Induction in Sensitized Kidney Transplant Recipients Without Pre-existing Donor-specific antiboDies
NCT05385432 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 244
Last updated 2023-09-05
Summary
Induction therapy decreases the rate of acute allograft rejection in kidney transplant recipients (KTRs) and is strongly recommended. Polyclonal lymphocyte-depleting antibodies and interleukin-2 receptor (IL2R) antagonists are therefore widely used around the world, with a leading position for rabbit anti-thymocyte globulin (rATG, Thymoglobulin®) and basiliximab (Simulect®), respectively. The actual immunological risk of the sensitized KTRs without donor specific antibodies (DSAs) is still debated. The benefit-risk equation of lymphocyte depleting antibodies (versus IL2R antagonists) is not known in sensitized KTRs without DSAs. This clinical trial will compare the efficacy and safety of basiliximab and rATG in sensitized KTR without pre-existing DSAs detected by Luminex.
Conditions
- Renal Transplant Rejection
- Induction Therapy
Interventions
- DRUG
-
Rabbit Anti thymocyte globulin (rATG)
The infusion of rTAG (Thymoglobulin® (1.5mg/kg/day, maximum daily dose: 100 mg)) starts just after the randomization pre-operatively on a functional arteriovenous fistula or a high-flow venous catheter during 3 to 7 days until efficient tacrolimus level is obtained.
- DRUG
-
Basiliximab
Simulect® IV 40mg D0 and D4
Sponsors & Collaborators
-
University Hospital, Tours
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 79 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-12
- Primary Completion
- 2027-03-01
- Completion
- 2030-03-01
More Related Trials
-
ATG Versus Basiliximab in Kidney Transplant Displaying Low Immunological Risk But High Susceptibility to DGF
NCT02056938 ·Status: TERMINATED ·Phase: PHASE4
-
Characterization of Immunological Profile of Renal Transplant Patients Undergoing Induction Treatment With Thymoglobulin vs. IL-2 Receptor Antagonist Basiliximab
NCT00842699 ·Status: COMPLETED
-
Antithymocyte Globulin and Azathioprine Versus Basiliximab and Mycophenolate Mofetil in Living Donor Kidney Transplantation
NCT03789006 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Thymoglobulin Versus Basiliximab on Regulatory T Cell Function in Live Donor Kidney Transplant Recipients
NCT02730715 ·Status: TERMINATED
-
A Pilot Study Comparing the Use of Low-target Versus Conventional Target Advagraf
NCT01265537 ·Status: COMPLETED ·Phase: NA
-
Single Dose Thymoglobulin for Induction in Adult Renal Allograft Recipients
NCT00235781 ·Status: TERMINATED ·Phase: NA
-
Evaluation of Desensitization Protocols in HLA-incompatible Kidney-transplant Candidates
NCT03507348 ·Status: TERMINATED ·Phase: NA
-
Efficacy of Single Dose Anti-thymocyte Globulin in the Modulation of T Lymphocytes in Kidney Transplantation
NCT04835948 ·Status: COMPLETED
-
Randomized Trial of Induction Therapies in High Immunological Risk Kidney Transplant Recipients
NCT00782821 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluating Safety and Efficacy of TOL101 Induction Versus Anti-Thymocyte Globulin to Prevent Kidney Transplant Rejection
NCT01154387 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Efficacy and Safety of Induction Strategies Combined With Low Tacrolimus Exposure in Kidney Transplant Recipients Receiving Everolimus or Sodium Mycophenolate
NCT01354301 ·Status: COMPLETED ·Phase: PHASE4
-
RituxiMab INDuction in Renal Transplantation
NCT01095172 ·Status: UNKNOWN ·Phase: PHASE4
-
Safety and Efficacy Study of Rituximab in Renal Transplantation
NCT00255593 ·Status: COMPLETED ·Phase: PHASE1
-
TocIlizumab in Late/Chronic Active Antibody-mediated Rejection in Kidney Transplant Recipients
NCT04561986 ·Status: RECRUITING ·Phase: PHASE3
-
Safety/Efficacy of Induction Agents With Tacrolimus, MMF, and Rapid Steroid Withdrawal in Renal Transplant Recipients
NCT00113269 ·Status: COMPLETED ·Phase: PHASE4
-
Transplant Antibody-Mediated Rejection: Guiding Effective Treatments
NCT03994783 ·Status: TERMINATED ·Phase: PHASE3
-
Regimen Optimization Study
NCT02137239 ·Status: COMPLETED ·Phase: PHASE2
-
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
-
Anti-T-Lymphocyte Globulin (ATG) in Renal Transplantation of Kidneys With a Non-Heart-Beating (NHB) Donor
NCT00733733 ·Status: UNKNOWN ·Phase: PHASE3
-
Daclizumab Versus Thymoglobulin in Renal Transplant Recipients With High Immunological Risk
NCT00682292 ·Status: COMPLETED ·Phase: PHASE3
-
Delayed Blood Stem Transplantation in HLA Matched Kidney Transplant Recipients to Eliminate Immunosuppressive Drugs.
NCT03591302 ·Status: UNKNOWN ·Phase: PHASE1
-
Treg Modulation With CD28 and IL-6 Receptor Antagonists
NCT04066114 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Belatacept (Nulojix) in Renal Transplant Recipient With Mild Immunologic Risk Factor: a Pilot Prospective Study.
NCT02738918 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of ATG to Thymoglobuline in Renal Transplantation
NCT00861536 ·Status: COMPLETED ·Phase: PHASE4
-
Long-term Outcomes After Conversion to Belatacept
NCT04733131 ·Status: UNKNOWN