Status:

ACTIVE_NOT_RECRUITING

Envarsus XR® in Adolescent Renal Transplant Recipients

Lead Sponsor:

University of California, Los Angeles

Collaborating Sponsors:

Veloxis Pharmaceuticals

Conditions:

Kidney Transplantation

Renal Transplantation

Eligibility:

All Genders

13-20 years

Phase:

PHASE4

Brief Summary

Adolescents commonly experience barriers to adherence that entail forgetfulness, distraction, poor planning, and scheduling problems. A once daily oral regimen may be superior to the current regimens ...

Detailed Description

This is a randomized, prospective, single-center, pilot study assessing once daily Envarsus XR® medication efficacy, adverse events, medication non-adherence, patient-reported outcomes, and abbreviate...

Eligibility Criteria

Inclusion

  • Recipients of first kidney transplants (deceased or living donor) with stable allograft function
  • 6 or more months after transplantation
  • Currently on a stable dose of twice-daily tacrolimus and mycophenolate mofetil (MMF) or enteric coated mycophenolic acid (EC-MPA)± corticosteroids for a minimum of 6 months prior (patient has remained on a dosing that has changed no greater than ± 0.5mg/dose for a minimum of 4 months)
  • Ability to comply with study procedures for the entire length of the study
  • Patient and/or parent/legal guardian has been informed about the study survey and has signed an informed consent form.

Exclusion

  • Detectable donor specific anti-HLA antibody prior to enrollment (pre- or post-transplant)
  • Actively being treated for an episode of biopsy proven acute cellular rejection (ACR) (Banff 1A or greater)
  • Post-transplant history of biopsy proven ACR (Banff 1B or greater) or antibody mediated rejection (AMR)
  • Currently receiving, planning to receive, or received within 7 days prior to study enrollment any drug interacting or interfering with tacrolimus metabolism (azole antifungals, erythromycin, clarithromycin, diltiazem, protease inhibitors, statins, grapefruit juice, rifampin or anti-seizure medications shown to interact with tacrolimus)
  • Currently receiving an mTOR inhibitor (sirolimus, everolimus)
  • Gastrointestinal illness that might affect the absorption of tacrolimus
  • Unable or unwilling to complete study survey questionnaire
  • Professional care taker is responsible for dispensing subject's medication
  • Recipient of HLA identical or zero HLA mismatched organ transplant
  • Documented history of medication non-adherence following transplantation prior to enrollment

Key Trial Info

Start Date :

January 15 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 31 2023

Estimated Enrollment :

28 Patients enrolled

Trial Details

Trial ID

NCT03266393

Start Date

January 15 2019

End Date

March 31 2023

Last Update

February 9 2023

Active Locations (1)

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UCLA Transplantation Services

Los Angeles, California, United States, 90095