Status:

WITHDRAWN

Maintenance Versus Reduction of Immunosuppression for Renal Transplant Patients Hospitalized With COVID-19 Disease

Lead Sponsor:

Brigham and Women's Hospital

Conditions:

COVID

Kidney Transplant; Complications

Eligibility:

All Genders

18+ years

Phase:

PHASE2

PHASE3

Brief Summary

This will be a randomized trial of maintenance versus reduction in immunosuppression in adult patients (age \>18 years old) with functioning renal transplants admitted to hospital with confirmed COVID...

Detailed Description

The optimal management of immunosuppression in renal transplant patients with COVID-19 disease is unclear. On one hand, many centers advocate reduction of immunosuppression in infected patients, with ...

Eligibility Criteria

Inclusion

  • Adults ≥18 years
  • COVID positive by RT-PCR or serology
  • ≥ 6 months post-transplant
  • use of anti-metabolite (mycophenolate or azathioprine) and calcineurin inhibitor (cyclosporin or tacrolimus)
  • informed consent; first admission during study period
  • participation within 72 hours of hospitalization

Exclusion

  • ICU care or need for invasive ventilation or use of pressors at screening/randomization
  • COVID-19 disease severity score more than 5 at screening/randomization
  • Known donor specific antibody
  • eGFR \<20ml/min/1.73m2
  • hematocrit \<24%
  • biopsy proven and treated rejection within last 3 months
  • institutionalized individuals (prisoners)
  • pregnancy
  • participation in another clinical study with an investigational medicinal product within 30 days or within 5 half-lives of such, whichever is longer, prior to randomization and during the study
  • any other conditions, which, in the opinion of the investigator would make the subject unsuitable.

Key Trial Info

Start Date :

May 3 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 4 2021

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04420364

Start Date

May 3 2021

End Date

May 4 2021

Last Update

May 4 2022

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