Tocilizumab in Cardiac Transplantation
NCT03644667 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 385
Last updated 2026-04-07
Summary
The purpose of this research study is to see if a study drug called Tocilizumab will, when given with standard anti-rejection medicines, lead to better heart transplantation outcomes at 1 year after the transplant. Specifically, the investigators will evaluate whether taking tocilizumab leads to less rejection, less development of unwanted antibodies, and better heart function.
Conditions
- Heart Transplant
Interventions
- BIOLOGICAL
-
6 doses: 8mg/kg (maximum of 800 mg) given once every four weeks by intravenous infusion over a 20-week period, with a minimum of 21 days between each infusion.
- BIOLOGICAL
-
The placebo is 0.9% sterile normal saline. 6 doses: 8mg/kg (maximum of 800 mg) given once every four weeks by intravenous infusion over a 20-week period, with a minimum of 21 days between each infusion.
- DRUG
-
Standard of Care Triple IS
Standard of care triple maintenance IS includes: 1. A calcineurin inhibitor-tacrolimus (Prograf ®) per site standards by sublingual, oral or intravenous route to attain target trough levels. Exception: Should a participant be unable to tolerate tacrolimus, the site physician investigator may choose cyclosporine treatment. 2. An anti-proliferative treatment-mycophenolate mofetil or Myfortic® (enteric-coated mycophenolate sodium) will be administered, per protocol. Exception: Should a participant be unable to tolerate mycophenolate mofetil, the site physician investigator may choose an alternative treatment. 3. Steroids-methylprednisolone/prednisone dosing will be given according to the local center standard of practice early post transplantation. After 6 months, prednisone may be withdrawn at the discretion of the site physician investigator, per protocol.
Sponsors & Collaborators
-
PPD Development, LP
collaborator INDUSTRY -
National Institute of Allergy and Infectious Diseases (NIAID)
lead NIH
Principal Investigators
-
Jon A. Kobashigawa, MD · Cedars Sinai Medical Center: Transplantation
-
Joren C. Madsen, MD, DPHIL · Massachusetts General Hospital: Transplantation
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-12-20
- Primary Completion
- 2025-03-25
- Completion
- 2025-03-25
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Cardiac Allograft Vasculopathy Inhibition With Alirocumab
NCT03537742 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy and Safety Of Alirocumab to Prevent Early Cardiac Allograft Vasculopathy in Recent Heart Transplant Recipients
NCT04193306 ·Status: UNKNOWN ·Phase: PHASE4
-
JOint Use of Database to Identify Risk Factors of CARDio-vascular Toxicity Induced by Immune Checkpoint Inhibitors
NCT04294771 ·Status: UNKNOWN
-
Daratumumab-SC for Highly Sensitized Patients Awaiting Heart Transplantation
NCT04610320 ·Status: COMPLETED ·Phase: PHASE1
-
A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamic Effects of MEDI5884 in Adults With Stable Coronary Heart Disease
NCT03351738 ·Status: COMPLETED ·Phase: PHASE2
-
An Efficacy, Safety and Tolerability Study of Ixmyelocel-T Administered Via Transendocardial Catheter-based Injections to Subjects With Heart Failure Due to Ischemic Dilated Cardiomyopathy (IDCM)
NCT01670981 ·Status: COMPLETED ·Phase: PHASE2
-
Minimally Invasive Pericardiotomy as a New Treatment for Heart Failure
NCT03923673 ·Status: COMPLETED ·Phase: NA
-
Transplant of Redeemed Organs by Judicious Administration of New Direct-Acting Antivirals for Hepatitis-C Heart Recipients
NCT03383419 ·Status: RECRUITING ·Phase: PHASE2
-
A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Heart Failure and Inflammation
NCT05636176 ·Status: RECRUITING ·Phase: PHASE3
-
Evaluation of Reporting of Immune Checkpoint Inhibitor Associated Cardio-vascular Adverse Reactions
NCT03387540 ·Status: COMPLETED
-
Efficacy and Safety Study of Azimilide on the Incidence of Cardiovascular Hospitalizations/Emergency Department Visits or Cardiovascular Death in Patients With an Implantable Cardioverter Defibrillator (ICD) (SHIELD-2)
NCT01464476 ·Status: TERMINATED ·Phase: PHASE3
-
Ranolazine Implantable Cardioverter-Defibrillator Trial
NCT01215253 ·Status: COMPLETED ·Phase: PHASE3
-
Canakinumab in Covid-19 Cardiac Injury (The Three C Study)
NCT04365153 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of RO4607381 in Patients With Coronary Heart Disease (CHD) or a CHD Risk Equivalent.
NCT00353522 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase IIb Study to Investigate the Efficacy and Tolerability of Cinaciguat (150 µg/h, 100 µg/h, 50 µg/h) Given Intravenously to Subjects With Acute Decompensated Chronic Congestive Heart Failure (ADHF)
NCT01064037 ·Status: TERMINATED ·Phase: PHASE2
-
Reversal of Ventricular Remodeling With Toprol-XL
NCT00038077 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Assess the Safety and Tolerability of IV Tonapofylline in Subjects With Acute Decompensated Heart Failure (ADHF) and Renal Insufficiency
NCT00709865 ·Status: COMPLETED ·Phase: PHASE3
-
Thiamine and Acute Decompensated Heart Failure: Pilot Study
NCT00680706 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase 2 Open-label Pilot Study Evaluating MYK-461 in Subjects With Symptomatic Hypertrophic Cardiomyopathy and Left Ventricular Outflow Tract Obstruction
NCT02842242 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of FAP iCDC in End-stage Dilated Cardiomyopathy
NCT06902896 ·Status: COMPLETED ·Phase: PHASE1
-
Study of Organ Perfusion With Custodiol-N Solution Compared With Custodiol Solution in Heart Transplantation
NCT02869022 ·Status: COMPLETED ·Phase: PHASE3
-
AC6 Gene Transfer in Patients With Reduced Left Ventricular Ejection Fraction Heart Failure
NCT03360448 ·Status: WITHDRAWN ·Phase: PHASE3
-
A Study of LY3461767 in Participants With Chronic Heart Failure With Reduced Ejection Fraction
NCT04840914 ·Status: COMPLETED ·Phase: PHASE1
-
Monitoring Drug-induced Myocarditis (CardiTOX)
NCT03855982 ·Status: COMPLETED
-
A Study to Assess the Effectiveness and Safety of Rivaroxaban in Reducing the Risk of Death, Myocardial Infarction or Stroke in Participants With Heart Failure and Coronary Artery Disease Following an Episode of Decompensated Heart Failure
NCT01877915 ·Status: COMPLETED ·Phase: PHASE3