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Study to Compare the Pharmacokinetics of Tacrolimus in Stable Pediatric Allograft Recipients Converted From Prograf® to Advagraf®

This study is ongoing, but not recruiting participants.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01294020
First Posted: February 11, 2011
Last Update Posted: October 13, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Astellas Pharma Inc ( Astellas Pharma Europe Ltd. )
  Purpose
Conversion of stable pediatric allograft recipients from Prograf® immunosuppression to Advagraf® immunosuppression to compare exposure and follow for safety and efficacy over one year.

Condition Intervention Phase
Intestine Transplantation Kidney Transplantation Lung Transplantation Liver Transplantation Heart Transplantation Drug: Tacrolimus Phase 2

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Phase II, Open-Label, Multi-Center Study to Compare the Pharmacokinetics of Tacrolimus in Stable Pediatric Allograft Recipients Converted From a Prograf® Based Immunosuppressive Regimen to a Tacrolimus Prolonged Release, Advagraf® Based Immunosuppressive Regimen, Including a Long-Term Follow-Up

Resource links provided by NLM:


Further study details as provided by Astellas Pharma Inc ( Astellas Pharma Europe Ltd. ):

Primary Outcome Measures:
  • determine steady state systemic exposure (AUC0-24h) [ Time Frame: day 7 and day 14 ]

Secondary Outcome Measures:
  • determine Cmax (maximum concentration) [ Time Frame: day 7 and day 14 ]
  • determine tmax (time to attain Cmax) [ Time Frame: day 7 and day 14 ]
  • determine C24 (concentration prior to morning dose) [ Time Frame: day 7 and day 14 ]
  • rejection episodes [ Time Frame: up to 54 weeks ]
  • subject survival [ Time Frame: up to 54 weeks ]
  • graft survival [ Time Frame: up to 54 weeks ]
  • assessment of safety through the evaluation of Adverse Events, laboratory parameters and vital signs [ Time Frame: up to 54 weeks ]

Enrollment: 81
Actual Study Start Date: May 25, 2011
Estimated Study Completion Date: May 2026
Primary Completion Date: October 25, 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Conversion from Prograf to Advagraf
Oral
Drug: Tacrolimus
Oral
Other Names:
  • Prograf
  • FK506E
  • MR4
  • Advagraf
  • tacrolimus modified release

Detailed Description:

Part C: Continuation of long-term follow-up (from Day 365 onwards). Patients who have completed Part B and to whom continued treatment with Advagraf® is not currently available, will be offered participation in a continuation of long-term follow-up Part C. Part C will continue until Advagraf® becomes available to these patients or these patients' discontinuation, whichever is the earliest.

This applies to patients in the following countries: Czech Republic, Germany, Italy and Poland only.

  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   5 Years to 16 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Must be able to swallow intact study medication capsules
  • Received a single solid organ transplant at least 6 months prior to entry into the study
  • The subject's parent(s), or their legal representative(s), has been fully informed and has given written informed consent to participate in the study. The subject has given assent where applicable
  • Has been receiving a Prograf® based immunosuppressive regimen for a minimum of 3 months
  • Negative pregnancy test prior to enrolment (females)
  • Must agree to practice effective birth control during the study
  • Stable whole blood trough levels of tacrolimus in the range of 3.5 - 15ng/mL (+/-0.5ng/mL) and clinically stable in the opinion of the Investigator

Exclusion Criteria:

  • Previously received a multiple organ transplant
  • Any rejection episode within 3 months prior to enrolment or within the last 6 months that required anti-lymphocyte antibody therapy, or 2 or more rejection episodes within the last 12 months
  • Currently receiving Rapamycin, Certican or MPA (Myfortic®)
  • Chronic dysfunction of the allograft, in the opinion of the Investigator
  • Major changes in their immunosuppressive regimen within the last 3 months prior to entry into the study
  • The subject is pregnant or breast feeding
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01294020


Locations
Belgium
Site BE21
Brussels, Belgium, 1020
Site BE22
Brussels, Belgium, 1200
Czechia
Site CZ42
Prague 5, Czechia, 150 06
France
Site FR34
Bron Cedex, France, 69677
Site FR35
BRON Cedex, France, 69677
Site FR31
Paris Cedex 15, France, 75743
Site FR32
Paris Cedex 15, France, 75743
Site FR33
Paris Cedex 15, France, 75908
Germany
Site DE41
Heidelberg, Germany, 69120
Italy
Site IT74
Bergamo, Italy, 24127
Site IT75
Palermo, Italy, 90127
Poland
Site PL51
Warsaw, Poland, 04-730
Site PL52
Warsaw, Poland, 04-730
United Kingdom
Site GB62
Birmingham, United Kingdom, B4 6NH
Site GB64
London, United Kingdom, WC1 3JH
Site GB61
Manchester, United Kingdom, M27 4HA
Sponsors and Collaborators
Astellas Pharma Europe Ltd.
Investigators
Study Chair: Use Central Contact Astellas Pharma Europe Ltd.
  More Information

Responsible Party: Astellas Pharma Europe Ltd.
ClinicalTrials.gov Identifier: NCT01294020     History of Changes
Other Study ID Numbers: PMR-EC-1206
2010-020925-42 ( EudraCT Number )
First Submitted: February 3, 2011
First Posted: February 11, 2011
Last Update Posted: October 13, 2017
Last Verified: October 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Keywords provided by Astellas Pharma Inc ( Astellas Pharma Europe Ltd. ):
Transplant
Liver
Tacrolimus
Kidney
Heart
Lung
Immunosuppression
Advagraf
Pharmacokinetics

Additional relevant MeSH terms:
Tacrolimus
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Calcineurin Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action