TocIlizumab in Late/Chronic Active Antibody-mediated Rejection in Kidney Transplant Recipients
NCT04561986 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2025-04-03
Summary
This multi-center study is an investigator-driven randomized controlled parallel group open-label clinical trial designed to evaluate the efficacy of addition of anti-IL-6 antibody tocilizumab (TCZ) to the standard of care (SOC) treatment as compared to the SOC alone in reducing the decline of graft function in kidney transplant recipients with late or chronic antibody-mediated rejection (AMR). A total of 50 recipients will be allocated to receive either TCZ (n=25) added to the standard of care (SOC) or SOC alone (n=25) for a period of 24 months. Patients will be followed for an additional 12 months. Protocol kidney graft biopsies will be performed at 12 and 24 months. The primary outcome is the mean rate of change in graft function as assessed by estimated glomerular filtration rate (eGFR) slope from baseline to 24 months after start of treatment.
Conditions
- Antibody-mediated Rejection
Interventions
- DRUG
-
Tocilizumab is a recombinant humanized monoclonal antibody directed against the human interleukin-6 (IL-6) receptor
Sponsors & Collaborators
-
Karolinska University Hospital
collaborator OTHER -
Uppsala University Hospital
collaborator OTHER -
Skane University Hospital
collaborator OTHER -
The Swedish Research Council
collaborator OTHER_GOV -
Hospital del Mar
collaborator OTHER -
Hospital Universitario Doctor Peset
collaborator OTHER -
Complexo Hospitalario Universitario de A Coruña
collaborator OTHER -
Hospital Universitario Marqués de Valdecilla
collaborator OTHER -
Vastra Gotaland Region
lead OTHER_GOV
Principal Investigators
-
Seema Baid-Agrawal, MD, FASN · Transplant Center, Sahlgrenska University Hospital, Gothenburg, Sweden
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-01
- Primary Completion
- 2027-12-31
- Completion
- 2028-12-31
Countries
- Spain
- Sweden
Study Locations
More Related Trials
-
A Study to Learn More About the Effects and Safety of Felzartamab Infusions in Adults With Kidney Transplants Who Have Antibody-Mediated Rejection (AMR)
NCT06685757 ·Status: RECRUITING ·Phase: PHASE3
-
Clazakizumab for Chronic and Active Antibody Mediated Rejection Post-Kidney Transplant
NCT03380377 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Transplant Antibody-Mediated Rejection: Guiding Effective Treatments
NCT03994783 ·Status: TERMINATED ·Phase: PHASE3
-
Felzartamab in Late Antibody-Mediated Rejection
NCT05021484 ·Status: COMPLETED ·Phase: PHASE2
-
Screening for Subclinical Antibody Mediated Rejection and Efficacy of Belatacept in the Context of de Novo Donor Specific Antibody After Kidney Transplantation (BELA-M-R)
NCT06291103 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Basiliximab vs Low-dose Thymoglobulin Induction Therapy in Low Risk Kidney Transplant Patients
NCT03006419 ·Status: COMPLETED ·Phase: PHASE4
-
Belatacept (Nulojix) in Renal Transplant Recipient With Mild Immunologic Risk Factor: a Pilot Prospective Study.
NCT02738918 ·Status: COMPLETED ·Phase: PHASE2
-
Eculizumab Therapy for Subclinical Antibody-mediated Rejection in Kidney Transplantation
NCT02113891 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
A Safety Study of Tocilizumab to Improve Transplant Rates in Highly Sensitized Patients Awaiting Kidney Transplantation
NCT01594424 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Safety and Efficacy Study of Rituximab in Renal Transplantation
NCT00255593 ·Status: COMPLETED ·Phase: PHASE1
-
Induction in Sensitized Kidney Transplant Recipients Without Pre-existing Donor-specific antiboDies
NCT05385432 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Cell Therapy for Immunomodulation in Kidney Transplantation
NCT03867617 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Eculizumab for Prevention of Antibody-Mediated Rejection in ABO-Incompatible Living Donor Kidney Transplantation
NCT06453135 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
Efficacy and Safety of AEB071 Versus Tacrolimus in Combination With Mycophenolate Acid Sodium, Basiliximab and Steroids in Preventing Acute Rejection After Kidney Transplantation
NCT00492869 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Pilot Trial of Clazakizumab in Late ABMR
NCT03444103 ·Status: COMPLETED ·Phase: PHASE2
-
Cellular Immunotherapy for Immune Tolerance in Past Recipients of HLA Zero-mismatch, Living Donor Kidney Transplants
NCT03606746 ·Status: WITHDRAWN ·Phase: PHASE2
-
Clazakizumab for the Treatment of Chronic Active Antibody Mediated Rejection in Kidney Transplant Recipients
NCT03744910 ·Status: TERMINATED ·Phase: PHASE3
-
Evaluation of Desensitization Protocols in HLA-incompatible Kidney-transplant Candidates
NCT03507348 ·Status: TERMINATED ·Phase: NA
-
Safety & Efficacy of Eculizumab to Prevent AMR in Living Donor Kidney Transplant Recipients Requiring Desensitization
NCT01399593 ·Status: TERMINATED ·Phase: PHASE2
-
Cellular Immunotherapy in Recipients of Human Leukocyte Antigen (HLA)-Mismatched, Living Donor Kidney Transplants
NCT03605654 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
A Dose Escalation Study of TCD601 Compared to ATG in de Novo Renal Transplantation
NCT06365437 ·Status: TERMINATED ·Phase: PHASE2
-
Conversion Study From Cyclosporine to FK506MR Based Immunosuppression in Kidney Transplant Subjects
NCT00481481 ·Status: COMPLETED ·Phase: PHASE3
-
Daratumumab for Late Antibody-Mediated Rejection
NCT07081126 ·Status: RECRUITING ·Phase: NA
-
Sequential Targeting of Cluster of Differentiation 52 (CD52) and Tumor Necrosis Factor (TNF) Allows Early Minimization Therapy in Kidney Transplantation
NCT02711202 ·Status: COMPLETED ·Phase: NA
-
Regimen Optimization Study
NCT02137239 ·Status: COMPLETED ·Phase: PHASE2