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Metabolic Pattern of Cyclosporine A and Acute Renal Failure
This study has been completed.
Study NCT00264355   Information provided by University of Oslo School of Pharmacy
First Received: December 9, 2005   Last Updated: September 5, 2007   History of Changes

December 9, 2005
September 5, 2007
December 2005
 
The primary analysis of cyclosporine and metabolite concentrations and ratios will be compared between the patients developing acute renal failure and those who do not
Same as current
Complete list of historical versions of study NCT00264355 on ClinicalTrials.gov Archive Site
  • Regression analysis comparing concentrations/ratios and actual renal function (continuously parameter)
  • Descriptive listing of cyclosporine and metabolites concentrations in CYP3A5*3/*3 patients compared to the other patients. It is anticipated that an exploratory analysis will be performed to compare the two groups.
  • Descriptive listing of CsA and metabolites concentrations in patients with different combinations of MDR-1 genotypes compared to the other patients. It is anticipated that an exploratory analysis will be performed to compare the two groups.
Same as current
 
Metabolic Pattern of Cyclosporine A and Acute Renal Failure
Metabolic Pattern of Cyclosporine A - Association of Secondary- and Cyclic Metabolites With Acute Renal Failure in Heart Transplant Recipients

Following heart transplantation many patients develop acute renal failure in the early posttransplant phase and some are in need of renal replacement therapy for shorter or longer time. The cause of this acute renal failure is most probably multi factorial but many reports indicate that cyclosporine has a central role in the pathophysiology and it is generally recommended to lower the cyclosporine load to patients developing acute renal failure in this population.

Several in vitro studies on renal cells in culture indicate that the primary metabolites of cyclosporine (AM1, AM9, AM4N) are less toxic to the kidney than cyclosporine itself. However, the secondary metabolite AM19 as well as the cyclic metabolites AM1c and AM1c9 has been associated with decreased renal function and nephrotoxicity renal transplant recipients.

The primary objective of this pilot study is to investigate if the concentrations of secondary- and cyclic metabolites of cyclosporine (AM19, AM1c, AM1c9) is related to development of acute renal failure in the early posttransplant phase following heart transplantation.

Secondary objectives are to investigate associations between genotypes of P-glycoprotein and CYP3A5 and the metabolic pattern of cyclosporine.

 
Phase IV
Interventional
Diagnostic, Non-Randomized, Open Label, Active Control, Parallel Assignment, Pharmacokinetics Study
  • Heart Transplantation
  • Acute Renal Failure
Drug: cyclosporine A
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
30
June 2007
 

Inclusion Criteria:

  • Heart transplant recipients receiving CsA as part of their immunosuppressive therapy.
  • 18 years of age or older.
  • Signed informed consent.

Exclusion Criteria:

  • None
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Norway
 
NCT00264355
 
HeartTx-ARF
University of Oslo School of Pharmacy
 
Study Director: Anders Åsberg, Ph.D. University of Oslo School of Pharmacy
Principal Investigator: Arnt Fiane, MD, Ph.D. Rikshospitalet, Department of Thoracic surgery
University of Oslo School of Pharmacy
September 2007

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP