De Novo Kidney Transplant
Conditions
Keywords
kidney transplant, hepatitis C, enteric-coated mycophenolate sodium
Brief summary
To prospectively evaluate in de novo kidney transplant recipients, hepatitis C positive, the clinical outcomes of an immunosuppressive regimen of EC-MPS free of steroids in comparison with a regimen of EC-MPS with standard steroids, as measured by the hepatic function tests (ALT/AST) after 12 months treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients hepatitis C positive (serology test within the last 12 months and determined by third-generation assay). 2. Recipients of heart-beating cadaveric, living unrelated or living related non-HLA identical donor kidney transplant, treated with basiliximab and CsA-ME as primary immunosuppression.
Exclusion criteria
1. Multi-organ recipients (e.g. double kidney, kidney and pancreas or kidney and liver) or previous transplant with any other organ. 2. Kidneys from non-heart beating donors. 3. ABO incompatibility against the donor. 4. Patients with panel reactive antibodies of \>50% at most recent assessment prior to transplantation and /or prior graft lost due to immunological reasons in the first six months post-transplantation or patients who are considered to be at increased risk of acute rejection by the principal investigator Additional protocol defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hepatic function tests (ALT/AST) after 12 months treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Graft loss, biopsy-proven acute rejection after 3 and 12 months treatment. | — |
| Glomerular filtration rate and by proteinuria after 12 months treatment. | — |
| Graft survival after 12 months. | — |
| Incidence of AEs and SAEs after 3 and 12 months. | — |
| Acumulative incidence of biopsy proven acute rejection after 3 and 12 months. | — |
| Percentage of patients free of steroids at 12 months between the two investigational groups. | — |
| Viral load (HCV RNA) between both groups at 12 months. | — |
| Bone density at 12 months in both groups. | — |
| Blood pressure, lipids and glucose profiles after 3 and 12 months. | — |