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INduction in Sensitized kidney Transplant recipients without pre-Existing donor-specific AntiboDies: a randomized multicentre trial between a lymphocyte depleting and basiliximab (INSTEAD)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2022-502007-30-00
Enrollment
244
Registered
2023-06-30
Start date
2023-11-07
Completion date
Unknown
Last updated
2023-06-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Kidney transplant

Brief summary

Incidence of BPAR (treated suspicious TCMR and confirmed TCMR with grade ≥ 1 and ABMR) in rATG and basiliximab groups during the first post-transplantation year, determined after blind central reading according to Banff 2019 classification

Detailed description

Incidence of BPAR in rATG and basiliximab groups at year 3, Incidence of composite criteria including BPAR, death and graft loss (retransplantation or dialysis) at year 3., Incidence of confirmed TCMR and ABMR in rATG and basiliximab groups at year 1 and 3., Incidence of de novo DSA in rATG and basiliximab groups at year 1 and 3, Incidence of CMV viremia, CMV disease, BKv viremia and BKv nephropathy in rATG and basiliximab groups at year 1 and 3, Estimated glomerular filtration rate (eGFR) according to MDRD formula and proteinuria/creatinuria ratio in rATG and basiliximab groups at day 10, month 1, month 3 and 6, year 1, year 2 and 3, Incidence of primary and secondary outcomes (1 to 6) in subgroups defined by rank of transplantation, Health-Economics endpoints: a) Incremental Cost Utility Ratio (ICUR) estimating the “cost per QALY gained”, at 12 months, from the French Healthcare Insurance perspective, of rATG in comparison to basiliximab. b) Incremental Cost Effectiveness Ratio (ICER) estimating the “cost per prevented BPAR” at 12 months, from the French Healthcare Insurance perspective, of rATG in comparison to basiliximab.

Interventions

Sponsors

Centre Hospitalier Regional Universitaire De Tours
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Incidence of BPAR (treated suspicious TCMR and confirmed TCMR with grade ≥ 1 and ABMR) in rATG and basiliximab groups during the first post-transplantation year, determined after blind central reading according to Banff 2019 classification

Secondary

MeasureTime frame
Incidence of BPAR in rATG and basiliximab groups at year 3, Incidence of composite criteria including BPAR, death and graft loss (retransplantation or dialysis) at year 3., Incidence of confirmed TCMR and ABMR in rATG and basiliximab groups at year 1 and 3., Incidence of de novo DSA in rATG and basiliximab groups at year 1 and 3, Incidence of CMV viremia, CMV disease, BKv viremia and BKv nephropathy in rATG and basiliximab groups at year 1 and 3, Estimated glomerular filtration rate (eGFR) according to MDRD formula and proteinuria/creatinuria ratio in rATG and basiliximab groups at day 10, month 1, month 3 and 6, year 1, year 2 and 3, Incidence of primary and secondary outcomes (1 to 6) in subgroups defined by rank of transplantation, Health-Economics endpoints: a) Incremental Cost Utility Ratio (ICUR) estimating the “cost per QALY gained”, at 12 months, from the French Healthcare Insurance perspective, of rATG in comparison to basiliximab. b) Incremental Cost Effectiveness Ratio (ICER

Countries

France

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026