EUCTR2004-003635-31-AT进行中(未招募)不适用
Belatacept Evaluation of Nephroprotection and Efficacy as First-line Immunosuppression Trial (BENEFIT).Revised Protocol 05 incorporating Protocol Amendments 13 (dated 10-Feb-2011) - BENEFIT
适应症
相关药物
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 726
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •1) The subject is willing to provide signed written informed consent.
- •2) The subject is a recipient of a living donor or deceased donor kidney transplant
- •with an anticipated CIT < 24 hours.
- •3) Men and women, ages 18 and older, inclusive.
- •4) WOCBP must be using an adequate method of contraception to avoid pregnancy
- •throughout the study and for up to 8 weeks after the study in such a manner that
- •the risk of pregnancy is minimized.
- •WOCBP must have a negative serum pregnancy test (minimum sensitivity 25 IU/L or
- •equivalent units of human chorionic gonadotropin [HCG]) within 72 hours prior to the
- •start of study medication.
- •It should be noted that according to the US product information for mycophenolate mofetil (CellCept®), two reliable forms of contraception must be used simultaneously unless abstinence is the chosen method.
- •Inclusion criteria for participation in Protocol Amendment 09 - Long-Term Extension:
- •6) Subjects must be willing to participate and provide signed, written informed consent for this long term extension phase.
- •7) Subjects must have completed 3 years in the IM103008 study (through Month 36) and remained on study treatment (belatacept or cyclosporine)
- •8) Subjects must be willing and able to continue therapy with MMF. If a subject is unable to tolerate therapeutic doses of MMF, another adjuvant agent may be substituted as described in Section 6.2.6.2.
- •9) Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study and for up to 8 weeks after the last dose of investigational product, in such a manner that the risk of pregnancy is minimized.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •1) WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 8 weeks after the last infusion.
- •2) Women who are pregnant or breastfeeding.
- •3) Women with a positive pregnancy test on enrollment or prior to study drug administration.
- •4) Genetically-identical donor recipient pairs
- •5) Donor age < 10 years
- •6) Subjects receiving and extended criteria donor organ as defined by:
- •a) Donor age = 60 years
- •b) Donor age 50 – 59 years and 1 of the following:
- •(i) Cerebrovascular accident (CVA) + hypertension + SCr > 1.5 mg/dL OR
- •(ii) CVA + hypertension OR
- •(iii) CVA + SCr > 1.5 mg/dL OR
- •(iv) Hypertension + SCr > 1.5 mg/dL
- •c) Anticipated CIT = 24 hours
- •d) Donor with cardiac death (non-heart beating donor)
- •7) Subjects with underlying renal disease of:
- •a) Primary focal segmental glomerulosclerosis
- •b) Type I or II membranoproliferative glomerulonephritis.
- •c) Hemolytic uremic syndrome (HUS) / thrombotic thrombocytopenic purpura syndrome
- •8) Subjects undergoing primary (first-time) transplant with a current PRA = 50%, or subjects undergoing retransplantation with a PRA = 30%.
- •9) Subjects with previous graft loss due to acute rejection.
- •10) Subjects with a positive T-cell lymphocytotoxic cross match.
- •11) Subjects with prior non-renal solid organ transplant (subjects undergoing kidney retransplantation are eligible pending other study criteria being met), or subjects undergoing multi-organ transplants (eg, kidney-pancreas) or subjects deemed likely to have a second solid organ or cell transplant (eg, pancreas or islet transplant) in the next 3 years by the investigator.
- •12) Subjects receiving a concurrent solid organ (heart, liver, pancreas) or cell (islet, bone marrow, stem cell) transplant.
- •13) Subjects receiving paired kidneys (dual or en bloc kidney transplants).
- •14) Subjects who are/whose allograft donor was known hepatitis C antibody-positive or polymerase chain reaction (PCR)-positive for hepatitis C
- •15) Subjects who are/whose allograft donor was known hepatitis B surface antigen-positive or PCR-positive for hepatitis B
- •16) Subjects and recipients of a graft from a donor with known HIV infection
- •17) Subjects at risk for tuberculosis (TB). Specifically, subjects who:
- •a) Have current clinical, radiographic or laboratory evidence of active or latent TB
- •b) Have a history of active TB (see Protocol)
- •c) In the opinion of the investigator, a risk of reactivation of TB that precludes the use of conventional immunosuppression.
- •18) Subjects with any active infection or other contraindication that would normally exclude transplantation.
- •19) Subjects whose life expectancy is severely limited by disease state or other underlying medical condition.
- •20) Subjects with a history of cancer (other than non-melanoma skin cell cancers cured by local resection) within the last 5 years.
- •21) Subjects with a history of substance abuse (drug or alcohol) within the past 5 years, or psychotic disorders that are not compatible with adequate study followup 22) Subjects with active peptic ulcer disease, chronic diarrhea, or gastrointestinal malabsorption.
- •23) Subjects with laboratory values that meet the following criteria are to be excluded from the study:
- •Hematology:
- •- Hemoglobin < 7 g/dL
- •- Platelets < 80,000/mm3
- •- White blood cell (WBC) count < 3000/mm3 (3 x 109/L)
- •- Bilirubin >1.5 x upper limit of normal range (ULN); Subjects who have Gilbert’s syndrome and have a normal direct bilirubin are perm
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