Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06235892

Tacrolimus Minimization in Kidney Transplant Recipients Selected According to the AGORA Algorithm for Their Low Immunological Risk and Medium-term Graft Failure

Led by Nantes University Hospital · Updated on 2025-06-13

332

Participants Needed

3

Research Sites

95 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this clinical trial is that validation of the non-invasive biomarkers of the AGORA algorithm should make it possible to select patients with a very low immunological risk of graft failure to authorize safe minimization of their immunosuppression for adult patients at one-year post kidney transplantation. The main question of the AGORAC trial is to demonstrate the impact of TACROLIMUS minimization using AGORA algorithm compared to standard of care on the kidney function 18 months after the minimization period.

CONDITIONS

Official Title

Tacrolimus Minimization in Kidney Transplant Recipients Selected According to the AGORA Algorithm for Their Low Immunological Risk and Medium-term Graft Failure

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • First kidney transplantation
  • Donor is living, brain death, or donation after circulatory death (Maastricht 3)
  • Compatible ABO blood group with donor
  • cPRA (Panel Reactive Antibody) below 20% on transplantation day and no donor-specific antibodies (MFI <500) before transplant and at inclusion (between 350 and 515 days post-transplant)
  • Eplet mismatches less than or equal to 14
  • Normal or IFTA 1-2 histology on one-year surveillance biopsy
  • Patient insured under a health insurance scheme
  • Effective contraception for patients of childbearing age
  • Patients treated with Tacrolimus and MMF/MPS, with or without corticosteroids
Not Eligible

You will not qualify if you...

  • Donation after circulatory death Maastricht 1 or Maastricht 2 (uncontrolled)
  • Pregnant or breastfeeding women
  • Patients under legal protection such as guardianship or trusteeship
  • Participation in a drug interventional study within 1 month prior to inclusion
  • Any retransplantation, combined transplantations, or prior other organ transplants
  • History of lymphoproliferative disorders
  • Diagnosis of malignant disease (depending on type)
  • Positive for hepatitis C antibody, hepatitis B surface antigen, or HIV infection

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 3 locations

1

CHU de NANTES

Nantes, France, 44000

Actively Recruiting

2

Oslo University Hospital

Oslo, Norway

Not Yet Recruiting

3

Hospital Universitari Vall d'Hebron

Barcelona, Spain

Not Yet Recruiting

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Research Team

M

Magali GIRAL

CONTACT

S

Sonia Brinet

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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