Skip to content

SCHEDULE - Scandinavian Heart Transplant Everolimus de Novo Study With Early Calcineurin Inhibitor (CNI) Avoidance

SCHEDULE - Scandinavian Heart Transplant Everolimus de Novo Study With Early CNI Avoidance

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01266148
Acronym
SCHEDULE
Enrollment
115
Registered
2010-12-24
Start date
2009-11-30
Completion date
2012-12-31
Last updated
2015-06-10

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

Conditions

Renal Function and Chronic Allograft Vasculopathy

Brief summary

A controlled, randomized, open-label, multicenter study evaluating if early initiation of everolimus and early elimination of cyclosporine in de novo heart transplant recipients can improve long-term renal function and slow down the progression of chronic allograft vasculopathy

Detailed description

This was a prospective, multi-center, randomized, controlled, parallel group, open label study in de novo heart transplant recipients. Patients eligibility for randomization was assessed 5 days after heart transplant.. Patients fulfilling the inclusion and exclusion criteria were randomized to one of two treatment groups: either conventional treatment with Cyclosporine A (CsA), Mycophenolate mofetil (MMF), and corticosteroids (Group A), or low-dose CsA and everolimus, reduced dose MMF, and corticosteroids (Group B). After 7 to 11 weeks, CsA was discontinued in Group B, while the standard triple-drug immunosuppressive regimen was maintained in Group A.

Interventions

DRUGCyclosporine

Cyclosporine (CsA) control group target blood level: 150-350 ng/mL (month 1-3); 100-250 ng/mL (month 4-6); 60-200 ng/mL (month 7-12); everolimus group target blood level: 75-175 ng/mL (month 1-3)

DRUGMycophenolate mofetil

Mycophenolate mofetil (MMF) target dose for control group: 2000-3000 mg/day everolimus group target dose: 1500-2000 mg/day and 75-175 ng/mL after week 11

DRUGCorticosteroids

Corticosteroids (CS) initiated at 0.2-0.5 mg/kg/day. Tapered to no less than 0.1 mg/kg at Month 3 for control and everolimus groups.

DRUGEverolimus

Everolimus 0.75 mg twice a day as starting dose up to a target blood level: 3-6 ng/mL (7-11 weeks) and 6-10 ng/mL for remaining of study

Induction therapy, Anti Thymocyte Globulin (ATG): 1-2 mg/kg/day during 3-5 days for control and everolimus groups after transplant surgery and prior to randomization.

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

De novo heart transplant recipients who had received induction therapy with antithomocyte globulin (ATG) were eligible for inclusion. Recipients of multi-organ transplants or a previous transplant were excluded, as were those with a donor aged \> 70 years, cold ischemia time \>6 hours, patients with severe systemic infection, recipients of ABO incompatible transplants, patients with severe hypercholesterolemia (\>350mg/dL) or hypertriglyceridemia (\>750 mg/dL), patients with past (\<5 years). In order to continue in the study after week 7-11 (period 1), patients had to complete first 7-11 weeks on randomized immunosuppression and none of the following criteria should be present: Ongoing rejection treatment or experience of one grade 3R rejection or two or more grade 2R rejections during first 7-11 weeks.

Design outcomes

Primary

MeasureTime frameDescription
Measured Glomerular Filtration Rate (mGFR), 12 Months After Heart TransplantationWeek 52Measured Glomerular Filtration Rate (mGFR) describes the flow rate of filtered fluid through the kidney. GFR is equal to the clearance rate when any solute is freely filtered and is neither reabsorbed nor secreted by the kidneys. The rate therefore measured is the quantity of the substance in the urine that originated from a calculable volume of blood. Participants' urine was used for this assessment at week 52 after heart transplant.

Secondary

MeasureTime frameDescription
Progression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52Baseline and week 52the progression of chronic allograft vasculopathy (CAV) assessed by intravascular ultrasound (IVUS) examinations, measured the incidence of CAV (in percent of patients) at baseline and at week 52. Incidence of CAV represents percent of patients having a MIT (maximal intima thickness) \> 0.5 mm.
Change in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Day 1, weeks 7 to 11(baseline) and of week 52Change in calculated glomerular filtration rate from pre-transplantation to week 52 was calculated according to the Modification of Diet in Renal Disease (MDRD) method. Measurements were taken prior to transplant (day 1), between weeks 7 to 11 and end week 52.
Calculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Day 1, weeks 7 to 11 and of week 52Calculated Glomerular Filtration Rate from pre-transplantation to week 52 was calculated according to the Modification of Diet in Renal Disease (MDRD) method. Measurements were taken prior to transplant (day 1), between weeks 7 to 11 and end of week 52.
Number of Rejections Leading to Hemodynamic Compromise52 weeksNumber of all rejections were recorded through the duration of the study with the intent to identify rejections leading to hemodynamic compromise.
Progression of Chronic Allograft Vasculopathy (CAV) Based on Maximal Intimal Thickness (MIT) From Baseline to Week 52Baseline and week 52The progression of chronic allograft vasculopathy (CAV) was assessed by intravascular ultrasound (IVUS) examinations and measured Maximal Intimal Thickness (MIT)(in mm). A major coronary epicardial artery (preferentially the left-anterior descending coronary artery) was imaged, and the MIT parameters were recorded at baseline and at week 52.
Average Level of Protenuria at Week 5252 weeksProteinuria is measured as the ratio of albumin/creatinine mg/mmol. Measurements were taken from participants urine samples.
Lipid Profile at 12 Months52 weeksTotal Cholesterol, LDL-Chol, HDL-Chol and TG at week 52. Measurements were taken via participants blood samples.
Change in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentPre transplant and 52 weeksChange in Quality of Life was assessed via the SF-36 (Minnesota Living with Heart Failure questionnaire (\[MLHF)\]) before transplant surgery and at week 52 of treatment. The SF-36 is a validated, self-administered questionnaire. The questionnaire, which includes 36 questions measures 8 dimensions of health: physical function, role-physical, bodily pain, general health, vitality, social function, role-emotional, and mental health. Scores can be summarized in 2 summary components assessing physical and mental health. Items in each dimension are coded, aggregated, summed, and transformed into a scale ranging from 0 (worse health) to 100 (best health).
Change in Quality of Life - Euro Quality of Life 5D (EQ-5D)Pre transplant and 52 weeksChange in Quality of Life was assessed via the EQ-5D questionnaire which consists of: EQ-5D-5L descriptive system and EQ Visual Analogue scale (EQ VAS). The EQ-5D-5L comprises 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems). The patient indicates his/her health state by checking the most appropriate statement. This decision results in a 1-digit number expressing the level selected for that dimension. The digits for 5 dimensions are combined in a 5-digit number describing the respondent's health state. The possible score is 1 to 5 where a lower number indicates improvement. The EQ VAS records the patient's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' and 'the worst health you can imagine'. The score is 0 to 100 where a higher score represents improvement.
Occurrence of Treatment Failures up to 12 Months After Transplant52 weeksTreatment failure was defined as the number of participants who died or lost their graft at any timepoint througout the duration of the study.

Countries

Denmark, Norway, Sweden

Participant flow

Recruitment details

115 patients (56 in the everolimus group, 59 in the control group) were randomized and received study treatment.

Pre-assignment details

Group A (control) received treatment with Cyclosporine A (CsA), Mycophenolate mofetil (MMF), and corticosteroids. Group B (everolimus), received: low-dose CsA and everolimus, reduced dose MMF, and corticosteroids. After week 7-11, CsA was discontinued in Group B, while the standard triple-drug immunosuppressive regimen was maintained in Group A.

Participants by arm

ArmCount
Everolimus
Participants started immunosuppressive regimen consisting of low dose CsA, everolimus, MMF and CS. After week 11, the participants regimen consisted of everolimus, MMF and CS.
56
Control
Participants received an immunosuppressive regimen consisting of CsA, MMF and CS throughout the study.
59
Total115

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall Study2 2R rejections10
Overall StudyAdverse Event20
Overall StudyDeath23
Overall Studymissing mGFR value + AE10
Overall StudyOngoing rejection10

Baseline characteristics

CharacteristicEverolimusControlTotal
Age, Continuous51.02 years
STANDARD_DEVIATION 12.93
51.47 years
STANDARD_DEVIATION 12.36
51.25 years
STANDARD_DEVIATION 12.59
Sex: Female, Male
Female
17 Participants14 Participants31 Participants
Sex: Female, Male
Male
39 Participants45 Participants84 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
53 / 5947 / 56
serious
Total, serious adverse events
27 / 5927 / 56

Outcome results

Primary

Measured Glomerular Filtration Rate (mGFR), 12 Months After Heart Transplantation

Measured Glomerular Filtration Rate (mGFR) describes the flow rate of filtered fluid through the kidney. GFR is equal to the clearance rate when any solute is freely filtered and is neither reabsorbed nor secreted by the kidneys. The rate therefore measured is the quantity of the substance in the urine that originated from a calculable volume of blood. Participants' urine was used for this assessment at week 52 after heart transplant.

Time frame: Week 52

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureValue (MEAN)Dispersion
EverolimusMeasured Glomerular Filtration Rate (mGFR), 12 Months After Heart Transplantation79.8 mGFR ml/minStandard Deviation 17.7
ControlMeasured Glomerular Filtration Rate (mGFR), 12 Months After Heart Transplantation61.5 mGFR ml/minStandard Deviation 19.6
Secondary

Average Level of Protenuria at Week 52

Proteinuria is measured as the ratio of albumin/creatinine mg/mmol. Measurements were taken from participants urine samples.

Time frame: 52 weeks

Population: The safety sert include all randomized participants who received at least one dose of study medication and were able to provide urine samples at week 52.

ArmMeasureValue (MEAN)Dispersion
EverolimusAverage Level of Protenuria at Week 527.2 mg/mmolStandard Deviation 12.8
ControlAverage Level of Protenuria at Week 521.2 mg/mmolStandard Deviation 1.4
Secondary

Calculated Glomerular Filtration Rate From Pre-Transplantation to Week 52

Calculated Glomerular Filtration Rate from pre-transplantation to week 52 was calculated according to the Modification of Diet in Renal Disease (MDRD) method. Measurements were taken prior to transplant (day 1), between weeks 7 to 11 and end of week 52.

Time frame: Day 1, weeks 7 to 11 and of week 52

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (MEAN)Dispersion
EverolimusCalculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Day 1 (n= 46, 48)65.4 mGFR mL/minStandard Deviation 33.8
EverolimusCalculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Weeks 7 to 11 (n=50, 51)84.9 mGFR mL/minStandard Deviation 40.5
EverolimusCalculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Week 52 (n= 45, 55)104.5 mGFR mL/minStandard Deviation 54
ControlCalculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Day 1 (n= 46, 48)66.1 mGFR mL/minStandard Deviation 28.7
ControlCalculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Weeks 7 to 11 (n=50, 51)69.6 mGFR mL/minStandard Deviation 19.9
ControlCalculated Glomerular Filtration Rate From Pre-Transplantation to Week 52Week 52 (n= 45, 55)69.3 mGFR mL/minStandard Deviation 20.4
Secondary

Change in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52

Change in calculated glomerular filtration rate from pre-transplantation to week 52 was calculated according to the Modification of Diet in Renal Disease (MDRD) method. Measurements were taken prior to transplant (day 1), between weeks 7 to 11 and end week 52.

Time frame: Day 1, weeks 7 to 11(baseline) and of week 52

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (MEAN)Dispersion
EverolimusChange in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Day 1 (n= 43, 47)-13.0 mGFR mL/minStandard Deviation 28.2
EverolimusChange in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Weeks 7 to 11 (n= 46, 49)7.4 mGFR mL/minStandard Deviation 32.6
EverolimusChange in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Week 52 (n= 42, 53)27.8 mGFR mL/minStandard Deviation 49.9
ControlChange in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Day 1 (n= 43, 47)-12.6 mGFR mL/minStandard Deviation 32.6
ControlChange in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Weeks 7 to 11 (n= 46, 49)-6.8 mGFR mL/minStandard Deviation 26.2
ControlChange in Calculated Glomerular Filtration Rate From Pre-transplantation to Week 52Week 52 (n= 42, 53)-8.0 mGFR mL/minStandard Deviation 28.3
Secondary

Change in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of Treatment

Change in Quality of Life was assessed via the SF-36 (Minnesota Living with Heart Failure questionnaire (\[MLHF)\]) before transplant surgery and at week 52 of treatment. The SF-36 is a validated, self-administered questionnaire. The questionnaire, which includes 36 questions measures 8 dimensions of health: physical function, role-physical, bodily pain, general health, vitality, social function, role-emotional, and mental health. Scores can be summarized in 2 summary components assessing physical and mental health. Items in each dimension are coded, aggregated, summed, and transformed into a scale ranging from 0 (worse health) to 100 (best health).

Time frame: Pre transplant and 52 weeks

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (MEAN)Dispersion
EverolimusChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentPhysical Health pre- transplant30.8 Units on a scaleStandard Deviation 11.1
EverolimusChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentPhysical Health at week 5248.8 Units on a scaleStandard Deviation 9.6
EverolimusChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentMental Health pre- transplant46.2 Units on a scaleStandard Deviation 11.8
EverolimusChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentMental Health at week 5251.5 Units on a scaleStandard Deviation 12.2
ControlChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentMental Health at week 5253.9 Units on a scaleStandard Deviation 7.2
ControlChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentPhysical Health pre- transplant32.9 Units on a scaleStandard Deviation 8
ControlChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentMental Health pre- transplant38.7 Units on a scaleStandard Deviation 12.4
ControlChange in Quality of Life Assessed by SF-36 (Minnesota Living With Heart Failure Questionnaire ([MLHF)]) From Pre-transplant to Week 52 of TreatmentPhysical Health at week 5248.8 Units on a scaleStandard Deviation 8.3
Secondary

Change in Quality of Life - Euro Quality of Life 5D (EQ-5D)

Change in Quality of Life was assessed via the EQ-5D questionnaire which consists of: EQ-5D-5L descriptive system and EQ Visual Analogue scale (EQ VAS). The EQ-5D-5L comprises 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels (no problems, slight problems, moderate problems, severe problems, and extreme problems). The patient indicates his/her health state by checking the most appropriate statement. This decision results in a 1-digit number expressing the level selected for that dimension. The digits for 5 dimensions are combined in a 5-digit number describing the respondent's health state. The possible score is 1 to 5 where a lower number indicates improvement. The EQ VAS records the patient's self-rated health on a 20 cm vertical, visual analogue scale with endpoints labelled 'the best health you can imagine' and 'the worst health you can imagine'. The score is 0 to 100 where a higher score represents improvement.

Time frame: Pre transplant and 52 weeks

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (MEAN)Dispersion
EverolimusChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ-5D-5L pre- transplant (n=45,49)0.5750 Units on a scaleStandard Deviation 0.3387
EverolimusChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ-5D-5L at week 52 (n=41,44)0.8329 Units on a scaleStandard Deviation 0.2638
EverolimusChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ VAS pre- transplant (n=41,48)46.0 Units on a scaleStandard Deviation 24.3
EverolimusChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ VAS at week 52 (n=41,42)80.0 Units on a scaleStandard Deviation 15
ControlChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ VAS at week 52 (n=41,42)79.4 Units on a scaleStandard Deviation 11.5
ControlChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ-5D-5L pre- transplant (n=45,49)0.5069 Units on a scaleStandard Deviation 0.3209
ControlChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ VAS pre- transplant (n=41,48)38.9 Units on a scaleStandard Deviation 20.8
ControlChange in Quality of Life - Euro Quality of Life 5D (EQ-5D)EQ-5D-5L at week 52 (n=41,44)0.8367 Units on a scaleStandard Deviation 0.2234
Secondary

Lipid Profile at 12 Months

Total Cholesterol, LDL-Chol, HDL-Chol and TG at week 52. Measurements were taken via participants blood samples.

Time frame: 52 weeks

Population: The safety sert include all randomized participants who received at least one dose of study medication and had blood samples taken at week 52.

ArmMeasureGroupValue (MEAN)Dispersion
EverolimusLipid Profile at 12 MonthsTotal cholesterol5.3 mmol/LStandard Deviation 1.1
EverolimusLipid Profile at 12 MonthsLDL-C2.9 mmol/LStandard Deviation 1
EverolimusLipid Profile at 12 MonthsHDL-C1.6 mmol/LStandard Deviation 0.5
ControlLipid Profile at 12 MonthsHDL-C1.6 mmol/LStandard Deviation 0.5
ControlLipid Profile at 12 MonthsTotal cholesterol5.1 mmol/LStandard Deviation 1
ControlLipid Profile at 12 MonthsLDL-C2.8 mmol/LStandard Deviation 0.8
Secondary

Number of Rejections Leading to Hemodynamic Compromise

Number of all rejections were recorded through the duration of the study with the intent to identify rejections leading to hemodynamic compromise.

Time frame: 52 weeks

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
EverolimusNumber of Rejections Leading to Hemodynamic CompromiseTotal rejection185 rejections
EverolimusNumber of Rejections Leading to Hemodynamic CompromiseTreated rejection43 rejections
EverolimusNumber of Rejections Leading to Hemodynamic CompromiseRejections with hemodynamic compromise0 rejections
ControlNumber of Rejections Leading to Hemodynamic CompromiseTotal rejection128 rejections
ControlNumber of Rejections Leading to Hemodynamic CompromiseTreated rejection17 rejections
ControlNumber of Rejections Leading to Hemodynamic CompromiseRejections with hemodynamic compromise0 rejections
Secondary

Occurrence of Treatment Failures up to 12 Months After Transplant

Treatment failure was defined as the number of participants who died or lost their graft at any timepoint througout the duration of the study.

Time frame: 52 weeks

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
EverolimusOccurrence of Treatment Failures up to 12 Months After TransplantTreatment failure (death)2 participants
EverolimusOccurrence of Treatment Failures up to 12 Months After TransplantGraff loss0 participants
EverolimusOccurrence of Treatment Failures up to 12 Months After TransplantTotal treatment failures (graft loss + death2 participants
ControlOccurrence of Treatment Failures up to 12 Months After TransplantTreatment failure (death)3 participants
ControlOccurrence of Treatment Failures up to 12 Months After TransplantGraff loss0 participants
ControlOccurrence of Treatment Failures up to 12 Months After TransplantTotal treatment failures (graft loss + death3 participants
Secondary

Progression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52

the progression of chronic allograft vasculopathy (CAV) assessed by intravascular ultrasound (IVUS) examinations, measured the incidence of CAV (in percent of patients) at baseline and at week 52. Incidence of CAV represents percent of patients having a MIT (maximal intima thickness) \> 0.5 mm.

Time frame: Baseline and week 52

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (NUMBER)
EverolimusProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52No CAV at baseline (week 7)43.5 Percentage of patients
EverolimusProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52CAV at baseline (week 7)56.5 Percentage of patients
EverolimusProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52No CAV at week 5250 Percentage of patients
EverolimusProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52CAV at week 5250 Percentage of patients
ControlProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52CAV at week 5264.6 Percentage of patients
ControlProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52No CAV at baseline (week 7)47.9 Percentage of patients
ControlProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52No CAV at week 5235.4 Percentage of patients
ControlProgression of Chronic Allograft Vasculopathy (CAV) Based on Incidence of Chronic Allograft Vasculopathy (CAV) From Baseline to Week 52CAV at baseline (week 7)52.1 Percentage of patients
Secondary

Progression of Chronic Allograft Vasculopathy (CAV) Based on Maximal Intimal Thickness (MIT) From Baseline to Week 52

The progression of chronic allograft vasculopathy (CAV) was assessed by intravascular ultrasound (IVUS) examinations and measured Maximal Intimal Thickness (MIT)(in mm). A major coronary epicardial artery (preferentially the left-anterior descending coronary artery) was imaged, and the MIT parameters were recorded at baseline and at week 52.

Time frame: Baseline and week 52

Population: The intent to treat population includes the full analysis set patients with available data and without any major protocol deviations or criteria causing exclusion and for which data was available for analysis. Patients were analyzed according to the treatment to which they were randomized.

ArmMeasureGroupValue (MEAN)Dispersion
EverolimusProgression of Chronic Allograft Vasculopathy (CAV) Based on Maximal Intimal Thickness (MIT) From Baseline to Week 52Baseline (Week 7)0.52 mmStandard Deviation 0.22
EverolimusProgression of Chronic Allograft Vasculopathy (CAV) Based on Maximal Intimal Thickness (MIT) From Baseline to Week 52Week 520.55 mmStandard Deviation 0.24
ControlProgression of Chronic Allograft Vasculopathy (CAV) Based on Maximal Intimal Thickness (MIT) From Baseline to Week 52Baseline (Week 7)0.56 mmStandard Deviation 0.24
ControlProgression of Chronic Allograft Vasculopathy (CAV) Based on Maximal Intimal Thickness (MIT) From Baseline to Week 52Week 520.65 mmStandard Deviation 0.25

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026