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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Non-Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Single Group Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Conditions: |
Transplantation, Kidney End-Stage Renal Disease |
| Interventions: |
Drug: Belatacept Drug: Sirolimus Drug: Anti-thymocyte globulin Drug: methylprednisolone |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| Two centers in the United States enrolled five recipients of non-human leukocyte antigen (HLA)-identical living-donor-related renal transplants between January 2007 and January 2009. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| At a screening visit, participants underwent procedures to establish inclusion/exclusion criteria and sign the informed consent form. |
| Description | |
|---|---|
| Immunosuppression Withdrawal | Daclizumab, antithymocyte globulin, sirolimus, or belatacept dosing with the intention of immunosuppression withdrawal |
| Immunosuppression Withdrawal | |
|---|---|
| STARTED | 5 |
| COMPLETED | 2 |
| NOT COMPLETED | 3 |
| Withdrawal by Subject | 3 |
Baseline Characteristics
| Description | |
|---|---|
| Immunosuppression Withdrawal | Daclizumab, antithymocyte globulin, sirolimus, or belatacept dosing with the intention of immunosuppression withdrawal |
| Immunosuppression Withdrawal | |
|---|---|
|
Number of Participants
[units: participants] |
5 |
|
Age
[units: participants] |
|
| <=18 years | 0 |
| Between 18 and 65 years | 5 |
| >=65 years | 0 |
|
Age
[units: years] Mean ± Standard Deviation |
50.4 ± 5.9 |
|
Gender
[units: participants] |
|
| Female | 3 |
| Male | 2 |
|
Region of Enrollment
[units: participants] |
|
| United States | 5 |
Outcome Measures
| 1. Primary: | Acute Rejection at 6-Months [ Time Frame: 6 months post-transplant ] |
| 2. Secondary: | Participant Survival at 12 Months Post-Transplant [ Time Frame: 12 months post-transplant ] |
| 3. Secondary: | Acute Rejection at 12-Months [ Time Frame: 12 months post-transplant ] |
| 4. Secondary: | Tolerance Induction [ Time Frame: 48 months ] |
| 5. Secondary: | Renal Function as Measured by Glomerular Filtration Rate (GFR) at 24 Weeks [ Time Frame: 24 weeks post-transplant ] |
| 6. Secondary: | Graft Survival at 12 Months Post-transplant [ Time Frame: 12 months post-transplant ] |
| 7. Secondary: | Time From Transplant to Acute Rejection [ Time Frame: Transplantation until rejection occurs (participants followed up to four years post-transplantation) ] |
| 8. Secondary: | Proportion of Participants Requiring Antilymphocyte Therapy for Acute Rejection [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
| 9. Secondary: | Proportion of Participants With Post-transplant Infections [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
| 10. Secondary: | Proportion of Participants With Wound Complications [ Time Frame: Start of study to end of study ] |
| 11. Secondary: | Proportion of Participants With Malignancies [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
| 12. Secondary: | Proportion of Participants With a Sirolimus Associated Adverse Event [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
| 13. Secondary: | Proportion of Participants With Chronic Allograft Nephropathy [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
| 14. Secondary: | Proportion of Participants With Delayed Graft Function [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
| 15. Secondary: | Proportion of Participants With Post-transplant Diabetes Mellitus [ Time Frame: Participants followed from transplantation until completion of study (up to four years post-transplantation) ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. |
| There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. |
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| The trial was stopped early due to meeting an acute rejection threshold of three acute rejections based on local pathology reads in the first five participants enrolled. |
| Responsible Party: | National Institute of Allergy and Infectious Diseases (NIAID) |
| ClinicalTrials.gov Identifier: | NCT00346151 History of Changes |
| Other Study ID Numbers: | DAIT ITN023ST |
| Study First Received: | June 27, 2006 |
| Results First Received: | June 8, 2011 |
| Last Updated: | September 29, 2011 |
| Health Authority: | United States: Food and Drug Administration; United States: Institutional Review Board |