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Safety and Efficacy Study of Rituximab in Renal Transplantation

A Prospective, Randomised, Placebo Controlled, Multicenter Study of the Efficacy and Safety of Rituximab as Induction Therapy Together With Tacrolimus, Mycophenolate Mofetil and Steroids for Patients Undergoing Renal Transplantation

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00255593
Enrollment
140
Registered
2005-11-21
Start date
2005-11-30
Completion date
2007-10-31
Last updated
2007-11-30

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

Conditions

Renal Transplantation

Keywords

Kidney, Transplantation, Immunosuppression, Rituximab

Brief summary

Current strategies for the medical management of transplant patients are largely focused on the prevention and treatment of T-lymphocyte mediated processes. However there is an increasing evidence to suggest that B-lymphocytes have a role in the otherwise classic T-cell mediated rejection of transplants by there ability to act as antigen presenting cells and T-cell activators. Thus there is a significant medical need for effective therapies targeting B cells of transplant patients.One such potential therapy would be to use rituximab, a monoclonal antibody against B-cells in all renal transplant patients. In the present study the efficacy and safety of prophylactic rituximab is studied.

Interventions

DRUGrituximab

Sponsors

Karolinska University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Patients aged 18 years or above * Recipients of first or second renal transplants * Recipients of kidneys from living or cadaveric donors * Single organ recipients (kidney only) * Patients providing written informed consent * Patients cooperative and able to complete all the assessment procedures

Exclusion criteria

* Patients receiving other immunosuppressive therapy within the preceding 28 days * Recipients of HLA-identical sibling kidneys * Patients with flow-PRA \>50% within 6 months prior to enrolment * Recent history of malignancy * Active infection * Pregnant or lactating females * Women of childbearing potential not willing to use reliable form of contraception

Design outcomes

Primary

MeasureTime frame
Composite endpoint of biopsyproven rejection, graft loss or death during the first 6 months following transplanation

Secondary

MeasureTime frame
Renal function at 6 months
Incidence of infections
Incidence of rituximab-related adverse events
Incidence of malignancies

Countries

Sweden

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026