跳至主要内容
临床试验/NCT00402168
NCT00402168已完成2 期

Belatacept Conversion Trial in Renal Transplantation

Bristol-Myers Squibb11 个研究点 分布在 3 个国家目标入组 173 人开始时间: 2007年1月最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
173
试验地点
11
主要终点
Mean Change From Baseline in Calculated Glomerular Filtration Rate (GFR) With Imputed Values to 12 Months Post Randomization - All Randomized Participants (Intent-to-Treat Population)

研究概览

简要总结

The purpose of this study is to learn if conversion to belatacept from cyclosporine or tacrolimus will preserve kidney function in people who have had a kidney transplant. The safety and tolerability of this treatment will also be studied

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Men and women age 18 and older
  • 6-36 months after kidney transplant receiving cyclosporine or tacrolimus
  • calculated GFR ≥35 and ≤75mL/min/1.73 m²
  • subjects must have completed 1 year in the IM103-010ST and remained on study treatment (Long Term Extension)

排除标准

  • Significant infection
  • acute rejection within 3 months
  • prior graft loss due to rejection
  • pregnancy
  • positive crossmatch

研究组 & 干预措施

A: Belatacept

Experimental

干预措施: Belatacept (Drug)

B: calcineurin inhibitor (CNI)-based immunosuppressive regimen

Active Comparator

干预措施: Cyclosporine A (Drug)

B: calcineurin inhibitor (CNI)-based immunosuppressive regimen

Active Comparator

干预措施: Tacrolimus (Drug)

结局指标

主要结局

Mean Change From Baseline in Calculated Glomerular Filtration Rate (GFR) With Imputed Values to 12 Months Post Randomization - All Randomized Participants (Intent-to-Treat Population)

时间窗: Baseline to 12 months post randomization

Calculated GFR assessment used the modification of diet in renal disease (MDRD) formula. GFR was measured as mL/min/1.73 m\^2. For death or graft loss participants, calculated GFR (cGFR) value 10 was used, for other participants who had a post baseline cGFR value missing, but had baseline value and at least 2 post baseline values available, which were at least 120 days apart, linear regression model was used to impute the cGFR value. Baseline = value at screening. Randomization/First Dose was on Day 1.

次要结局

  • Number of Participants With Acute Rejection (AR) by Months 6 and 12 Post Randomization - All Randomized Participants(At 6 and 12 months post randomization)
  • Percentage of Participants With a Composite Endpoint of Death, Graft Loss and Acute Rejection at Month 12(12 Months post randomization)
  • Number of Participants Who Had Any Study Drug Dose Alteration by Month 12 Due to Any Reason - Randomized and Treated Participants(Month 12)
  • Mean Change From Baseline to Month 6 and to Month 12 in Serum Creatinine - All Randomized Participants(Baseline to Month 6 and Month 12 Post Randomization)
  • Long Term Period: Mean Change From Baseline to 54 Months Post Randomization in Calculated GFR on Imputed Values at Specified Timepoints - Intent to Treat (ITT) Participants Who Entered LT Period(Baseline, Month 3, 6, 12, 18, 24, 30, 36, 42, 48, 54)
  • Percentage of Participants Surviving With a Functioning Graft, Have Graft Loss or Death (Graft Loss, Death, Death With Functioning Graft) By Month 6 and Month 12 Post Randomization(At 6 and 12 months post randomization)
  • Percentage of Participants With New Onset Diabetes Mellitus - All Randomized Participants(Month 12 post randomization)
  • Long Term Period: Percentage of Participants With New Onset Diabetes Mellitus Up to Month 36- All Randomized Participants Who Entered LT Period(Baseline (screening) up to Month 36 post randomization)
  • Long Term Period: Mean Change From Baseline to Month 54 in Serum Creatinine- ITT Participants Who Entered LT Period(Baseline, Months 3, 6, 12, 18, 24, 30, 36, 42, 48, 54)
  • Participants Who Switched to Belatacept in Long Term Period: Number of Participants With AEs and SAEs(Day of Switch (first dose of belatacept ) to last dose plus 56 days, up to Year 6 of the Study)
  • Mean Change From Baseline in Calculated Glomerular Filtration Rate (GFR) With Imputed Values to 6 Months Post Randomization - All Randomized Participants (Intent-to-Treat Population)(Baseline to 6 months post randomization)
  • Number of Participants With Anti-Donor Human Leukocyte Antigen (HLA) Positive Antibodies(Month 6 and Month 12 Post Randomization)
  • Mean Change From Baseline in SF-36 Questionnaire Physical Component Score and in Mental Component Score at Month 12 - All Randomized Participants(Baseline, Month 12)
  • Long Term Period: Number of Participants With SAEs, Death, Discontinuation Due to AEs - All Randomized Participants Who Entered the Long Term Period(First dose after randomization (Day 1) to 56 days post last dose, up to Year 6 of the Study)
  • Number of Participants With Serious Adverse Events (SAEs), Deaths, and Discontinuation Due to Adverse Events (AEs) From First Dose up to Month 12(First Dose (Day 1) to Month 12)
  • Mean Change From Baseline to Month 12 for Eight Domain Scores of Quality of Life (QoL) Instrument SF-36 - All Randomized Participants(Baseline (screening) to Month 12)
  • Ridit Score at Month 12 - All Randomized Participants(Month 12)
  • Number of Participants Meeting Marked Laboratory Abnormality Criteria From Baseline up to Month 12 - Randomized and Treated Participants(Baseline up to Month 12)
  • Long Term Period: Number of Participants Who Survived With a Functioning Graft or Survived With Pure Graft Loss or Death With Functioning Graft - ITT Participants Who Entered the LT Period(Post Months 24, 36, 48, up to Year 6 of the Study)
  • Long Term Period: Mean Change From Baseline to Month 54 in Systolic Blood Pressure(Baseline, Months 6, 12, 18, 24, 30, 36, 42, 48, 54)
  • Long Term Period: Number of Participants With Acute Rejection (AR) - All Randomized Participants in LT Period(Post Month 12 up to Year 6 of the Study)
  • Long Term Period: Number of Participants With AEs of Special Interest - All Randomized Participants Who Entered the Long Term Period(First dose after randomization (Day 1) to last dose, plus 56 days, up to Year 6 of the Study)
  • Long Term Period: Number of Participants Meeting Marked Laboratory Abnormality Criteria - All ITT Participants Who Entered the Long Term Period(Baseline (Screening), up to Year 6 of the Study)
  • Long Term Period: Mean Change From Baseline to Month 54 in Diastolic Blood Pressure(Baseline, Months 6, 12, 18, 24, 30, 36, 42, 48, 54)
  • Participants Who Switched From CNI to Belatacept in Long Term Period : Mean Change in Calculated GFR Based on Imputed Values From Day of Switch to Week 96 Post Switch(Day of Switch (first belatacept dose) to Week 96 Post Switch)

研究者

发起方
Bristol-Myers Squibb
申办方类型
Industry
责任方
Sponsor

研究点 (11)

Loading locations...

相似试验

A Study of BMS-224818 (Belatacept) in Patients Who... | 临床试验