Renal Transplantation in the Elderly - nEverOld Study
NCT01631058 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2015-12-04
Summary
An exploratory study of the efficacy and safety of a regimen consisted of Everolimus plus low tacrolimus for the immunosuppression in renal transplantation in the elderly.
To evaluate the pharmacokinetics of immunosuppressants that have been little studied in this population.
To evaluate whether the polymorphism of the genes that determine the expression of metabolizing enzymes and transporters of xenobiotics interfere in the elderly, also in the younger population, absorption and metabolism of immunosuppressants.
To evaluate the potential minimization of immunosuppression in this population refers to how does the re-population of peripheral lymphocytes, in this age group, after the use of lymphocyte-depleting agents such as thymoglobulin and subsequently maintained with two regimes.
Clarify which markers of renal filtration exist today, cystatin C and serum creatinine, is the right to monitor renal function in elderly transplanted.
Conditions
- Chronic Renal Failure (CRF)
- Graft Failure
- Transplant; Failure, Kidney
- Renal Transplant Rejection
Interventions
- DRUG
-
This is a 5-years prospective, randomized, exploratory, single-center, parallel group trial that includes renal transplanted elderly patients (≥ 60 years old) randomized between months 1 and 3 after transplantation to be maintained under MPS/TAC regimen or be switched to EVL/low-TAC. Everolimus: initial dose of 1 mg BID. Doses will be adjusted in order to maintain Everolimus whole blood trough concentrations between 3-8 ng/ml. Tacrolimus: initial dose of 0.1 mg/kg/day. Doses will be adjusted in order to maintain Tacrolimus whole blood trough concentrations between 2- 4 ng/ml thereafter. Corticosteroids: as clinical practice.
Sponsors & Collaborators
-
University of Sao Paulo General Hospital
lead OTHER
Principal Investigators
-
Elias David-Neto, PhD · Clinical Hospital of the School of Medicine, University of Sao Paulo
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-07-31
- Primary Completion
- 2014-07-31
- Completion
- 2019-06-30
Countries
- Brazil
Study Locations
More Related Trials
-
RCT Comparing Immunosuppressive Regimens in Elderly Renal Transplant Recipients
NCT03797196 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Study to Evaluate the Safety and Efficacy of Switching Calcineurin Inhibitor to Everolimus After Kidney Transplantation in Adults
NCT01455649 ·Status: UNKNOWN ·Phase: PHASE4
-
Everolimus + Very Low Tacrolimus vs Enteric-coated Mycophenolate Sodium + Low Tacrolimus in de Novo Renal Transplant
NCT02084446 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Induction Strategies Combined With Low Tacrolimus Exposure in Kidney Transplant Recipients Receiving Everolimus or Sodium Mycophenolate
NCT01354301 ·Status: COMPLETED ·Phase: PHASE4
-
Immediate Conversion From Tacrolimus to Everolimus in Stable Maintenance Renal Transplant Recipients
NCT01269684 ·Status: WITHDRAWN ·Phase: PHASE4
-
Comparison of Two Immunosuppressive Regimens in Kidney Transplant Recipients With Deceased Donors With the Aim of Preventing the Development of Fibrosis / Atrophy of Reducing the Incidence of Cytomegalovirus Infection
NCT01353053 ·Status: UNKNOWN
-
De Novo Everolimus-based Therapy for Renal Transplantation Using Rituximab Induction
NCT01312064 ·Status: TERMINATED ·Phase: PHASE4
-
Study Evaluating the Benefit of Two Immunosuppressive Strategies on Renal Function
NCT02334488 ·Status: COMPLETED ·Phase: PHASE3
-
Prospective Cohort of Kidney Transplanted Patients Receiving an Extended Releasing Tacrolimus-Everolimus Association
NCT03228576 ·Status: TERMINATED
-
Non-inferiority Study of Safety and Efficacy of Everolimus With Low Dose Tacrolimus to Mycophenolate Mofetil With Standard Dose Tacrolimus in Kidney Transplant Recipients
NCT01025817 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy Study of Everolimus on Renal Function in Heart Transplant Recipients With Established Chronic Renal Failure
NCT00716573 ·Status: COMPLETED ·Phase: PHASE4
-
AGe-adapted Benefits of Envarsus Versus Twice-daily Tacrolimus ImmunosuppressioN druGs After Kidney Transplantation
NCT03005236 ·Status: UNKNOWN ·Phase: PHASE4
-
Study to Evaluate the Efficacy, Safety and Tolerability of Everolimus in de Novo Renal Transplant Recipients Participating in the Eurotransplant Senior Program
NCT00956293 ·Status: TERMINATED ·Phase: PHASE4
-
Extended Release Tacrolimus vs. Twice-Daily Tacrolimus
NCT03289650 ·Status: COMPLETED ·Phase: PHASE3
-
Anti-HLA Immunization And Immunosuppressive Therapy Management In Kidney Transplant Patients Returning to Dialysis
NCT05282875 ·Status: UNKNOWN
-
A Pilot Study Comparing the Use of Low-target Versus Conventional Target Advagraf
NCT01265537 ·Status: COMPLETED ·Phase: NA
-
NOMINATE/ Minimisation of Immunosuppression in Kidney Transplantation
NCT05073822 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Initial Dosage Range of Tacrolimus by Genotyping in Chinese Renal Transplantation
NCT00935298 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Everolimus on the Pharmacokinetics of Tacrolimus in Renal Transplant Patients
NCT02077556 ·Status: COMPLETED ·Phase: PHASE4
-
Everolimus Rescue Immunosuppression in the Treatment of Chronic Allograft Dysfunction in Renal Transplant Recipients
NCT01046045 ·Status: COMPLETED ·Phase: PHASE4
-
Comparing Efficacy & Safety of Tacrolimus & MMF With/Without Induction in the Elderly Following Kidney Transplantation.
NCT00296309 ·Status: COMPLETED ·Phase: PHASE3
-
Slow and Low Start of a Tacrolimus Once Daily Immunosuppressive Regimen
NCT03672110 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Tacrolimus/Everolimus Versus Tacrolimus/Enteric-Coated Mycophenolate Sodium
NCT01680861 ·Status: COMPLETED ·Phase: PHASE3
-
Shift to Everolimus (RAD) Kidney Sparing Study
NCT00420537 ·Status: TERMINATED ·Phase: PHASE4
-
Comparison of CNI-based Regimen Versus CNI-free Regimen in Kidney Transplant Recipients.
NCT00332839 ·Status: TERMINATED ·Phase: PHASE4