A Study to Evaluate Efalizumab Compared With Cyclosporine As an Immunosuppressant Regimen in De Novo Renal Transplantation
- Conditions
- Kidney Transplantation
- Interventions
- Registration Number
- NCT00729768
- Lead Sponsor
- Genentech, Inc.
- Brief Summary
This is a Phase II/III, randomized, open-label, active-controlled, multicenter trial to evaluate the safety and efficacy of efalizumab compared with cyclosporine (CsA), when both are given in combination with Mycophenolate Mofetil (MMF) and corticosteroids after induction therapy with basiliximab, as an immunosuppressant regimen in de novo renal transplantation. A total of 200 subjects undergoing either living or cadaveric renal transplantation will be randomly assigned 1:1 to receive either efalizumab + MMF + corticosteroids or CsA + MMF + corticosteroids.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Have signed the informed consent form and the HIPAA patient information form (United States only)
- Are ≥ 18 years of age
- Are a transplant recipient of at least one HLA-mismatch kidney
- For subjects of reproductive potential (men and women), are willing to use effective contraception, unless abstinence is the chosen method
Key
- Have a history of previous renal transplant
- Have had a PRA > 25% at any time
- Have a history of or evidence of cancer except for basal cell carcinoma that has been excised and cervical carcinoma in situ
- Have a positive T-cell lymphocytotoxic crossmatch with the use of donor lymphocytes and recipient serum
- Have had previous treatment with efalizumab
- Have used any investigational drug within 28 days or 5 half-lives of screening, whichever is longer
- Have a known contraindication to efalizumab
- Have a history of severe allergic or anaphylactic reactions to monoclonal antibodies
- Have had a known allergic reaction or intolerance to any of the following medications: CsA; MMF; Corticosteroids; Basiliximab
- Are allergic to iodinated contrast media that would preclude GFR measurement with iothalamate
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 basiliximab - 1 corticosteroids - 2 corticosteroids - 1 efalizumab - 1 mycophenolate mofetil - 2 mycophenolate mofetil - 2 cyclosporine - 2 basiliximab -
- Primary Outcome Measures
Name Time Method Subject and renal allograft survival 52 weeks
- Secondary Outcome Measures
Name Time Method Glomerular filtration rate 12 and 52 weeks Change in glomerular filtration rate 12 weeks to 52 weeks Transplant renal biopsies 52 weeks Change in metabolic/cardiovascular risk factors 24 weeks and 52 weeks