Kidney Transplantation
Conditions
Brief summary
This 2 arm study will evaluate the impact on fibrosis at week 52 of an early biopsy, in patients who have received a kidney transplant from an expanded criteria donor. Patients will be randomized to one of two groups; the first group will have a biopsy at day 10, and the second group will receive standard management. All patients will be given CellCept as standard of care. The anticipated time on study treatment is 1 year, and the target sample size is 100-500 individuals.
Interventions
As prescribed; + early biopsy
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>=18 years of age; * in receipt of an initial cadaveric kidney transplant; * in receipt of graft with biopsy; * in receipt of a 'marginal' kidney transplant.
Exclusion criteria
* in receipt of a second kidney transplant; * in receipt of a multi-organ transplant or a double kidney transplant; * malignant tumor, or a history of cancer in past 5 years, other than successfully treated basal cell or spinocellular cancer or cancer in situ of cervix; * replicating hepatitis B and/or C, or HIV positive serology.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with >=25% increase in fibrosis score | Day 0 to Week 52 |
Secondary
| Measure | Time frame |
|---|---|
| Renal function (creatinine clearance) | From randomization to Week 52 |
| Incidence and time of occurrence of clinical acute rejection | From randomization to Week 52 |
| Adverse events, laboratory parameters, cancers and lymphoproliferative syndromes | Throughout study |
Countries
France