Strategies To Prevent Cardiac Allograft Vasculopathy Related Events in Heart Transplant Recipients
NCT01305395 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2017-01-24
Summary
1. Early initiation of sirolimus will prevent or delay the development of intimal thickening and subsequent graft failure.
2. Treatment guided by the development of cardiac allograft vasculopathy (CAV) on intravascular ultrasound (IVUS) will be more effective in delaying progression of CAV compared to treatment guided by angiography.
3. Prevention of the development and progression of intimal thickness on IVUS will prevent the development of heart failure, graft dysfunction, and cardiovascular death related to CAV.
4. Small artery elasticity predicts progression of cardiac allograft vasculopathy and is modified by sirolimus
5. Patients who have no progression of CAV will have favorable improvement in biomarkers and endothelial cells compared to patients who have progression of CAV
Conditions
- Cardiac Allograft Vasculopathy
Interventions
- DRUG
-
Sirolimus
Will initiate sirolimus within 6 months of heart transplant
- DRUG
-
Sirolimus
Will start sirolimus after CAV has been diagnosed by angiogram
- DRUG
-
Sirolimus
Will start sirolimus after CAV has been diagnosed by intravascular ultrasound
- DRUG
-
Sirolimus
Will start sirolimus after they develop CAV by angiogram
- DRUG
-
Sirolimus
Will start sirolimus after CAV has been diagnosed by intravascular ultrasound
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Monica M Colvin-Adams, MD, MS · University of Minnesota
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-11-30
- Primary Completion
- 2015-01-31
- Completion
- 2015-01-31
Countries
- United States
Study Locations
More Related Trials
-
Study Of The Safety And Efficacy Of Conversion From A CNI To Sirolimus In Renally-Impaired Heart Transplant Recipients
NCT00369382 ·Status: COMPLETED ·Phase: PHASE4
-
Sirolimus and Thymoglobulin to Prevent Kidney Transplant Rejection
NCT00006178 ·Status: COMPLETED ·Phase: PHASE2
-
Attenuating Ischemia Reperfusion Injury After Living Donor Renal Transplantation
NCT01149993 ·Status: WITHDRAWN ·Phase: PHASE4
-
Rapamycin Use in Calcineurin Inhibitor (CNI)-Free Immunosuppression for Stabilization/Improvement of Renal Function After Heart Transplantation
NCT00123331 ·Status: COMPLETED ·Phase: PHASE4
-
Kidney Allograft Dysfunction Without Reversible Causes
NCT01492894 ·Status: WITHDRAWN ·Phase: PHASE4
-
Safety, Efficacy, and Pharmacokinetics of Tafamidis in Patients With Transthyretin-mediated Amyloidosis Post Orthotopic Heart Transplantation
NCT05489523 ·Status: RECRUITING ·Phase: PHASE4
-
Influence of Sirolimus and MMF on Vascular Function and Markers of Cellular Function in Renal Transplant Recipients
NCT00204321 ·Status: COMPLETED ·Phase: PHASE4
-
Combination Drug Therapy Followed by Single Drug Steroid Free Therapy to Prevent Organ Rejection in Kidney Transplantation
NCT00076570 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect and Safety Profile of Thymoglobulin® in Primary Cardiac Transplant Recipients
NCT03292861 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE2
-
A Study to Compare Treatment With Sirolimus Versus Standard Treatment in Patients Who Have Received a Kidney Transplant
NCT00005113 ·Status: TERMINATED ·Phase: PHASE3
-
Study Comparing Sirolimus With Cyclosporine in a Calcineurin Inhibitor (CNI)-Free Regimen in Kidney Transplant Recipients
NCT00137345 ·Status: TERMINATED ·Phase: PHASE3
-
Thymoglobulin Induction Therapy With Minimal Immunosuppression and Evaluation of Allograft Status
NCT00731874 ·Status: TERMINATED ·Phase: PHASE4
-
Thymoglobulin Versus Campath-1H Versus Daclizumab in Adult, Primary Living Donor Renal Transplantation
NCT00681343 ·Status: COMPLETED ·Phase: PHASE4
-
Antibody and Delayed Cyclosporine Versus Initial Cyclosporine Alone in Patients Receiving Kidney Transplants
NCT00007787 ·Status: COMPLETED ·Phase: NA
-
Combination Immunosuppressive Therapy to Prevent Kidney Transplant Rejection in Adults
NCT00078559 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Comparison of Sirolimus to Tacrolimus for Long Term Therapy in Kidney Transplant With no Steroids
NCT00170053 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacokinetics of Sirolimus and Tacrolimus in Liver Transplant Recipients With Tacrolimus Toxicity
NCT01709136 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
A Study of Daclizumab (Zenapax) in Combination With Mycophenolate Mofetil (CellCept) and Sirolimus in Prevention of Acute Rejection in Heart Transplant Participants
NCT02554955 ·Status: COMPLETED ·Phase: PHASE4
-
Study Comparing Conversion to Sirolimus vs. Continued Use of Calcineurin Inhibitors in Kidney Transplant Recipients
NCT00038948 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Tacrolimus and Myfortic Versus Tacrolimus and Sirolimus
NCT01038505 ·Status: WITHDRAWN ·Phase: PHASE4
-
Aerosol Cyclosporine for Prevention of Lung Rejection
NCT00268515 ·Status: COMPLETED ·Phase: PHASE2
-
Precision Guided Tacrolimus Dosing in Pediatric Heart Transplant
NCT04380311 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Clinical Pharmacology of Aliskiren in Combination With Cyclosporine in Cardiac Transplantation
NCT01235910 ·Status: TERMINATED ·Phase: PHASE4
-
Calcineurin Inhibitor (CNI) Versus Steroid Cessation in Renal Transplantation
NCT00903188 ·Status: UNKNOWN ·Phase: PHASE4
-
SCHEDULE - Scandinavian Heart Transplant Everolimus de Novo Study With Early Calcineurin Inhibitor (CNI) Avoidance
NCT01266148 ·Status: COMPLETED ·Phase: PHASE4