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The Effect of Simvastatin on Desensitization of Panel-Positive Kidney Transplant Candidates
This study has been completed.
Sponsored by: Shiraz University of Medical Sciences
Information provided by: Shiraz University of Medical Sciences
ClinicalTrials.gov Identifier: NCT00693576
  Purpose

Patients with panel reactive antibodies have many difficulties to find a crossmatch-negative kidney for transplantation and are at the risk of post transplantation rejection more than other transplanted patients. We evaluated the effect of simvastatin on PRA and post transplant outcome of these sensitized patients. We also performed a descriptive study.


Condition Intervention Phase
Renal Transplantation
Drug: simvastatin
Phase II
Phase III

MedlinePlus related topics: Kidney Transplantation
Drug Information available for: Immunoglobulins Globulin, Immune Simvastatin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study
Official Title: The Effect of Simvastatin on Desensitization of Panel-Positive Kidney Transplant Candidates

Further study details as provided by Shiraz University of Medical Sciences:

Primary Outcome Measures:
  • effect of simvastatin on panel reactive antibody [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]

Enrollment: 82
Study Start Date: April 2007
Study Completion Date: May 2008
Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
patients who will take simvastatin 20 mg daily
Drug: simvastatin
20 mg simvastatin daily

Detailed Description:

The presence of panel reactive antibodies (PRAs) in the sera of renal transplant candidates is associated with hyperacute or delayed humoral immune responses against the graft after transplantation .

In addition, these sensitized patients wait for a long time to find a cross-match negative kidney for renal transplantation . As a result, some modalities have been used for desensitization including plasmapheresis and intravenous immunoglobulin (IVIG) in combination with immunosuppressive drugs .

However, recently, the use of statins such as simvastatin, pravastatin and etc. has been proposed to be safer and more effective for desensitization .

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. patients with ESRD on hemodialysis or peritoneal dialysis
  2. On the waiting list for renal transplant
  3. PRA more than 25%

Exclusion Criteria:

  1. Pregnant women
  2. Patients who need ongoing blood products
  3. Patients taking other therapies to decrease PRA
  4. Patients listed for multi-organ transplant other than kidney
  5. Patients with liver failure
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00693576

Locations
Iran, Islamic Republic of, FARS
Shiraz University of Medical Sciences
SHIRAZ, FARS, Iran, Islamic Republic of, 71937-11351
Sponsors and Collaborators
Shiraz University of Medical Sciences
Investigators
Study Director: jamshid roozbeh, associate professor shiraz university of medical science
Principal Investigator: azar Sattarinezhad, internal medicine resident shiraz university of medical science,internal medicine department
Principal Investigator: mohammad mahdi sagheb, assistant professor Shiraz University of Medical Sciences
  More Information

Responsible Party: Shiraz university of medical science ( Shiraz university of medical science )
Study ID Numbers: 2519
Study First Received: June 5, 2008
Last Updated: June 5, 2008
ClinicalTrials.gov Identifier: NCT00693576  
Health Authority: Iran: Ethics Committee

Keywords provided by Shiraz University of Medical Sciences:
renal transplant
panel reactive antibody
sensitization
simvastatin
immunological

Study placed in the following topic categories:
Antibodies
Simvastatin
Immunoglobulins

Additional relevant MeSH terms:
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Antilipemic Agents
Enzyme Inhibitors
Anticholesteremic Agents
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009