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Real-word Study of the de NOVO Extended-release tacrolimuS in Kidney Transplantation Using an ARTificial Intelligence

Real-word Study of the de NOVO Use of Once-daily Extended-release tacrolimuS (LCPT) in Kidney Transplantation Using an ARTificial Intelligence Prognostic System: a Multicenter Prospective Ob-servational Study

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06960824
Acronym
NOVOSTART
Enrollment
165
Registered
2025-05-07
Start date
2025-05-31
Completion date
2027-12-31
Last updated
2025-05-07

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

Conditions

Chronic Renal Disease

Brief summary

The purpose of this study is to assess the clinical efficacy of the LCPT En-varsus \[Life-Cycle Pharma Tacrolimus\] initiated in de novo (Day 0 of transplantation) using the Biopsy Proven Acute Re-jection and iBox (full and abbreviated algo-rithms).

Detailed description

NovoStart is a descriptive study, prospective, multicenter, real-world evidence de-signed to evaluate the clinical efficacy and safety of Once-Daily Extended-Release Tacroli-mus in kidney transplantation using the iBox prognostic system. The NovoStart study will be conducted at 13 academic hospitals in France performing kidney transplants. The study population will comprise three cohorts of patients: * Cohort of patients treated with Life-Cycle Pharma Tacrolimus-based immunosuppression: Our single-arm study addresses the primary objective. * Cohorts Transplant reference: two control groups (Twice-Daily Tacrolimus and Once-Daily Tac-rolimus) to determine the main secondary objective.

Interventions

DRUGLife-Cycle Pharma Tacrolimus

Patients receiving LCPT Envarsus® \[Life-Cycle Pharma Tacrolimus\] within 24 hours of kidney transplantation in a once-daily formulation at the discretion of the investiga-tor and in compliance with the summary of product characteristics (SmPC).

PROCEDUREKidney transplantation

Kidney transplant patients using the iBox prognostic system (risk prediction system for kidney transplants)

Sponsors

Chiesi SAS
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* Kidney recipients aged 18 years and older. * Kidney recipients were transplanted from living or deceased donors * Patients receiving Envarsus® \[Life-Cycle Pharma Tacrolimus\] within 24 hours of kidney transplantation in a once-daily formulation at the discretion of the investiga-tor and in compliance with the summary of product characteristics. * Patients are willing to participate in the study and do not oppose the use of their data. * Patients are either affiliated with or beneficiaries of a social security scheme.

Exclusion criteria

* Contraindications to the use of Life-Cycle Pharma Tacrolimus (Envarsus®). * Pre-transplant desensitization. * ABO is incompatible with a living donor. * Combined transplant (e.g. kidney-heart transplant, kidney-liver transplant). * Previous bariatric (or bypass) surgery. * Gastrointestinal problems are likely to affect the absorption of the Life-Cycle Pharma Tacrolimus (Envarsus®). * Diagnosis of Parkinson's disease or any other neurological syndrome causing tremor. * Patients who are part of another clinical trial or in a period of exclusion from another clinical trial with a molecule under study. * Pregnant women or breastfeeding. * Patients under legal protection (guardianship, curatorship) or deprived of their liberty through judicial or administrative decisions. * Patients under State Medical Assistance.

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Biopsy Proven Acute Rejection12 monthsThe primary endpoint is the incidence of Biopsy Proven Acute Rejection between the Life-Cycle Pharma Tacrolimus cohort and the control groups of the transplant reference cohort.

Countries

France

Contacts

Primary ContactPhilippe GATAULT, MD
philippe.gatault@univ-tours.fr247366392
Backup ContactYoni ATHEA, Dr.
y.athea@chiesi.com147684930

Outcome results

None listed

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