A Dose Escalation Study in de Novo Renal Transplantation
- Conditions
- Kidney Transplantation
- Interventions
- Drug: Corticosteroids (CS)
- Registration Number
- NCT04311632
- Lead Sponsor
- ITB-Med LLC
- Brief Summary
- The purpose of this study is to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of escalating doses of TCD601 when compared to rATG in de novo renal transplant patients. 
- Detailed Description
- Not available 
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 13
- Able to understand the study requirements and provide written informed consent before and study assessment is performed.
- Male or female patients ≥ 18 to 70 years of age.
- Recipients of a de novo renal allograft from a heart-beating deceased, living unrelated, or non-HLA identical living related donor.
- Recipients of a kidney with a cold ischemia time (CIT) less than 30 hours.
Key
- Multiple-organ transplant recipients
- Subjects who have received a kidney allograft previously
- Recipient of a kidney from an HLA identical living related donor
- Recipient of a kidney from a donor after cardiac death
- Subjects at high immunological risk for rejection
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
- Group - Intervention - Description - Arm 1 - Tacrolimus (TAC) - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 1 - Corticosteroids (CS) - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 1 - Mycophenolate Mofetil (MMF) - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 2 - Tacrolimus (TAC) - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 2 - Corticosteroids (CS) - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 2 - Mycophenolate Mofetil (MMF) - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 3 - Tacrolimus (TAC) - ATG administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 3 - Corticosteroids (CS) - ATG administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 3 - Mycophenolate Mofetil (MMF) - ATG administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 3 - ATG - ATG administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 1 - TCD601 - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). - Arm 2 - TCD601 - TCD601 administered with the standard of care (SoC) consisting of concentration-controlled tacrolimus (TAC) combined with mycophenolate mofetil (MMF) and corticosteroids (CS). 
- Primary Outcome Measures
- Name - Time - Method - Number of Participants With Treatment-emergent Adverse Events as Assessed by CTCAE v5.0. - 12 months - Measure Peak Plasma Concentration (Cmax) Over Time. - 12 months - The maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration. - Measure the Area Under the Plasma Concentration Versus Time Curve (AUC). - 12 months - The AUC from time zero to the last measurable concentration sampling time. 
- Secondary Outcome Measures
- Name - Time - Method - The Incidence of Rejection at 12 Months Post-transplant. - 12 months - The incidence of treated biopsy-proven acute rejection (tBPAR) and antibody medication rejection (AMR) at 12 months post-transplant. - To Assess the Change in Renal Function Over Time. - 12 months - Estimated glomerular filtration rate (eGFR) was calculated using the MDRD4 equation. Mean+-SD eGFR values are presented at 3, 6, and 12. and compared against baseline (1 Month post-transplant). 
Trial Locations
- Locations (4)
- Emory University 🇺🇸- Atlanta, Georgia, United States - Kansas University Medical Center 🇺🇸- Kansas City, Kansas, United States - Massachusetts General Hospital 🇺🇸- Boston, Massachusetts, United States - Saint Barnabas Medical Center 🇺🇸- Livingston, New Jersey, United States Emory University🇺🇸Atlanta, Georgia, United States
