Evaluating Nulojix (Belatacept) Long-Term Safety in Transplant (ENLIST)
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Purpose
To describe how Nulojix (belatacept) is used and to determine how often Post-Transplant Lymphoproliferative Disorder (PTLD), Central Nervous System (CNS) PTLD and Progressive Multifocal Leukoencephalopathy (PML), rare and serious complications of transplant treatment, occur in patients taking Nulojix (belatacept) in a real-world setting.
| Condition | Intervention |
|---|---|
|
Kidney Transplantation |
Drug: No Intervention |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort |
| Official Title: | Evaluating Nulojix Long-Term Safety in Transplant |
- Incidence rate of confirmed PTLD in US adult de novo Epstein Barr Virus (EBV)-seropositive kidney transplant recipients treated with Nulojix (belatacept) in clinical practice [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Incidence rate of confirmed CNS PTLD in US adult de novo Epstein Barr Virus (EBV)-seropositive kidney transplant recipients treated with Nulojix (belatacept) in clinical practice [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Incidence rate of PML in confirmed PML in US adult de novo Epstein Barr Virus (EBV)-seropositive kidney transplant recipients treated with Nulojix (belatacept) in clinical practice [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Demographic, clinical and treatment characteristics of patients receiving Nulojix (belatacept) [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: No ]
- Rates of graft survival observed in the Nulojix (belatacept) treated patients [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Rates of patient survival observed in the Nulojix (belatacept) treated patients [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Incidence rate of confirmed PTLD and confirmed CNS PTLD by baseline CMV serostatus among Nulojix (belatacept) treated population [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Incidence rates of total reported PTLD, reported CNS PTLD and reported PML in adult de novo EBV seropositive kidney transplant recipients treated with Nulojix (belatacept) [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
- Incidence rates of total reported PTLD and of total reported CNS PTLD by baseline CMV serostatus among Nulojix (belatacept) treated patients [ Time Frame: Every 6 months for up to 72 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 3500 |
| Study Start Date: | February 2012 |
| Estimated Study Completion Date: | January 2017 |
| Estimated Primary Completion Date: | January 2017 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Adult de novo EBV-seropositive kidney-transplant recipients
Adult de novo EBV-seropositive kidney-transplant recipients treated with Nulojix (belatacept)
|
Drug: No Intervention
No Intervention. Subjects are previously treated with Nulojix (belatacept)
|
Detailed Description:
Time Perspective: Prospective for the majority of patients who are enrolled at the time they begin Nulojix (belatacept) treatment. Retrospective for any patients receiving Nulojix (belatacept) prior to enrollment into ENLiST Registry
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All adult de novo EBV-seropositive kidney transplant recipients
Inclusion Criteria:
- Adult kidney transplant recipient (age ≥18 years at time of transplant)
- Kidney-only transplant recipient
Positive EBV serostatus
a) EBV serostatus negative or unknown included per the investigator discretion
- Received first dose of Nulojix (Belatacept) within ≤ 14 days of renal transplant
- Received first dose of Nulojix (Belatacept) as part of normal clinical care (i.e. not as part of a clinical trial)
Exclusion Criteria:
- Received Nulojix (belatacept) for non kidney transplants
- <18 years of age at time of transplant
- Received Nulojix (belatacept) under a clinical trial protocol only
- EBV-serostatus negative or unknown patients, except by investigator decision
- Patient who did not receive Belatacept for de novo treatment
- Recipient of concurrent or extant non-kidney organ transplant
- Received first dose of Nulojix (belatacept) > 14 days after date of renal transplant
Contacts and Locations| Contact: For participation information at a USA site use a phone number below. For Site information outside USA please email: | Clinical.Trials@bms.com | |
| Contact: First line of email MUST contain NCT# & Site#. Only trial site that are recruiting have contact information at this time |
| United States, Georgia | |
| Emory Healthcare - Emory University Hospital (EUH) | Recruiting |
| Atlanta, Georgia, United States, 30322 | |
| Contact: Christian Larsen, Site B0001 404-712-7168 | |
| Study Director: | Bristol-Myers Squibb | Bristol-Myers Squibb |
More Information
Additional Information:
No publications provided
| Responsible Party: | Bristol-Myers Squibb |
| ClinicalTrials.gov Identifier: | NCT01386359 History of Changes |
| Other Study ID Numbers: | IM103-076 |
| Study First Received: | June 28, 2011 |
| Last Updated: | May 29, 2012 |
| Health Authority: | United States: Institutional Review Board |
ClinicalTrials.gov processed this record on May 19, 2013