Belatacept With Early Steroid Withdrawal rATG and Everolimus in Renal Transplantation (BETTER Trial)
NCT04849533 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2021-04-19
Summary
This study is designed to determine the safety and efficacy of two calcineurin inhibitor free treatment groups 1) a belatacept, everolimus and early corticosteroid withdrawal (ECSWD) immunosuppressive regimen with rabbit antithymocyte globulin induction (rATG) and 2) a belatacept, mycophenolate, chronic steroid regimen with rATG and compare to historical controls of tacrolimus-based and belatacept-based regimens in combination with rATG induction, mycophenolate, and ESWD in renal transplant recipients.
The purpose is to evaluate the effect of 2 regimens (rATG induction/belatacept/everolimus/ESWD and rATG induction/belatacept/mycophenolate/CS) on the composite of patient death, graft loss, or eGFR (MDRD) \< 45 mL/min/1.73m2 at Month 12 post-transplantation compared to historical controls of the BEST Trial (groups B and C).
Conditions
- Kidney Transplant Rejection
Interventions
- DRUG
-
Belatacept
belatacept with everolimus is experimental regimen and it is compared to the labeled regimen of belatacept with mycophenolate with steroids for prevention of rejection in renal transplant recipients
- DRUG
-
belatacept with everolimus is experimental regimen and it is compared to the labeled regimen of belatacept with mycophenolate with steroids for prevention of rejection in renal transplant recipients
- DRUG
-
mycophenolate mofetil
belatacept with mycophenolate is approved regimen for prevention of rejection
- DRUG
-
belatacept with chronic steroids is approved regimen for prevention of rejection
- DRUG
-
rabbit antithymocyte globulin
rabbit antithymocyte globulin induction for prevention of rejection
Sponsors & Collaborators
-
University of Cincinnati
lead OTHER
Principal Investigators
-
Rita R Alloway, PharmD · University of Cincinnati
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-09
- Primary Completion
- 2023-07-31
- Completion
- 2024-07-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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