Renal transplant patients beyond 1 year post Tx, suffering from CAN and histologically proven C4d deposits and/or plasma cell and/or B-Lymphocyte (CD20+ cells) infiltration of their grafts
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: GFR > 25 ml/min x 1,73m2 (MDRD)Time after transplantation >3 months Age >18 yearsInformed consent Biopsy proven CAN with C4d+ and/or plasma-cell and/or B-Lymphocyte (CD20+ cells) within the last 4 weeks before inclusion ACE/AT1 blocker started more than 1 week before inclusion Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Hepatitis B, HIV Signs of acute cellular rejection Proteinuria >4g/24h History of malignancy within the last 5 years (except non-metastatic basal or squamous cell carcinoma of the skin) Systemic infection Leukopenia Pregnancy Participation in another investigational drug study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the benefit of Rituximab in patients with CAN with histologically proven C4d deposits and/or plasma cell and/or B-Lymphocyte (CD20+ cells) infiltration of their grafts.;Secondary Objective: Renal function at 1 year Tolerability/ safety Graft survival at 1 and 2 years;Primary end point(s): Serum creatinine level 12 month | — |
Countries
Germany