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临床试验/NCT00861536
NCT00861536已完成4 期

An Open, Multicenter, Randomised, Parallel Group Pilot Study to Investigate Two Different Polyclonal Rabbit Immunoglobulin Preparations for Safety and Efficacy:A Comparison of ATG-Fresenius S to Thymoglobulin in Prophylaxis for Immunological High Risk Patients Following Renal Transplantation

University Hospital, Basel, Switzerland1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2009年1月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
40
试验地点
1
主要终点
Adverse events

研究概览

简要总结

An open, multicenter, randomised, parallel group pilot study to investigate two different polyclonal rabbit immunoglobulin preparations for safety and efficacy: A comparison of ATG-Fresenius S to Thymoglobulin in prophylaxis for immunological high risk patients following renal transplantation. This non-inferiority trial shall demonstrate that ATG-Fresenius S is as efficacious as Thymoglobulin but has a better tolerance and fewer side effects.

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
否

入选标准

  • •Recipients, who are at least 18 years or older and have a high immunological risk defined by:
  • •The presence of at least one donor-specific antibody (class I and/or II) detected and specified by flow-technology (FlowPRA and single antigen beads), which are
  • •For class I below the threshold of detection of a current CDC T-cell-/ and B-cell cross-match
  • •For class II below the threshold of detection of a current CDC B-cell cross-match.
  • •Patient receives a renal allograft only.
  • •Female patients of child bearing age agree to maintain effective birth control practice during the study.
  • •Patient has been fully informed and has given written or independent person witnessed oral informed consent.

排除标准

  • •Patient is pregnant or breastfeeding.
  • •Patient has a low immunological risk constellation, defined by receiving a kidney from a HLA-identical related living donor.
  • •Patient and donor have a positive T-cell crossmatch.
  • •Patient and donor are ABO incompatible.
  • •Patient with combined transplantation.
  • •Age of donor >75 years.
  • •Cold ischemia time >40 hours.
  • •Patient has leucopenia, defined as having at transplantation less than 3000/mm3 leukocytes.
  • •Patient has thrombocytopenia, defined as having at transplantation less than 75000/mm3 thrombocytes.
  • •Patient is allergic or intolerant to ATG-Fresenius S, Thymoglobulin, steroids, Tacrolimus or MMF.
  • •EBV risk constellation (recipient EBV negative and donor EBV positive).
  • •Patient or donor is known to be HIV positive.
  • •Patient has a liver disease, defined as continuously having ASAT (SGOT) and/or ALAT (SGPT) levels greater than 3fold of the upper value of the normal range of the investigational site during the past 28 days.
  • •Patient with malignancy or history of malignancy <2 years, except non metastatic basal or squamous cell carcinoma of the skin that has been treated successfully.
  • •Patient has uncontrolled concomitant infections and/or severe diarrhea, vomiting, or active peptic ulcer.
  • •Patient is unlikely to comply with the visits schedule in the protocol.

研究组 & 干预措施

Thymoglobuline Genzyme

Active Comparator

干预措施: Thymoglobuline Genzyme (Drug)

ATG Fresenius

Experimental

干预措施: ATG Fresenius (Drug)

结局指标

主要结局

Adverse events

时间窗: Daily

次要结局

  • Rejection(Daily)
  • Patient survival(Daily)
  • Graft function(Daily)
  • Graft survival(Daily)

研究者

发起方
University Hospital, Basel, Switzerland
申办方类型
Other
责任方
Sponsor

研究点 (1)

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