Conversion to Sirolimus: Effects in Cytomegalovirus Infection Recurrence
NCT02671318 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 250
Last updated 2016-08-17
Summary
Cytomegalovirus is the most important opportunistic infection after kidney transplant, with increased in mortality, morbidity and higher costs of transplantation. Despite the favorable efficacy (lower acute rejection) results of the most worldwide used regime, tacrolimus, mycophenolate and prednisone, or the investigators local common regimen, tacrolimus, azathioprine and prednisone, this combinations are associated with higher incidence of cytomegalovirus infection, disease and recurrence.
Namely, sirolimus use is associated with decreased risk of cytomegalovirus infection/disease, and there is not a prospective cohort to evaluate the conversion to sirolimus efficacy to decrease the cytomegalovirus infection recurrence.
Given this, the investigators propose a study of their own initiative that attends local needs: evaluate the conversion to sirolimus efficacy in decrease the cytomegalovirus recurrence after kidney transplant.
Conditions
- Cytomegalovirus Infections
Interventions
- DRUG
-
Drug conversion to sirolimus
Drug conversion to sirolimus: mycophenolate or azathioprine conversion to sirolimus, in a regimen with tacrolimus and prednisone.
- DRUG
-
Maintenance of the current regimen
Maintenance of the current regimen: mycophenolate or azathioprine maintenance, in a regimen with tacrolimus and prednisone.
Sponsors & Collaborators
-
Hospital do Rim e Hipertensão
lead OTHER
Principal Investigators
-
Geovana Basso, MD · Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil
-
Helio Tedesco Silva Junior, PhD · Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil
-
Claudia Rosso felipe, PhD · Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil
-
Leonardo V. Riella, PhD · Brigham and Women's Hospital, US.
-
Jose O. Medina Pestana, PhD · Nephrology Division, Hospital do Rim, Federal University of São Paulo, Brazil
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-09-30
- Primary Completion
- 2019-12-31
- Completion
- 2020-08-31
Countries
- Brazil
Study Locations
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