Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT06268769

Tacrolimus C:D Ratio Measured in Renal Transplant Recipients Treated With Once-daily Prolonged-release Drugs

Led by Edward Geissler · Updated on 2024-05-16

300

Participants Needed

9

Research Sites

286 weeks

Total Duration

On this page

Sponsors

E

Edward Geissler

Lead Sponsor

C

Chiesi Pharmaceuticals GmbH

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to compare the bioavailability and practicability of two different formulations of tacrolimus in kidney transplant recipients. The main objective is to demonstrate that Envarsus® (test drug) has superior (higher) oral bioavailability compared with Advagraf™ (comparator drug) at 12 weeks after kidney transplantation. The trial also aims to compare the practicability (handling) of the two drugs using a series of pharmacokinetic parameters and to explore the relationship between drug bioavailability and long-term clinical outcomes, with a special focus on dose-dependent adverse reactions, measured until 3 years post-transplantation. The trial incorporates a pharmacokinetic sub-study designed to profile the peak tacrolimus blood concentration up to 6 hours after drug intake on the day of the 12-week study visit.

CONDITIONS

Official Title

Tacrolimus C:D Ratio Measured in Renal Transplant Recipients Treated With Once-daily Prolonged-release Drugs

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated written informed consent
  • Adults 18 years or older
  • Renal insufficiency requiring first or second kidney transplant
  • ABO blood type compatible with the donor kidney
  • Able to swallow tacrolimus tablets or capsules orally
Not Eligible

You will not qualify if you...

  • Undergoing multi-organ transplantation
  • History of solid organ transplant other than first kidney transplant
  • For second kidney transplant recipients, first transplant lost within 2 years due to immune reasons or disease recurrence
  • Patient or donor positive for HCV, HBV, or HIV
  • History of malignancy not curatively treated
  • Ongoing drug or alcohol abuse
  • Signs of advanced liver disease or liver failure
  • Uncontrolled systemic infection
  • Severe gastrointestinal disorders affecting tacrolimus absorption
  • Planned or expected use of cyclosporine, belatacept, or other tacrolimus preparations besides Envarsus or Advagraf
  • Known allergy or intolerance to tacrolimus or related substances
  • Pregnant or breastfeeding women
  • Women of childbearing potential not using highly effective contraception
  • Participation in another interventional trial within 4 weeks before or during this trial
  • Any condition risking participant safety or study compliance
  • Unable to provide informed consent, such as individuals under legal guardianship

AI-Screening

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Trial Site Locations

Total: 9 locations

1

University Hospital Aachen, Department of General, Visceral and Transplant Surgery

Aachen, Germany, 52074

Not Yet Recruiting

2

Charité Universitätsmedizin, Department of Nephrology and Medical Intensive Care

Berlin, Germany, 10117

Not Yet Recruiting

3

University Hospital Dresden, Division of Nephrology

Dresden, Germany, 01307

Actively Recruiting

4

University Medical Center Hamburg-Eppendorf, Internal Medicine III (Nephrology, Rheumatology, Endocrinology)

Hamburg, Germany, 20251

Actively Recruiting

5

Hannover Medical School, Department of General, Visceral and Transplant Surgery

Hanover, Germany, 30625

Actively Recruiting

6

University Hospital Jena, Internal Medicine III, Nephrology

Jena, Germany, 07747

Actively Recruiting

7

University Medical Center of the Johannes Gutenberg University Mainz, Medical Clinic I. (Nephrology)

Mainz, Germany, 55131

Not Yet Recruiting

8

University Hospital Münster, Medical Clinic D

Münster, Germany, 48149

Not Yet Recruiting

9

University Hospital Regensburg, Department of Nephrology

Regensburg, Germany, 93053

Actively Recruiting

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Research Team

E

Edward K. Geissler, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Tacrolimus C:D Ratio Measured in Renal Transplant Recipients Treated With Once-daily Prolonged-release Drugs | DecenTrialz