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A Study to Evaluate Efalizumab Compared With Cyclosporine As an Immunosuppressant Regimen in De Novo Renal Transplantation

Phase 2
Withdrawn
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WITHDRAWN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
Inclusion Criteria
  • 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

Exclusion Criteria
  • 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
GroupInterventionDescription
1basiliximab-
1corticosteroids-
2corticosteroids-
1efalizumab-
1mycophenolate mofetil-
2mycophenolate mofetil-
2cyclosporine-
2basiliximab-
Primary Outcome Measures
NameTimeMethod
Subject and renal allograft survival52 weeks
Secondary Outcome Measures
NameTimeMethod
Glomerular filtration rate12 and 52 weeks
Change in glomerular filtration rate12 weeks to 52 weeks
Transplant renal biopsies52 weeks
Change in metabolic/cardiovascular risk factors24 weeks and 52 weeks
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