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Safety and Efficacy of LCP-Tacro™ Once Daily in Stable Renal Transplant Patients Converted From Prograf® Twice Daily
This study is currently recruiting participants.
Verified by LifeCycle Pharma A/S, January 2009
First Received: December 19, 2008   Last Updated: January 2, 2009   History of Changes
Sponsors and Collaborators: LifeCycle Pharma A/S
PPD
Information provided by: LifeCycle Pharma A/S
ClinicalTrials.gov Identifier: NCT00817206
  Purpose

This is 2-armed parallel group, prospective, randomized, open-label, multicenter Phase 3 controlled trial to establish the efficacy and safety of conversion from maintenance immunosuppressive therapy with Prograf® capsules (tacrolimus, Astellas Pharma US, Inc., Deerfield, IL) twice daily to maintenance immunotherapy with LCP Tacro™ tablets (tacrolimus, LifeCycle Pharma A/S, Hoersholm, Denmark) once daily for the prevention of acute allograft rejection in stable adult kidney transplant patients. Patients on a stable dose of Prograf® will be randomly assigned to be converted from Prograf® twice daily to LCP Tacro™ once daily or to remain on maintenance therapy with Prograf® twice daily. Patients entering the study will be treated with assigned study drug and followed for one year for patient survival and the incidence of graft rejection or graft loss.


Condition Intervention Phase
Acute Allograft Rejection
Drug: LCP-Tacro™ Tablets (tacrolimus)
Drug: Prograf® capsules (tacrolimus)
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase 3, Open-Label, Multicenter, Prospective, Randomized Study of the Efficacy and Safety of Conversion From Prograf® Capsules Twice Daily to LCP Tacro™ Tablets Once Daily for the Prevention of Acute Allograft Rejection in Stable Kidney Transplant Patients

Resource links provided by NLM:


Further study details as provided by LifeCycle Pharma A/S:

Primary Outcome Measures:
  • Composite primary endpoint for noninferiority will be used for efficacy failure within 12 months of randomization: Death, graft failure, biopsy-proven acute rejection or loss to follow-up. [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 302
Study Start Date: December 2008
Estimated Study Completion Date: October 2010
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
LCP-Tacro tablets™, once daily (LifeCycle Pharma A/S, Hoersholm DK)
Drug: LCP-Tacro™ Tablets (tacrolimus)
Dosage is determined by monitoring trough levels
2: Active Comparator
Prograf® capsules, twice daily (Astellas Pharma US, Deerfield IL)
Drug: Prograf® capsules (tacrolimus)
Dosage is determined by monitoring of trough levels

  Eligibility

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

Inclusion Criteria:

  • Men and women at least 18 years of age who are recipients of a kidney transplant between 3 months and 5 years before the screening date
  • Patients taking oral Prograf® capsules twice daily, at least 2 mg total dose per day, as part of their maintenance immunosuppression therapy, with tacrolimus trough levels of 5 to 15 ng/mL
  • Women of childbearing potential must have a negative serum or urine pregnancy test within 7 days before receiving study drug

Exclusion Criteria:

  • Recipients of any transplanted organ other than kidney
  • Recipients of a bone marrow transplant
  • Patients with an eGFR (MDRD7) < 30 mL/min at Screening
  • Patients with a spot protein:creatinine ratio > 0.5
  • Patients with a WBC count ≤ 2.8 ´ 109/L unless the WBC count has been stable for at least 2 weeks and the absolute neutrophil count is > 1.0 ´ 109 /L
  • Patients unable to swallow study medication
  • Patients incapable of understanding the purposes and risks of the study, who cannot give written informed consent and who are unwilling or unable to comply with the study protocol requirements
  • Pregnant or nursing women
  • Patients with reproductive potential who are unwilling/unable to use a double barrier method of contraception
  • Patients who were treated with any other investigational agent within 3 months before Screening
  • Patients who have taken sirolimus or everolimus within 3 months before Screening
  • Patients on concurrent immunosuppression with MMF (CellCept) or MPS delayed-release tablets (Myfortic) who have not been on stable doses for at least 4 weeks before Screening
  • Patients withdrawn from corticosteroids less than 30 days before Screening
  • Patients with an episode of acute rejection requiring antibody therapy within 3 months before Screening
  • Patients treated for acute rejection within 30 days before Screening
  • Patients who are hepatitis C virus (HCV) negative who have received an HCV positive (HCV RNA by polymerase chain reaction or HCV antibody) donor kidney
  • Patients seropositive for human immunodeficiency virus
  • Patients with a current malignancy or a history of malignancy (within the past 5 years), except basal or nonmetastatic squamous cell carcinoma of the skin that has been treated successfully
  • Patients with uncontrolled concomitant infection, a systemic infection requiring treatment, or any other unstable medical condition that could interfere with the study objectives
  • Patients with severe diarrhea, vomiting, active peptic ulcer, or gastrointestinal disorder that may affect the absorption of tacrolimus
  • Patients with any form of current substance abuse, psychiatric disorder, or a condition that, in the opinion of the investigator, may invalidate communication with the investigator.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00817206

Contacts
Contact: Rob Gordon, M.D. 646 200-8516 RGO@LCPharma.com
Contact: Naseem Sofia 646 200-8509 NSO@LCPharma.com

Locations
United States, California
California Institute of Renal Research/ Sharp Memorial Recruiting
San Diego, California, United States, 92123
Sponsors and Collaborators
LifeCycle Pharma A/S
PPD
Investigators
Principal Investigator: Steven Steinberg, M.D. Claifornia Institute of Renal Research/Sharp Memorial
  More Information

No publications provided

Responsible Party: LifeCycle Pharma A/S, Kogle Allé 4, 2970 Hørsholm, Denmark ( Karin Jexner Hamberg, M.D. Executive Vice President for R&D and CMO )
Study ID Numbers: LCP-Tacro 3001
Study First Received: December 19, 2008
Last Updated: January 2, 2009
ClinicalTrials.gov Identifier: NCT00817206     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by LifeCycle Pharma A/S:
kidney transplantation
renal transplantation
maintenance immunosuppression
tacrolimus
Prevention of acute allograft rejection

Study placed in the following topic categories:
Immunologic Factors
Tacrolimus
Immunosuppressive Agents

Additional relevant MeSH terms:
Immunologic Factors
Physiological Effects of Drugs
Tacrolimus
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 02, 2009