Steroid Withdrawal and Donor-specific Anti-HLA Antibodies in Renal Transplant Patients
NCT02284464 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 230
Last updated 2020-04-14
Summary
Steroids are one of the pillars of immunosuppression for kidney transplant patients but their use is associated with a high rate of complications. Withdrawal of steroids reduces some metabolic and cardiovascular complications, but it may increase the risk of acute rejection. However, little is known about whether steroid withdrawal is associated with the generation of anti-HLA donor-specific antibodies (DSA) and the relation between DSA and clinical and histological data. The aim of this study is to compare the incidence of de novo anti-HLA DSA in stable kidney transplant patients after withdrawing the steroids 3 months after the transplantation as compared with patients who continue with steroids. The hypothesis is that steroid withdrawal will increase the presence of de novo anti-HLA DSA in stable kidney transplant patients
Conditions
- Other Complication of Kidney Transplant
- Renal Transplant Rejection
Interventions
- DRUG
-
Prednisone withdrawal
Withdrawal of steroids
- DRUG
-
Prednisone continuation
Continuation of steroids
Sponsors & Collaborators
-
Sociedad Andaluza de Trasplantes de Organos y Tejidos
collaborator OTHER -
Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
lead OTHER
Principal Investigators
-
Domingo Hernandez, PhD · Carlos Haya Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-02-28
- Primary Completion
- 2019-07-31
- Completion
- 2019-12-31
Countries
- Spain
Study Locations
More Related Trials
-
Effect of Rapid Steroid Withdrawal on Subclinical Markers of Rejection
NCT00133172 ·Status: TERMINATED ·Phase: PHASE4
-
A Study to Compare Early Steroid Withdrawal and Long-Term Steroid Maintenance Therapy in Kidney Transplant Patients
NCT00650468 ·Status: COMPLETED ·Phase: PHASE4
-
Prednisone Withdrawal Versus Prednisone Maintenance After Kidney Transplant
NCT00596947 ·Status: TERMINATED ·Phase: PHASE4
-
Steroid Withdrawal in Pediatric Kidney Transplant Recipients
NCT00023244 ·Status: TERMINATED ·Phase: PHASE2
-
Immune Monitoring and CNI Withdrawal in Low Risk Recipients of Kidney Transplantation
NCT01517984 ·Status: TERMINATED ·Phase: PHASE2
-
MMF Monotherapy and Immune Regulation in Kidney Transplant Recipients: Part 1 Steroid Withdrawal
NCT00214279 ·Status: COMPLETED ·Phase: NA
-
A Study Comparing the Withdrawal of Steroids or Tacrolimus in Kidney Transplant Recipients
NCT00195429 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of Desensitization Protocols in HLA-incompatible Kidney-transplant Candidates
NCT03507348 ·Status: TERMINATED ·Phase: NA
-
Assessment Of the Safety and Benefit of Prospective Immunosuppressive Drug Withdrawal in Liver Transplantation and Prediction of Operational Tolerance
NCT00647283 ·Status: UNKNOWN ·Phase: PHASE2
-
Phase IV Study to Evaluate Calcineurin Inhibitor Reduced, Steroid Free Immunosuppression After Renal Transplantation
NCT00724022 ·Status: COMPLETED ·Phase: PHASE4
-
Withdrawal of Immunosuppression in Pediatric Liver Transplant Recipients
NCT00320606 ·Status: COMPLETED ·Phase: PHASE1
-
Prospective Donor Specific T Response Measurment for IS Minimization in de Novo Renal Transplantation
NCT02540395 ·Status: COMPLETED ·Phase: NA
-
Safety/Efficacy of Induction Agents With Tacrolimus, MMF, and Rapid Steroid Withdrawal in Renal Transplant Recipients
NCT00113269 ·Status: COMPLETED ·Phase: PHASE4
-
Pilot Study of Immunosuppression Drug Weaning in Liver Recipients Exhibiting Biomarkers of High Likelihood of Tolerance
NCT01445236 ·Status: TERMINATED ·Phase: NA
-
Pilot Study to Investigate a Steroid Free Immunosuppressive Regimen for Renal Transplant Recipients
NCT00306397 ·Status: COMPLETED ·Phase: PHASE4
-
Optimum Immunosuppression in Renal Transplant Recipients.New Onset Diabetes After Transplantation
NCT01002339 ·Status: TERMINATED ·Phase: PHASE4
-
RituxiMab INDuction in Renal Transplantation
NCT01095172 ·Status: UNKNOWN ·Phase: PHASE4
-
Steroid Withdrawal in Pediatric Renal Transplant: Impact on Growth, Bone Metabolism and Acute Rejection
NCT00707759 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Compare the Outcome of Receiving Continued Immunosuppression Versus Stopping Immunosuppression at 6 Months to Safely Prevent Human Leukocyte Antigen (HLA) Sensitization in Patients With Late Renal Graft Failure
NCT06676696 ·Status: RECRUITING ·Phase: PHASE4
-
Rituximab for Prevention of Rejection After Renal Transplantation
NCT00565331 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
ALLoreactive T-Cell receptOr RePertoire in kidnEy tranSplantation
NCT03422224 ·Status: RECRUITING
-
A Study To Test An Anti-Rejection Therapy After Kidney Transplantation
NCT00000936 ·Status: TERMINATED ·Phase: PHASE3
-
Impact of Rituximab (RTx) Induction and Living Donation on Immunoregulation and Virus Control in Renal Transplantation
NCT01136395 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase II Study of Belatacept (BMS-224818) With a Steroid-free Regimen in Subjects Undergoing Kidney Transplantation
NCT00455013 ·Status: COMPLETED ·Phase: PHASE2
-
Once-a-day Regimen With Everolimus, Low Dose Cyclosporine and Steroids in Comparison With Steroid Withdrawal or Twice a Day Regimen With Everolimus, Low Dose Cyclosporine and Steroids.
NCT01023815 ·Status: COMPLETED ·Phase: PHASE3