Liver Transplantation
Conditions
Keywords
Liver transplantation, HCV-negative recipient, deceased donor, sotrastaurin, oran transplantation, tacrolimus
Brief summary
This study will assess the safety and efficacy of different doses of sotrastaurin when combined with tacrolimus for the prevention of acute rejection after de novo liver transplantation.
Interventions
MMF(1000mg bid) + tacrolimus + standard of care medications
sotrastaurin (200mg bid) + tacrolimus + standard of care medications
sotrastaurin (300 mg bid) + tacrolimus + standard of care medications
Sponsors
Study design
Eligibility
Inclusion criteria
* Recipients of any race, 18 years or older * Recipients of primary de novo orthotopic liver transplant from a deceased donor * Recipients of a kidney with a cold ischemia time \< 30 hours * HCV-negative recipients
Exclusion criteria
* Prior organ/cellular transplant or multiple organ transplant * MELD-score \> 35 * HCC \> Milan criteria * Donor age \< 12 years * Cold ischemia \> 15 hours * Patients who are treated with drugs that are strong inducers or inhibitors of cytochrome P450 3A4 (CYP3A4) or drugs with QT-prolonging properties Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of primary efficacy failure defined as composite efficacy endpoint (treated BPAR of Banff grade ≥ 1, graft loss, or death) in the different treatment arms. | Month 6 |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate renal allograft function post-transplantation (estimated GFR by MDRD equation; estimated creatinine clearance by Cockcroft-Gault formula; serum creatinine). | Months 3, 6, 12, and 24 |
| Occurrence of primary efficacy failure defined as composite efficacy endpoint (treated BPAR of Banff grade ≥ 1, graft loss, or death) in the different treatment arms. | Months 12, 24 |
| Occurrence of rejection requiring T-cell depleting antibody, occurrence of treated biopsy-proven acute rejections of Banff grade ≥ 1 that is steroid-resistant | Months 6, 12, 24 |
| Safety and tolerability ((serious) adverse events (specifically: gastrointestinal AEs and cardiac AEs, serious infections), laboratory abnormalities, vital signs, electrocardiograms, physical examination). | Months 3, 6, 12, 24 |
Countries
Argentina, Austria, Belgium, Canada, Czechia, Finland, France, Germany, Italy, Spain, Switzerland, United States