Comparison of the Two Immunosuppressive Regimens Based on Tacrolimus and Cyclosporine Following Kidney Transplantation
Recruitment status was Recruiting
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Purpose
The purpose of this study is to evaluate and compare, in the single center setting, the safety, efficacy and cost-effectiveness of the two standard immunosuppressive regimens based on tacrolimus and cyclosporine.
| Condition | Intervention | Phase |
|---|---|---|
|
Kidney Transplantation |
Drug: tacrolimus |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open, Prospective, Randomized Study to Compare the Efficacy and Safety of Immunosuppression Regimens Based on Cyclosporine (Neoral®) and Tacrolimus (Prograf®) in Renal Transplant Patients |
- graft survival [ Time Frame: at one year ]
- patient survival [ Time Frame: at one year ]
- renal function measured by serum creatinine (SCr) [ Time Frame: at one year ]
- lipid profile [ Time Frame: throughout the study ]
- total cost of the treatment
| Estimated Enrollment: | 300 |
| Study Start Date: | May 2003 |
| Estimated Study Completion Date: | December 2007 |
Despite several multicenter studies, there is no hard evidence on the superiority of a cyclosporine or tacrolimus based immunosuppressive regimen following kidney transplantation, in a single-center setting. Existing studies concentrated on benefits in safety and efficacy, but seldomly evaluated the cost-effectiveness of one treatment.
The study has been designed in a fashion as close to the daily clinical practice as possible. Patients are randomized in pairs, receiving kidneys from the same donor, thus avoiding donor-related bias. Those having specific indications or contraindications for one of the study medications were not entered into the study. All other study-related decisions are made only on a clinical basis and according to the standard practice of the center. Patients are followed on the intention-to-treat rule. Cost-effectiveness will be calculated on 12-month treatment for each patient entered into the study.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- First or second cadaveric kidney transplantation
- Age over 18 years old
- Specific indications or contraindications for cyclosporine or tacrolimus are absent
- Informed consent
Exclusion Criteria:
- Specific indications for use of cyclosporine or tacrolimus
- Specific contraindications for use of cyclosporine or tacrolimus
- Participation in another interventional clinical trial
- Pregnancy or lactation
Contacts and Locations| Contact: Zbigniew Wlodarczyk, MD, PhD | +48 52 585 4044 | kiktranspl@cm.umk.pl |
| Poland | |
| Klinika Transplantologii, Szpital Uniwersytecki, ul. M. Sklodowskiej-Curie 9 | Recruiting |
| Bydgoszcz, Poland, 85-084 | |
| Principal Investigator: Zbigniew Wlodarczyk, MD | |
| Sub-Investigator: Andrzej Adamowicz, MD | |
| Principal Investigator: | Zbigniew Wlodarczyk, MD, PhD | Klinika Transplantologii, Collegium Medicum UMK Torun |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00204191 History of Changes |
| Other Study ID Numbers: | 1/25/03, IDS PL-02-RG-122 |
| Study First Received: | September 12, 2005 |
| Last Updated: | October 18, 2007 |
| Health Authority: | Poland: Ministry of Health |
Keywords provided by Uniwersytet Mikolaja Kopernika w Toruniu:
|
kidney transplantation Immunosuppression Cyclosporine Tacrolimus |
Additional relevant MeSH terms:
|
Cyclosporins Cyclosporine Tacrolimus Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Immunosuppressive Agents |
Immunologic Factors Physiological Effects of Drugs Antifungal Agents Anti-Infective Agents Therapeutic Uses Dermatologic Agents Antirheumatic Agents |
ClinicalTrials.gov processed this record on June 18, 2013