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Pharmacodynamics, Efficacy and Safety of Basiliximab 40 or 80 mg in Combination With Ciclosporine Microemulsion or Everolimus, in Adult Low Risk de Novo Renal Transplant Recipients (IDEALE Study)

Prospective, Multicenter, Randomized, Open-label, Phase 2, Lasting 12 Weeks, Evaluating the Pharmacodynamics, Efficacy and Safety of Basiliximab in de Novo Adult Renal Transplant Patients at Low Risk Receiving Either a Cumulative Dose of Basiliximab of 40 or 80 mg in Combination With Cyclosporine Microemulsion, or a Cumulative Dose of 80 mg of Basiliximab Without Calcineurin Inhibitor, With Additional Follow-up of 12 Weeks

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01596062
Acronym
IDEALE
Enrollment
16
Registered
2012-05-10
Start date
2012-03-31
Completion date
2013-03-31
Last updated
2014-07-25

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

Conditions

Renal Transplantation

Keywords

Basiliximab, renal transplantation, CNI-free, everolimus

Brief summary

The aims of this study are to extensively study the levels of CD25-Receptors saturation and expression obtained with 2 different doses of Simulect® in combination with Neoral® (i.e to demonstrate that saturation and expression vary according to the dose of Simulect® given), and to study the levels of CD25-Receptors saturation without Neoral® and compare them to the data with Neoral®. It will be conducted in low risk de novo adult renal transplant recipients until 12 weeks post-transplant, receiving either a cumulative dose of 40 or 80 mg of Simulect® in combination with Neoral®, or a cumulative dose of 80 mg of Simulect® in a calcineurin inhibitor free immunosuppressant therapy.

Interventions

Simulect® was provided to the study center in its commercial package containing a powder vial with 20 mg of active product and sterile water for injection. The solution should be used immediately after reconstitution. The infusion was prepared by adding at least 50 mL of physiologic or 5% glucose solution to the reconstituted solution (at least 100 mL for 40 mg of Simulect®). Simulect® was transported and kept in a cold environment (2-8°C) as recommended in the summary of product characteristics (SPC).

Neoral® was provided to the study center in its commercial package as 10, 25, 50 or 100 mg soft capsules in thermoformed blister packs.

Certican® was provided to the study center in its commercial package as 0.75, 0.5 and 0.25 mg tablets in thermoformed blister packs.

Myfortic® was administered orally b.i.d. with a 12-hour interval. Tablets could be taken either with or outside meals but consistently throughout the study. To maintain the integrity of the enteric coating, tablets were not to be crushed. Myfortic® treatment was initiated either preoperatively or within 24 hours post transplantation according to local practice in each center. Starting dose was to be 2160 mg/day (1080 mg b.i.d.) for at least 2 weeks and for at most 4 weeks. Patients were then to receive 1440 mg/day (720 mg b.i.d.) until the end of the study. Myfortic® was administered as concomitant treatment to all patients, using the same regimen for all 3 study groups. It was provided to the study center in its commercial package as 180 and 360 mg gastro-resistant tablets.

DRUGCorticosteroids

Corticosteroid i.v. therapy could be administered peri or per operatively according to local practice in each center with the same scheme for each patient in the center. Oral corticotherapy was to be initiated rapidly, within one week following transplantation, with a minimal dose of 20 mg/day. Thereafter, the dose was to be decreased according to local practice but oral corticosteroids were to be continued throughout the study with a minimal dose of 5 mg/day.

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 65 Years
Healthy volunteers
No

Inclusion criteria

* Patients receiving a primary renal graft from a deceased or living, related or unrelated donor and who require basiliximab induction therapy * Cold ischemia time \< 30 hours Exclusion (Non inclusion) criteria: * Patients undergoing multi-organ transplantation, including both kidneys, or who have previously undergone organ transplantation, including renal transplantation * Patients receiving a graft from a non-heart-beating donor * A-B-O incompatible graft or positive T cell crossmatch * Patients receiving a graft from an expanded criteria donor according to the UNOS definition (donor older than 60 years or donor aged between 50 and 60 years and presence of at least 2 of the following factors: hypertension, serum creatinine concentration ≥ 132 µmol/mL, cardiovascular cause of death) * Positive anti-HLA antibodies (Luminex) prior to transplantation * Patients whose original renal disease was primary focal and segmental hyalinosis or was related to atypical hemolytic uremic syndrome * EBV-negative patients receiving a graft from an EBV-positive donor (EBV D+R-) Other protocol-defined inclusion/

Exclusion criteria

may apply.

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Curve (AUC) of CD25 Saturation by Basiliximab From Day 0 to Day 84Day 84 (Week 12) after transplantationCD25 saturation is the percentage of T cells expressing CD25. Mean AUC of CD25 was calculated only for patients who received two Simulect® injections.
Saturation Rate of CD25 Antigen Saturation by BasiliximabDay 0, Day 1, Day 4, Day 6, Day 14, Day 21, Day 28, Day 42, Day 56 and Day 84 (Week 12) post-transplantationCD25 saturation is the percentage of T cells expressing CD25

Secondary

MeasureTime frameDescription
Proportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsDay 0, Day 6, Day 42, Day 84 (Week 12)Cell counts of various subpopulations of T, B and NK lymphocytes (CD3, CD4, CD8, CD19 and CD56) (flow cytometry).
Percentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12), Week 24 post-transplantationBPAR is one of the components of treatment failure. One assessment of efficacy was BPAR. Renal graft biopsies were performed and the renal tissue was examined to determine if there was acute rejection of the renal transplant.
AUC of Basiliximab Binding to CD25 Receptors From Day 0 to Day 84Day 84 (Week 12) post-transplantationMean AUC was calculated only for patients who received two Simulect injections.
Percentage of Participants With of Treatment FailuresDay 84 (Week 12), Week 24Treatment failure was defined either as a BPAR, a graft loss, a death or a loss to follow-up. An extended treatment failure was also defined including treated borderline lesions, BPAR, graft loss, death or loss to follow-up. Treated borderline lesions were considered as acute rejection by investigators and DMC experts.
Estimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Day 8, Week 24(MDRDa formula) with imputation by last observation carried forward (LOCF)
Percentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12), Week 24 post-transplantationAntibody mediated acute rejection: C4d deposition, presence of circulating antidonor antibody, morphologic evidence of acute tissue injury such as acute tubular necrosis-like minimal inflammation or capillary and/or glomerular inflammation and/or thromboses or arterial inflammation. Cellular acute rejection: acute T-cell mediated rejection Type IA: Significant interstitial infiltration (\> 25% of parenchyma) and foci of moderate tubulitis (\> 4 mononuclear cells/tubular cross section or group of 10 tubular cells) Type IB: Significant interstitial infiltration (\> 25% of parenchyma) and foci of severe tubulitis (\> 10 mononuclear cells/tubular cross section or group of 10 tubular cells) Type IIA: Mild to moderate intimal arteritis. Type IIB: Severe intimal arteritis comprising \> 25% of the lumenal area. Type III: Transmural (full vessel wall thickness) arteritis and/or arterial fibrinoid change and necrosis of medial smooth muscle cells (with accompanying lymphocytic inflammation).
Percentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0, Day 1, Day 4, Day 6, Day 14, Day 21, Day 28, Day 42, Day 56 and Day 84 (Week 12) post-transplantationThis is the percentage of T cells binding basiliximab at all timepoints.

Countries

France

Participant flow

Recruitment details

With premature end of recruitment only 16 patients were included. Descriptive analysis was done & statistical method fitted the small number of patients. One final analysis was performed at M6 post-transplantation & comprised assessment of criteria planned at M3 and M6. Some analysis pertaining to the secondary objectives were not performed.

Participants by arm

ArmCount
Simulect 40mg + Neoral + Myfortic + Steroids
A cumulative dose of 40 mg of Simulect® (20mg at Day 0 (D0) and 20mg at Day 4 (D4)+ Neoral® + Myfortic® + corticosteroids
3
Simulect 80mg + Neoral + Myfortic + Steroids
A cumulative dose of 80 mg of Simulect® (40mg at D0 and 40mg at D4) + Neoral® + Myfortic® + corticosteroids
6
Simulect 80mg + Certican + Myfortic + Steroids
A cumulative dose of 80 mg of Simulect® (40mg at D0 and 40mg at D4) + Certican® + Myfortic® + corticosteroids
7
Total16

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event102
Overall StudyLack of Efficacy001

Baseline characteristics

CharacteristicSimulect 40mg + Neoral + Myfortic + SteroidsSimulect 80mg + Neoral + Myfortic + SteroidsSimulect 80mg + Certican + Myfortic + SteroidsTotal
Age, Continuous53.7 years
STANDARD_DEVIATION 8.7
45.0 years
STANDARD_DEVIATION 11.4
39.7 years
STANDARD_DEVIATION 12.2
44.3 years
STANDARD_DEVIATION 11.9
Sex: Female, Male
Female
0 Participants2 Participants2 Participants4 Participants
Sex: Female, Male
Male
3 Participants4 Participants5 Participants12 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
3 / 36 / 66 / 7
serious
Total, serious adverse events
2 / 32 / 65 / 7

Outcome results

Primary

Area Under the Curve (AUC) of CD25 Saturation by Basiliximab From Day 0 to Day 84

CD25 saturation is the percentage of T cells expressing CD25. Mean AUC of CD25 was calculated only for patients who received two Simulect® injections.

Time frame: Day 84 (Week 12) after transplantation

Population: PK/PD population: Patients included in the ITT population for whom at least one blood sample for PK/PD analyses was collected. This population is the reference population for the PK and PD analyses.

ArmMeasureValue (MEAN)Dispersion
Simulect 40mg + Neoral + Myfortic + SteroidsArea Under the Curve (AUC) of CD25 Saturation by Basiliximab From Day 0 to Day 848.4 Weeks * Percentage of saturated CD25Standard Deviation 1.61
Simulect 80mg + Neoral + Myfortic + SteroidsArea Under the Curve (AUC) of CD25 Saturation by Basiliximab From Day 0 to Day 8411.1 Weeks * Percentage of saturated CD25Standard Deviation 1.12
Simulect 80mg + Certican + Myfortic + SteroidsArea Under the Curve (AUC) of CD25 Saturation by Basiliximab From Day 0 to Day 849.7 Weeks * Percentage of saturated CD25Standard Deviation 0.7
Primary

Saturation Rate of CD25 Antigen Saturation by Basiliximab

CD25 saturation is the percentage of T cells expressing CD25

Time frame: Day 0, Day 1, Day 4, Day 6, Day 14, Day 21, Day 28, Day 42, Day 56 and Day 84 (Week 12) post-transplantation

Population: PK/PD population: Patients included in the ITT population for whom at least one blood sample for PK/PD analyses was collected. This population is the reference population for the PK and PD analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 4 (2 hours after injection): (n= 3, 6, 5)96.7 percentage of T cellsStandard Deviation 5.77
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 0 (2 hours after injection)93.7 percentage of T cellsStandard Deviation 10.97
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 21: (n= 3, 6, 6)100.0 percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 6: (n= 3, 6, 6)98.7 percentage of T cellsStandard Deviation 2.31
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 56: (n= 3, 6, 5)65.0 percentage of T cellsStandard Deviation 56.35
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 14: (n= 3, 6, 6)98.3 percentage of T cellsStandard Deviation 2.89
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 195.7 percentage of T cellsStandard Deviation 7.51
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 0 (before injection)0.0 percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 42: (n= 3, 6, 5)78.3 percentage of T cellsStandard Deviation 9.07
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 4 (before injection); (n= 3, 6, 6)100.0 percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 84 (Week 12): (n= 3, 6, 5)0.0 percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 28: (n= 3, 6, 6)95.3 percentage of T cellsStandard Deviation 4.16
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 0 (2 hours after injection)96.7 percentage of T cellsStandard Deviation 8.16
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 0 (before injection)0.0 percentage of T cellsStandard Deviation 0
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 197.7 percentage of T cellsStandard Deviation 5.24
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 4 (before injection); (n= 3, 6, 6)96.2 percentage of T cellsStandard Deviation 6.88
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 4 (2 hours after injection): (n= 3, 6, 5)96.3 percentage of T cellsStandard Deviation 6.83
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 6: (n= 3, 6, 6)100.0 percentage of T cellsStandard Deviation 0
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 14: (n= 3, 6, 6)96.7 percentage of T cellsStandard Deviation 7.23
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 21: (n= 3, 6, 6)94.5 percentage of T cellsStandard Deviation 10.8
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 28: (n= 3, 6, 6)100.0 percentage of T cellsStandard Deviation 0
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 42: (n= 3, 6, 5)100.0 percentage of T cellsStandard Deviation 0
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 56: (n= 3, 6, 5)93.3 percentage of T cellsStandard Deviation 13.2
Simulect 80mg + Neoral + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 84 (Week 12): (n= 3, 6, 5)67.5 percentage of T cellsStandard Deviation 48.55
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 4 (before injection); (n= 3, 6, 6)93.7 percentage of T cellsStandard Deviation 9.89
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 56: (n= 3, 6, 5)94.2 percentage of T cellsStandard Deviation 12.97
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 28: (n= 3, 6, 6)92.7 percentage of T cellsStandard Deviation 9.33
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 199.0 percentage of T cellsStandard Deviation 2.65
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 0 (before injection)0.0 percentage of T cellsStandard Deviation 0
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 42: (n= 3, 6, 5)99.2 percentage of T cellsStandard Deviation 1.79
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 6: (n= 3, 6, 6)94.0 percentage of T cellsStandard Deviation 14.7
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 0 (2 hours after injection)94.7 percentage of T cellsStandard Deviation 5.19
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 14: (n= 3, 6, 6)97.3 percentage of T cellsStandard Deviation 6.53
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 4 (2 hours after injection): (n= 3, 6, 5)84.8 percentage of T cellsStandard Deviation 19.25
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 84 (Week 12): (n= 3, 6, 5)14.2 percentage of T cellsStandard Deviation 20.86
Simulect 80mg + Certican + Myfortic + SteroidsSaturation Rate of CD25 Antigen Saturation by BasiliximabDay 21: (n= 3, 6, 6)92.5 percentage of T cellsStandard Deviation 11.83
Secondary

AUC of Basiliximab Binding to CD25 Receptors From Day 0 to Day 84

Mean AUC was calculated only for patients who received two Simulect injections.

Time frame: Day 84 (Week 12) post-transplantation

Population: PK/PD population: Patients included in the ITT population for whom at least one blood sample for PK/PD analyses was collected. This population is the reference population for the PK and PD analyses.

ArmMeasureValue (MEAN)Dispersion
Simulect 40mg + Neoral + Myfortic + SteroidsAUC of Basiliximab Binding to CD25 Receptors From Day 0 to Day 847.0 Weeks * Percentage of T cellsStandard Deviation 1.8
Simulect 80mg + Neoral + Myfortic + SteroidsAUC of Basiliximab Binding to CD25 Receptors From Day 0 to Day 849.9 Weeks * Percentage of T cellsStandard Deviation 2.22
Simulect 80mg + Certican + Myfortic + SteroidsAUC of Basiliximab Binding to CD25 Receptors From Day 0 to Day 848.4 Weeks * Percentage of T cellsStandard Deviation 0.75
Secondary

Estimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24

(MDRDa formula) with imputation by last observation carried forward (LOCF)

Time frame: Day 8, Week 24

Population: Intent to treat (ITT) population: All randomized patients having received at least one Simulect® injection and who had been transplanted. This population is the reference population for the efficacy analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Simulect 40mg + Neoral + Myfortic + SteroidsEstimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Day 835.0 mL/min/1.73m^2Standard Deviation 13.2
Simulect 40mg + Neoral + Myfortic + SteroidsEstimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Week 24 (n= 3, 6, 6)31.9 mL/min/1.73m^2Standard Deviation 27.93
Simulect 80mg + Neoral + Myfortic + SteroidsEstimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Day 853.8 mL/min/1.73m^2Standard Deviation 23.79
Simulect 80mg + Neoral + Myfortic + SteroidsEstimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Week 24 (n= 3, 6, 6)55.7 mL/min/1.73m^2Standard Deviation 15.68
Simulect 80mg + Certican + Myfortic + SteroidsEstimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Day 849.9 mL/min/1.73m^2Standard Deviation 18.45
Simulect 80mg + Certican + Myfortic + SteroidsEstimated Glomerular Filtration Rate (eGFR) at Day 8 and Week 24Week 24 (n= 3, 6, 6)54.4 mL/min/1.73m^2Standard Deviation 10.48
Secondary

Percentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and Severity

Antibody mediated acute rejection: C4d deposition, presence of circulating antidonor antibody, morphologic evidence of acute tissue injury such as acute tubular necrosis-like minimal inflammation or capillary and/or glomerular inflammation and/or thromboses or arterial inflammation. Cellular acute rejection: acute T-cell mediated rejection Type IA: Significant interstitial infiltration (\> 25% of parenchyma) and foci of moderate tubulitis (\> 4 mononuclear cells/tubular cross section or group of 10 tubular cells) Type IB: Significant interstitial infiltration (\> 25% of parenchyma) and foci of severe tubulitis (\> 10 mononuclear cells/tubular cross section or group of 10 tubular cells) Type IIA: Mild to moderate intimal arteritis. Type IIB: Severe intimal arteritis comprising \> 25% of the lumenal area. Type III: Transmural (full vessel wall thickness) arteritis and/or arterial fibrinoid change and necrosis of medial smooth muscle cells (with accompanying lymphocytic inflammation).

Time frame: Day 84 (Week 12), Week 24 post-transplantation

Population: Intent to treat (ITT) population: All randomized patients having received at least one Simulect® injection and who had been transplanted. This population is the reference population for the efficacy analyses.

ArmMeasureGroupValue (NUMBER)
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Antibody mediated AR - No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Cellular AR - Yes0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lA0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lB0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type llA0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lA0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type llB0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lll0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lB0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type llA0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Antibody mediated AR - Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type llB0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lll (C AR)0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Cellular AR - No100.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Antibody mediated AR - No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Cellular AR - No100.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Antibody mediated AR - Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Cellular AR - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Cellular AR - No83.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Cellular AR - Yes16.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lB16.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Cellular AR - No83.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lA0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Cellular AR - Yes16.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type llA0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lB16.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Antibody mediated AR - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Antibody mediated AR - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type llA0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Antibody mediated AR - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type llB0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type llB0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lA0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Antibody mediated AR - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lll0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lll (C AR)0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lll0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Antibody mediated AR - No85.7 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Antibody mediated AR - Yes14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Cellular AR - No57.1 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Cellular AR - Yes42.9 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lA14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type llA0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type llB14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lll (C AR)0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Antibody mediated AR - No85.7 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Antibody mediated AR - Yes14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Cellular AR - No57.1 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Cellular AR - Yes42.9 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lA0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type lB28.6 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type llA0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityWeek 24: Banff type llB14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With Biopsy Proven Acute Rejection (BPAR) According to Type and SeverityDay 84 (Week 12): Banff type lB14.3 Percentage of participants
Secondary

Percentage of Participants With of Biopsy Proven Acute Rejection (BPAR)

BPAR is one of the components of treatment failure. One assessment of efficacy was BPAR. Renal graft biopsies were performed and the renal tissue was examined to determine if there was acute rejection of the renal transplant.

Time frame: Day 84 (Week 12), Week 24 post-transplantation

Population: Intent to treat (ITT) population: All randomized patients having received at least one Simulect® injection and who had been transplanted. This population is the reference population for the efficacy analyses.

ArmMeasureGroupValue (NUMBER)
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Week 24: No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12): No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Week 24:Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12):Yes33.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Week 24: No83.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12):Yes16.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12): No83.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Week 24:Yes16.7 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Week 24:Yes57.1 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12): No42.9 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Day 84 (Week 12):Yes57.1 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Biopsy Proven Acute Rejection (BPAR)Week 24: No42.9 Percentage of participants
Secondary

Percentage of Participants With of Treatment Failures

Treatment failure was defined either as a BPAR, a graft loss, a death or a loss to follow-up. An extended treatment failure was also defined including treated borderline lesions, BPAR, graft loss, death or loss to follow-up. Treated borderline lesions were considered as acute rejection by investigators and DMC experts.

Time frame: Day 84 (Week 12), Week 24

Population: Intent to treat (ITT) population: All randomized patients having received at least one Simulect® injection and who had been transplanted. This population is the reference population for the efficacy analyses.

ArmMeasureGroupValue (NUMBER)
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Death - No100.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay84 (Week 12):BPAR and/or borderline lesions-Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Graft loss - No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Graft loss - Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay84 (Week 12): BPAR and/or borderline lesions-No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Death - Yes0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Loss to follow-up - No100.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Loss to follow-up - Yes0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: BPAR or borderline lesions - No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Graft loss - No66.7 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Death - No100.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Loss to follow-up - No100.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Loss to follow-up - Yes0.0 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: BPAR or borderline lesions - Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Graft loss - Yes33.3 Percentage of participants
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Death - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Death - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Loss to follow-up - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Loss to follow-up - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: BPAR or borderline lesions - Yes33.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: BPAR or borderline lesions - No66.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Graft loss - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Death - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Death - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay84 (Week 12): BPAR and/or borderline lesions-No66.7 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Graft loss - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay84 (Week 12):BPAR and/or borderline lesions-Yes33.3 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Loss to follow-up - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Graft loss - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Graft loss - Yes0.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Death - No100.0 Percentage of participants
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Loss to follow-up - Yes0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Death - No100.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Death - Yes0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Loss to follow-up - Yes0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Graft loss - No100.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Loss to follow-up - No100.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Death - Yes0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay84 (Week 12): BPAR and/or borderline lesions-No14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Loss to follow-up - Yes0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Loss to follow-up - No100.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Death - No100.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: BPAR or borderline lesions - No14.3 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: BPAR or borderline lesions - Yes85.7 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay84 (Week 12):BPAR and/or borderline lesions-Yes85.7 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Graft loss - No100.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresDay 84 (Week 12): Graft loss - Yes0.0 Percentage of participants
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of Participants With of Treatment FailuresWeek 24: Graft loss - Yes0.0 Percentage of participants
Secondary

Percentage of T-cells That Bind Basiliximab to CD25 Receptors

This is the percentage of T cells binding basiliximab at all timepoints.

Time frame: Day 0, Day 1, Day 4, Day 6, Day 14, Day 21, Day 28, Day 42, Day 56 and Day 84 (Week 12) post-transplantation

Population: PK/PD population: Patients included in the ITT population for whom at least one blood sample for PK/PD analyses was collected. This population is the reference population for the PK and PD analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0 (before injection)0.0 Percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0 (2 hours after injection)95.3 Percentage of T cellsStandard Deviation 8.08
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 1 (n= 3, 5, 7)70.0 Percentage of T cellsStandard Deviation 28.58
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 4 (before injection): (n= 3, 6, 6)100.0 Percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 4 (2 hours after injection): (n= 3, 5, 5)100.0 Percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 6: (n= 3, 6, 6)91.7 Percentage of T cellsStandard Deviation 14.43
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 14: (n= 3, 6, 6)100.0 Percentage of T cellsStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 21: (n= 3, 6, 6)89.0 Percentage of T cellsStandard Deviation 19.05
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 28: (n= 3, 6, 6)76.3 Percentage of T cellsStandard Deviation 17.62
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 42: (n= 3, 6, 5)47.3 Percentage of T cellsStandard Deviation 28.22
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 56: (n= 3, 6, 5)53.0 Percentage of T cellsStandard Deviation 41.8
Simulect 40mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 84 (Week 12): (n= 3, 6, 5)6.7 Percentage of T cellsStandard Deviation 6.11
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 84 (Week 12): (n= 3, 6, 5)57.7 Percentage of T cellsStandard Deviation 43.83
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0 (before injection)0.0 Percentage of T cellsStandard Deviation 0
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 14: (n= 3, 6, 6)89.0 Percentage of T cellsStandard Deviation 22
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 28: (n= 3, 6, 6)91.0 Percentage of T cellsStandard Deviation 14
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0 (2 hours after injection)96.2 Percentage of T cellsStandard Deviation 9.39
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 6: (n= 3, 6, 6)99.0 Percentage of T cellsStandard Deviation 2.45
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 56: (n= 3, 6, 5)88.8 Percentage of T cellsStandard Deviation 27.35
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 1 (n= 3, 5, 7)64.8 Percentage of T cellsStandard Deviation 35.15
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 21: (n= 3, 6, 6)87.7 Percentage of T cellsStandard Deviation 26.93
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 4 (2 hours after injection): (n= 3, 5, 5)83.4 Percentage of T cellsStandard Deviation 20.14
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 4 (before injection): (n= 3, 6, 6)59.0 Percentage of T cellsStandard Deviation 45.98
Simulect 80mg + Neoral + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 42: (n= 3, 6, 5)84.0 Percentage of T cellsStandard Deviation 19.75
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 4 (before injection): (n= 3, 6, 6)53.0 Percentage of T cellsStandard Deviation 33.33
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 4 (2 hours after injection): (n= 3, 5, 5)81.2 Percentage of T cellsStandard Deviation 16.02
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 42: (n= 3, 6, 5)78.8 Percentage of T cellsStandard Deviation 30.11
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 6: (n= 3, 6, 6)98.3 Percentage of T cellsStandard Deviation 4.08
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 14: (n= 3, 6, 6)93.8 Percentage of T cellsStandard Deviation 15.11
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 21: (n= 3, 6, 6)85.8 Percentage of T cellsStandard Deviation 32.31
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 56: (n= 3, 6, 5)75.2 Percentage of T cellsStandard Deviation 15.29
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0 (before injection)4.7 Percentage of T cellsStandard Deviation 12.47
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 0 (2 hours after injection)81.6 Percentage of T cellsStandard Deviation 28.3
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 28: (n= 3, 6, 6)82.7 Percentage of T cellsStandard Deviation 26.29
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 1 (n= 3, 5, 7)91.4 Percentage of T cellsStandard Deviation 11.65
Simulect 80mg + Certican + Myfortic + SteroidsPercentage of T-cells That Bind Basiliximab to CD25 ReceptorsDay 84 (Week 12): (n= 3, 6, 5)15.8 Percentage of T cellsStandard Deviation 9.73
Secondary

Proportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T Cells

Cell counts of various subpopulations of T, B and NK lymphocytes (CD3, CD4, CD8, CD19 and CD56) (flow cytometry).

Time frame: Day 0, Day 6, Day 42, Day 84 (Week 12)

Population: PK/PD population: Patients included in the ITT population for whom at least one blood sample for PK/PD analyses was collected. This population is the reference population for the PK and PD analyses.

ArmMeasureGroupValue (MEAN)Dispersion
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 42: (n= 3, 6, 5)0.1 10^9 cells/LStandard Deviation 0.09
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.6 10^9 cells/LStandard Deviation 0.36
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 0 (before injection)0.5 10^9 cells/LStandard Deviation 0.25
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 6: (n=3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.07
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 0 (before injection)0.1 10^9 cells/LStandard Deviation 0.05
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.8 10^9 cells/LStandard Deviation 0.58
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 0 (before injection)0.1 10^9 cells/LStandard Deviation 0.08
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 6: (n= 3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.08
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.05
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.24
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 42: (n= 3, 6, 5)0.1 10^9 cells/LStandard Deviation 0.05
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 6: (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 0 (before injection)0.4 10^9 cells/LStandard Deviation 0.19
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 42: (n= 3, 6, 5)0.1 10^9 cells/LStandard Deviation 0.05
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 0 (before injection)0.1 10^9 cells/LStandard Deviation 0.2
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 6: (n= 3, 6, 6)0.5 10^9 cells/LStandard Deviation 0.3
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 42: (n= 3, 6, 5)0.5 10^9 cells/LStandard Deviation 0.09
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.2
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 42: (n= 3, 6, 5)0.3 10^9 cells/LStandard Deviation 0.08
Simulect 40mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 6: (n= 3, 6, 6)0.6 10^9 cells/LStandard Deviation 0.39
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 6: (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.06
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 0 (before injection)0.9 10^9 cells/LStandard Deviation 0.28
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 6: (n= 3, 6, 6)1.1 10^9 cells/LStandard Deviation 0.5
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 42: (n= 3, 6, 5)1.2 10^9 cells/LStandard Deviation 0.96
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 84 (Week 12): (n= 3, 6, 6)1.2 10^9 cells/LStandard Deviation 0.72
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 0 (before injection)0.6 10^9 cells/LStandard Deviation 0.2
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 6: (n= 3, 6, 6)0.7 10^9 cells/LStandard Deviation 0.28
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 42: (n= 3, 6, 5)0.8 10^9 cells/LStandard Deviation 0.53
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.8 10^9 cells/LStandard Deviation 0.42
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 0 (before injection)0.3 10^9 cells/LStandard Deviation 0.13
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 6: (n= 3, 6, 6)0.3 10^9 cells/LStandard Deviation 0.25
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 42: (n= 3, 6, 5)0.3 10^9 cells/LStandard Deviation 0.44
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.3 10^9 cells/LStandard Deviation 0.32
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 0 (before injection)0.1 10^9 cells/LStandard Deviation 0.1
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 6: (n=3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.27
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 42: (n= 3, 6, 5)0.2 10^9 cells/LStandard Deviation 0.21
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.11
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 0 (before injection)0.2 10^9 cells/LStandard Deviation 0.14
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 42: (n= 3, 6, 5)0.2 10^9 cells/LStandard Deviation 0.1
Simulect 80mg + Neoral + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.03
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 6: (n= 3, 6, 6)0.9 10^9 cells/LStandard Deviation 0.75
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 6: (n=3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.17
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 42: (n= 3, 6, 5)0.8 10^9 cells/LStandard Deviation 0.82
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.15
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 42: (n= 3, 6, 5)0.2 10^9 cells/LStandard Deviation 0.18
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 6: (n= 3, 6, 6)0.6 10^9 cells/LStandard Deviation 0.59
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 42: (n= 3, 6, 5)0.2 10^9 cells/LStandard Deviation 0.13
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.1 10^9 cells/LStandard Deviation 0.15
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 0 (before injection)0.5 10^9 cells/LStandard Deviation 0.22
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 0 (before injection)0.7 10^9 cells/LStandard Deviation 0.28
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 0 (before injection)0.2 10^9 cells/LStandard Deviation 0.31
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 84 (Week 12): (n= 3, 6, 6)1.1 10^9 cells/LStandard Deviation 1.22
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 42: (n= 3, 6, 5)0.4 10^9 cells/LStandard Deviation 0.37
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 6: (n= 3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.24
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD3 cells count at Day 42: (n= 3, 6, 5)1.1 10^9 cells/LStandard Deviation 1.18
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.3 10^9 cells/LStandard Deviation 0.37
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD8 cells count at Day 0 (before injection)0.2 10^9 cells/LStandard Deviation 0.15
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD56 cells count at Day 6: (n= 3, 6, 6)0.2 10^9 cells/LStandard Deviation 0.25
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD19 cells count at Day 0 (before injection)0.1 10^9 cells/LStandard Deviation 0.05
Simulect 80mg + Certican + Myfortic + SteroidsProportion of CD3+, CD4+, CD8+, CD19+ and CD56+ T CellsCD4 cells count at Day 84 (Week 12): (n= 3, 6, 6)0.7 10^9 cells/LStandard Deviation 0.86

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