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Optimized TacrolimuS and MMF for HLA Antibodies (proteins that are sometimes produced by the immune system) after Renal Transplantatio

Conditions
Renal Transplant recipients with HLA antibodies, who are at increased risk of graft dysfunction and graft failure
MedDRA version: 14.1Level: LLTClassification code 10050436Term: Prophylaxis against renal transplant rejectionSystem Organ Class: 100000004865
Therapeutic area: Body processes [G] - Immune system processes [G12]
Registration Number
EUCTR2012-004308-36-GB
Lead Sponsor
Kings College London
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

• Written and witnessed informed consent to participate.
• Renal transplant recipients >1 year post-transplantation, male or female
• Aged 18-70 years
• Estimated glomerular filtration rate (eGFR by 4 variable MDRD) of =30.

Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 3000
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 3000

Exclusion Criteria

• Recipient requiring HLA desensitisation to remove antibody for a positive XM transplant
• Recipient known already to have HLA antibody WHO HAS RECEIVED specific intervention for that antibody or for CAMR / chronic rejection
• Recipient of additional solid organ transplants (e.g. pancreas, heart, etc).
• History of malignancy in previous 5 years (excluding non-melanomatous tumours limited to skin)
• HBsAg+,HBcAb+, HepC+ or HIV+ recipient (on test performed within previous 5 years)
• History of acute rejection requiring escalation of immunosuppression in the 6 months prior to screening.
• Patient enrolled in any other studies involving administration of another IMP at time of recruitment
The following exclusion criteria are based on information contained within the SMPcs of the IMPs
• History of an ongoing or previous infection (no time limit) that would prevent optimization of immunosuppression, including ocular Herpes simplex.
• Known hypersensitivity to any of the IMPs
• Known hereditary disorders of carbohydrate metabolism
• Pregnancy or breastfeeding females (based on verbal history of recipient)
• Pre-menopausal females who refuse to consent to using suitable methods of contraception throughout the trial.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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