Renal Transplantation
Conditions
Keywords
Renal transplantation, Enteric-coated mycophenolate sodium
Brief summary
The aim of this study is whether a switch of stable renal transplant recipients who receive tacrolimus with or without corticosteroids from mycophenolate mofetil (MMF) to enteric-coated mycophenolate sodium (EC-MPS) is safe and well tolerated by the patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Recipients of first or secondary cadaveric heart-beating, living unrelated or living related kidney transplant. * Currently receiving 1, 1.5, or 2 g MMF/day, tacrolimus with or without corticosteroids as part of their immunosuppressive regimen for at least 3 months. * In a stable condition in terms of graft function.
Exclusion criteria
* Patients who had taken an investigational drug within four weeks prior to study entry * History of malignancy within the last 5 years, except excised squamous or basal cell carcinoma of the skin. * Thrombocytopenia (\<75,000/mm3), with an absolute neutrophil count of \<1,500/mm3 and/or leukocytopenia (\<2,500/mm3), and/or hemoglobin \<6.0 g/dL prior to enrollment * Clinically significant infection requiring continued therapy, severe diarrhea, active peptic ulcer disease, or uncontrolled diabetes mellitus, evidence of severe liver disease, HIV or Hepatitis B surface antigen positive. Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tolerability based on adverse events within 6 months after switch from MMF to an optimized enteric-coated mycophenolate sodium regimen. | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety based on renal function within 6 months after medication switch. | — |
| Pharmacokinetics of enteric-coated mycophenolate sodium in combination with tacrolimus in a subpopulation at baseline, week 2, month 3 | — |
| Influence of enteric-coated mycophenolate sodium on the activity of an enzyme at baseline, week 2, month 3 | — |
| Incidence of biopsy-proven acute rejection, graft loss or death within 6 months post medication switch. | — |
| Graft survival and patient survival 6 months post medication switch. | — |