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临床试验/EUCTR2019-004302-10-SE
EUCTR2019-004302-10-SE进行中(未招募)1 期

A randomized controlled open-label multi-center study to assess the efficacy of Tocilizumab in treatment of chronic active antibody-mediated rejection in kidney transplant recipients - InterCept

Västra Götalandsregionen, Sahlgrenska University hospital0 个研究点目标入组 50 人开始时间: 2020年4月20日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
50

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1.The subject has given their written informed consent to participate in the study
  • 2.Recipient of living donor or deceased donor kidney transplant
  • 3.Age =18 years
  • 4.At least 12 months post-transplantation at randomization
  • 5.Biopsy-proven diagnosis of cAMR according to the Banff 2017 criteria in index biopsy. Repeat biopsy should be performed if the last biopsy is estimated to be older than 6 months (+ 2 weeks) at the projected time of randomization (Visit 2)
  • 6.GFR =20 ml/min/1.73 m2
  • 7.Epstein-Barr Virus (EBV) IgG-positive
  • 8.For female participants of childbearing potential: use of adequate contraception and a negative pregnancy test
  • 9.Subject known to have been previously had corona virus disease of 2019 (COVID-19) must meet all of the following conditions:
  • -Asymptomatic for at least 1 month before the start of screening
  • -Re-established on maintenance immunosuppressants for at least 2 weeks prior to the start of screening
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 44
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 6

排除标准

  • 1.Inability to tolerate any of the SOC treatment- tacrolimus, mycophenolate acid (MPA) or prednisolone
  • 2.Recipient of multi-organ transplants
  • 3.De novo or recurrent renal disease that, in the Investigator’s opinion, could adversely influence the current allograft
  • 4.Active viral infections such as BK virus (BKV), cytomegalovirus (CMV), SARS COV-2 (COVID-19), EBV, hepatitis C virus (HCV) or hepatitis B virus (HBV) infections, based on polymerase chain reaction (PCR) testing
  • 5.Ongoing serious infections as per Investigator’s opinion
  • 6.History of recurrent serious infections requiring hospitalization
  • 7.Signs of post-transplant lymphoproliferative disorder
  • 8.History of tuberculosis (TB)
  • 9.Active TB or latent TB (positive QuantiFERON-TB-Gold test, Chest X-ray)
  • 10.Abnormal liver function tests alanine transaminase (ALT), aspartate transaminase (AST), bilirubin > 1.5 x upper limit of normal)
  • 11.Other significant liver disease as per Investigator’s opinion
  • 12.Neutropenia (<2 x109/L) or thrombocytopenia (<100 x109/L)
  • 13.Signs of malignancy. Exceptions are basal cell carcinoma/squamous cell carcinoma or non-malignant melanoma
  • 14.History of malignancy, unless subject has been considered to have fully recovered from malignancy since > 2 years, without any signs of relapse
  • 15.History of diverticulitis, diverticulosis, gastrointestinal perforation or inflammatory bowel disease
  • 16.Ongoing alcohol or illicit substance abuse
  • 17.Serious medical or psychiatric illness likely to interfere with participation in the study as per Investigator’s opinion
  • 18.Mental inability, reluctance or language difficulties that result in difficulty understanding the meaning of study participation
  • 19.Woman of childbearing potential who is unwilling/unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 8 weeks after the last dose of study drug
  • 20.Woman with a positive pregnancy test or who is pregnant or breastfeeding
  • 21.Current or recent (within last 3 months) participation in another clinical drug trial

研究者

发起方
Västra Götalandsregionen, Sahlgrenska University hospital

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