Twice-daily Immunosuppressant on Renal Transplant

Lead Sponsor:

National Taiwan University Hospital

Collaborating Sponsors:

Astellas Pharma Taiwan, Inc.

Conditions:

Adherence to Medication Regime

Eligibility:

All Genders

20-65 years

Phase:

PHASE4

Brief Summary

The main objective of this study was to compare the drug compliance in patients after renal transplantation under once or twice-daily tacrolimus-based immunosuppressive regimen. The rationale for thi...

Detailed Description

This study will be a prospective, two-arm randomized and open-label, phase IV study to compare the drug compliance in patients under prolonged-release once-daily tacrolimus versus standard twice-daily...

Eligibility Criteria

Inclusion

  • Male and female adult patients who are to receive renal transplantation may enter the study. The intention is to enroll 90 patients who have fulfilled inclusion/exclusion criteria into the study. Sixty patients will receive prolonged-release once-daily tacrolimus based therapy; the other thirty patients will receive standard twice-daily tacrolimus based therapy.
  • Inclusion criteria
  • Male or female patients at 20-65 years of age undergoing renal transplantation
  • Patients who have been informed of the potential risks and side effects of the study
  • Female patients of childbearing potential must agree to maintain effective birth control during the study.
  • Patients have been fully informed and have given written informed consent to participate in the study
  • Exclusion criteria
  • Donor age greater than 65 years
  • Patients receiving a perfectly matched kidney (6 matches HLA-A, B, DR)
  • Patients who are recipients of multiple solid organ transplants
  • Patients undergoing second or subsequent transplantation
  • Patients with pre-transplant PRA \> 20%
  • Patients with ABO incompatibility or positive lymphocytotoxicity
  • Patients with severe, active infection
  • Patients who have an abnormal liver profile such as ALT, AST, alkaline phosphatase or total bilirubin \>3 times the upper normal limit
  • Patient who are HIV-positive or hepatitis C (PCR+ only) B surface antigen positive
  • Patients who have been treated with an investigational drug or therapy within one month prior to entry or who will be so treated within 6 months of transplantation
  • Patients with a history of malignancy within the last five years except excised squamous or basal cell carcinoma
  • Patients with a history of alcohol or drug abuse or signs of alcohol-induced organ damage, mental dysfunction or other factors limiting their ability to comply fully with the study requirements.
  • Patients who require on-going dosing with a systemic immunosuppressive drugs prior to transplantation.
  • Pregnant woman or breast-feeding mother during the period of this study.
  • Patients who are allergy to tacrolimus, macrolide antibiotics, steroid or mycophenolate mofetil.

Exclusion

    Key Trial Info

    Start Date :

    May 9 2014

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    March 31 2020

    Estimated Enrollment :

    90 Patients enrolled

    Trial Details

    Trial ID

    NCT02251691

    Start Date

    May 9 2014

    End Date

    March 31 2020

    Last Update

    April 2 2019

    Active Locations (1)

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    National Taiwan University Hospital

    Taipei, Taiwan, 100