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Rapamycin Use in Calcineurin Inhibitor (CNI)-Free Immunosuppression for Stabilization/Improvement of Renal Function After Heart Transplantation
This study has been completed.
Sponsors and Collaborators: University of Heidelberg
Wyeth
Information provided by: University of Heidelberg
ClinicalTrials.gov Identifier: NCT00123331
  Purpose

Clinical Problem: Renal insufficiency after heart transplantation caused by cyclosporine medication was addressed. Current therapeutic approaches include cyclosporine reduction or discontinuation. It is unclear whether discontinuation of low dose cyclosporine also has a beneficial effect, i.e. is there a threshold effect for cyclosporine nephrotoxicity?

Study Design: Heart transplant patients with a moderate degree of renal failure on low dose cyclosporine were randomized to either a) no change; or b) discontinuation of cyclosporine and initiation of rapamycin immunosuppression.

Read-Out: Renal function after 6 months; tolerability; and safety were assessed.


Condition Intervention Phase
Heart Transplantation
Renal Failure
Drug: Cyclosporine discontinuation
Drug: Rapamycin medication
Phase IV

MedlinePlus related topics: Heart Transplantation Kidney Failure
Drug Information available for: Cyclosporin Cyclosporine Sirolimus
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Rapamycin Use in CNI-Free Immunosuppression for Stabilization/Improvement of Renal Function After Heart Transplantation

Further study details as provided by University of Heidelberg:

Primary Outcome Measures:
  • Renal function after 6 months (serum creatinine, calculated creatinine clearance)

Secondary Outcome Measures:
  • Survival
  • Rejection (clinical)
  • Tolerability
  • Blood pressure

Estimated Enrollment: 40
Study Start Date: October 2003
Estimated Study Completion Date: April 2005
Detailed Description:

Clinical Problem: Renal insufficiency after heart transplantation caused by cyclosporine medication was addressed. Current therapeutic approaches include cyclosporine reduction or discontinuation. It is unclear whether discontinuation of low dose cyclosporine also has a beneficial effect, i.e. is there a threshold effect for cyclosporine nephrotoxicity?

Study Design: Heart transplant patients with a moderate degree of renal failure on low dose cyclosporine were randomized to either a) no change; or b) discontinuation of cyclosporine and initiation of rapamycin immunosuppression.

Read-Out: Renal function after 6 months; tolerability; and safety were assessed.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Heart transplantation (> 6 months post-operation)
  • Renal failure (serum creatinine stably > 1.7 mg/dl
  • Cyclosporine trough blood level < 110 ng/ml

Exclusion Criteria:

  • < 18 years of age
  • Rapamycin intolerability
  • Active infection
  • Pregnancy, breast feeding
  • Major elective surgery planned in study period
  • Thrombopenia < 100,000/ml
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00123331

Locations
Germany
Medizinische Universitätsklinik, Kardiologie
Heidelberg, Germany, D-69115
Sponsors and Collaborators
University of Heidelberg
Wyeth
Investigators
Principal Investigator: Thomas J Dengler, MD University of Heidelberg
  More Information

WebSite of Heidelberg University Heart Transplant Center  This link exits the ClinicalTrials.gov site

Publications:
Study ID Numbers: HD_cardio_352/2003_dengler
Study First Received: July 18, 2005
Last Updated: August 1, 2005
ClinicalTrials.gov Identifier: NCT00123331  
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by University of Heidelberg:
Heart transplantation
Renal failure
Cyclosporine
Rapamycin

Study placed in the following topic categories:
Sirolimus
Renal Insufficiency
Cyclosporine
Urologic Diseases
Clotrimazole
Miconazole
Tioconazole
Kidney Diseases
Cyclosporins
Kidney Failure

Additional relevant MeSH terms:
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Enzyme Inhibitors
Antibiotics, Antineoplastic
Immunosuppressive Agents
Pharmacologic Actions
Anti-Bacterial Agents
Antifungal Agents
Therapeutic Uses
Antirheumatic Agents
Dermatologic Agents

ClinicalTrials.gov processed this record on January 16, 2009