Mycophenolate-Based Therapy for Kidney Transplant Recipients Without HLA-DQ Mismatch
NCT06493526 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2024-08-21
Summary
The goal of this clinical trial is to learn if calcineurin-inhibitor therapy (a drug commonly used to prevent rejection) can be safely stopped in kidney transplant recipients with a relatively low risk of rejection (being recipients of a first transplant, without any signs of pre-existing immunity against the graft, and having a good HLA match with the donor (no mismatch in HLA-DQ)). Before stopping the calcineurin-inhibitors, the remaining therapy with mycophenolate mofetil and corticosteroids will be optimized.The main questions it aims to answer are:
Is this approach safe, in terms of preventing rejection? Is this approach well tolerated? Will this approach lead to better kidney function and/or other beneficial effects?
Conditions
- Kidney Transplantation
Interventions
- DRUG
-
Withdrawal of calcineurin-inhibitor, continue on concentration-controlled mycophenolate mofetil and corticosteroids.
Mycophenolate mofetil dose will be optimized to an AUC12 of 60 h.mg/L, thereafter the calcineurin inhibitor will be withdrawn.
Sponsors & Collaborators
-
University Hospital, Antwerp
lead OTHER
Principal Investigators
-
Rachel Hellemans, MD PhD · Antwerp University Hospital, Department of Nephrology, Drie Eikenstraat 655, 2650 Edegem, BELGIUM
-
Hans de Fijter, MD PhD · Antwerp University Hospital, Department of Nephrology, Drie Eikenstraat 655, 2650 Edegem, BELGIUM
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-20
- Primary Completion
- 2026-12-31
- Completion
- 2027-06-30
Countries
- Belgium
Study Locations
More Related Trials
-
A Study of Mycophenolate Mofetil and Cyclosporin, Without Concomitant Corticosteroids, After a First Renal Transplant
NCT00200551 ·Status: COMPLETED ·Phase: PHASE4
-
Pilot Study to Investigate a Steroid Free Immunosuppressive Regimen for Renal Transplant Recipients
NCT00306397 ·Status: COMPLETED ·Phase: PHASE4
-
Study Evaluating Two Different Sirolimus-based Immunosuppressive Regimens in Elderly Kidney Transplant Recipients
NCT00254709 ·Status: COMPLETED ·Phase: PHASE4
-
Standard Therapy or Individualized Immunosuppression For Lowering Adverse Event Risk
NCT04473924 ·Status: WITHDRAWN ·Phase: PHASE2
-
Belatacept in Kidney Transplantation of Moderately Sensitized Patients
NCT02130817 ·Status: WITHDRAWN ·Phase: PHASE4
-
A Study to Evaluate the Benefits and Risks of Conversion of Existing Adolescent Kidney Transplant Recipients Aged 12 to <18 Years to a Belatacept-based Immunosuppressive Regimen as Compared to Continuation of a Calcineurin Inhibitor-based Regimen, and Their Adherence to Immunosuppressive Medications
NCT04877288 ·Status: RECRUITING ·Phase: PHASE3
-
Steroid Free Immunosuppression or Calcineurin Inhibitor Minimization After Basiliximab Induction Therapy in Kidney Transplantation: Comparison With a Standard Quadruple Immunosuppressive Regimen
NCT01560572 ·Status: COMPLETED ·Phase: PHASE4
-
Pilot Study for HLA Identical Living Donor Renal Transplant Recipients
NCT00352092 ·Status: COMPLETED ·Phase: PHASE4
-
A Study Looking at Kidney Function in Kidney Transplant Recipients Who Are Taking Anti-rejection Medication Including Tacrolimus and With or Without Sirolimus.
NCT01363752 ·Status: COMPLETED ·Phase: PHASE4
-
Conversion From Mycophenolate Mofetil to Mycophenolate Sodium in Renal Transplant
NCT00646737 ·Status: COMPLETED ·Phase: PHASE4
-
Belatacept Therapy for the Failing Renal Allograft
NCT01921218 ·Status: COMPLETED ·Phase: PHASE3
-
Study of Enteric-coated Mycophenolate Sodium Maintenance Therapy in Patients With Renal Transplant Receiving Cyclosporine Microemulsion and Steroids,
NCT00239057 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Compare the Outcome of Receiving Continued Immunosuppression Versus Stopping Immunosuppression at 6 Months to Safely Prevent Human Leukocyte Antigen (HLA) Sensitization in Patients With Late Renal Graft Failure
NCT06676696 ·Status: RECRUITING ·Phase: PHASE4
-
Renal Function Evaluation After Reduction of Cyclosporine A Dose in Renal Transplant Patients
NCT00213590 ·Status: COMPLETED ·Phase: PHASE3
-
Extension Study of Enteric-coated Mycophenolate Sodium With Short-term or no Steroid Use Compared With Enteric-coated Mycophenolate Sodium With Standard Steroid Therapy in de Novo Kidney Recipients
NCT00240955 ·Status: COMPLETED ·Phase: PHASE4
-
The Comparison of Three Different Immunosuppressant Regimens in Kidney Transplant Recipients.
NCT00275522 ·Status: COMPLETED ·Phase: PHASE4
-
Calcineurin Inhibitor Avoidance With Thymoglobulin and Sirolimus in Kidney Transplantation
NCT00305396 ·Status: COMPLETED ·Phase: PHASE4
-
Mycophenolate Mofetil (MMF) Discontinuation From a Tacrolimus/MMF/Steroid Triple Regimen After Kidney Transplantation
NCT00693381 ·Status: COMPLETED ·Phase: PHASE3
-
Randomized Study to Reduce Calcineurininhibitor Toxicity in Pediatric and Adolescent Kidney Transplant Recipients
NCT00663455 ·Status: TERMINATED ·Phase: PHASE4
-
MMF, Daclizumab and Corticosteroids as Mainstay Immunosuppression in Renal Transplant Patients
NCT00231764 ·Status: COMPLETED ·Phase: PHASE4
-
A Study in Maintenance Kidney Transplant Recipients Following Conversion to Nulojix® (Belatacept)-Based
NCT01820572 ·Status: COMPLETED ·Phase: PHASE3
-
Immune Monitoring and CNI Withdrawal in Low Risk Recipients of Kidney Transplantation
NCT01517984 ·Status: TERMINATED ·Phase: PHASE2
-
Evaluation of Thymoglobulin Induction and Reduced Doses of Calcineurin Inhibitors on Liver Transplant Rejection
NCT00117689 ·Status: COMPLETED ·Phase: PHASE2
-
Improved Induction and Maintenance Immunosuppression in Kidney Transplantation
NCT00556933 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Sirolimus to Tacrolimus for Long Term Therapy in Kidney Transplant With no Steroids
NCT00170053 ·Status: COMPLETED ·Phase: PHASE1