MMF and Calcineurin Inhibitor Withdrawal in CAN

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. Identifier: NCT00204230
Recruitment Status : Terminated
First Posted : September 20, 2005
Last Update Posted : September 20, 2005
Hoffmann-La Roche
Information provided by:
University Hospital Muenster

Brief Summary:

Prospective, randomised study: Effect of mycophenolatmofetil (MMF) and CNI withdrawal in patients with histologically proven chronic allograft nephropathy Indication: change in immunosuppressive treatment of chronic allograft nephropathy (CAN)after renal transplantation Hypothesis: Antimetabolite MMF is able to stop progression of CAN and improve blood pressure/ metabolic parameters and structural vessel wall changes

Primary Target:effects of CNI withdrawal and MMF on renal function: stabilisation and/or improvement Secondary Targets: Incidence of adverse events Evaluation of the calcineurin inhibitor free MMF treatment effects on blood pressure, lipids, glucose metabolism and on structural and functional vesselwallchanges Method:open prospective, randomized two-tailed, monocentric study

Condition or disease Intervention/treatment Phase
Immunosuppressive Agents Kidney Failure, Chronic Kidney Transplantation Drug: mycophenolate mofetil (drug) Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Enrollment : 86 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Randomized Controlled Study: Effect of Mycophenolatmofetil in Patients With Histologically Proven Chronic Allograft Nephropathy
Study Start Date : October 1999
Study Completion Date : September 2002

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Kidney Failure

Primary Outcome Measures :
  1. course of renal function over 35 weeks

Secondary Outcome Measures :
  1. after 35 weeks of follow up:
  2. incidence of
  3. -acute rejections
  4. -infections
  5. -malignomas
  6. -gastrointestinal disorders
  7. development of blood pressure over 35 weeks
  8. number of antihypertensive drugs
  9. lipid state at entry and after 35 weeks
  10. blood glucose ,HBA1c at entry and after 35 weeks
  11. uric acid at entry and after 35 weeks
  12. Comparison of the development of 1/creatinine within each group at entry and 35 weeks after therapy conversion
  13. area under the curve (AUC) determination of mycophenolic acid (MPA)
  14. vessel wall changes of the carotid arteries IMD , compliance, distensibility and hemodynamic parameters CO, CI, at entry and after after cni withdrawal and MMF addition

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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

Written informed consent Reduction of graft function: Increase of serum creatinine >= 0,1mg/dl/month in the previous 6 months before start of the study and/or new occurrence or increasing proteinuria in the last 6 months before start of the study Serum creatinine < 4 mg/dl Biopsy within the last 3 months histologically proved chronic allograft nephropathy >=1 year after renal allografting >=5 mg/day Prednisolone or equivalent dose

Exclusion Criteria:

Malignomas Gravidity or Lactation Participation in other studies Severe infections gastrointestinal Ulcer Age <18 and >70 years Leukopenia with less that 3000/dl leucocytes, Anaemia Hb > 9 g/dl Therapy with mycophenolatmofetil in the past 6 months Acute rejections in the past 6 months

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 identifier (NCT number): NCT00204230

Sponsors and Collaborators
University Hospital Muenster
Hoffmann-La Roche
Principal Investigator: Barbara M Suwelack, PhD University Hospital

Publications of Results: Identifier: NCT00204230     History of Changes
Other Study ID Numbers: 1
First Posted: September 20, 2005    Key Record Dates
Last Update Posted: September 20, 2005
Last Verified: September 2005

Keywords provided by University Hospital Muenster:
Kidney Failure, Chronic
Kidney Transplantation

Additional relevant MeSH terms:
Renal Insufficiency
Kidney Failure, Chronic
Kidney Diseases
Urologic Diseases
Renal Insufficiency, Chronic
Mycophenolic Acid
Calcineurin Inhibitors
Antibiotics, Antineoplastic
Antineoplastic Agents
Antibiotics, Antitubercular
Antitubercular Agents
Anti-Bacterial Agents
Anti-Infective Agents
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action