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Trial registered on ANZCTR
Registration number
ACTRN12610000070033
Ethics application status
Approved
Date submitted
14/01/2010
Date registered
6/03/2006
Date last updated
11/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomized trial to compare efficacy and safety of cyclosporin-prednisone versus mycophenolate mofetil-prednisone, 3 months after renal transplantation.
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Scientific title
A randomized trial to compare efficacy and safety of cyclosporin-prednisone versus mycophenolate mofetil-prednisone, 3 months after renal transplantation.
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Secondary ID [1]
1010
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Cochrane Renal Group 030600045
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Renal transplantation
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Condition category
Condition code
Renal and Urogenital
256695
256695
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
mycophenolate mofetil 2g per day and prednisone 0.15 mg/kg, per day from month 3 to 12 post graft. Both drugs: oral capsules
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Intervention code [1]
255804
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Treatment: Drugs
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Comparator / control treatment
cyclosporine 3-8 mg/kg per day adjusted for blood trough levels between 100 and 300 mcg/L and prednisone 0.15 mg/kg per day from month 3 to 12 post graft. Both drugs: oral capsules
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Control group
Active
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Outcomes
Primary outcome [1]
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Incidence of biopsy-proven acute allograft rejection during the first post-transplant year
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Assessment method [1]
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Timepoint [1]
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12 months post transplant
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Secondary outcome [1]
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Serum creatinine
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Assessment method [1]
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Timepoint [1]
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12 months post transplant (once monthly from month 3 to 12 post graft)
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Secondary outcome [2]
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graft and patient survival (the date of the graft failure was defined as the day when dialysis was restarted or patient death)
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Assessment method [2]
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Timepoint [2]
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12 months post transplant
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Secondary outcome [3]
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Chronic Allograft Dysfunction Index (CADI)
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Assessment method [3]
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Timepoint [3]
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12 months post transplant (comparison of 2 timepoints biopsies, at 3 and 12 months post graft respectively)
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Eligibility
Key inclusion criteria
1) First renal transplantation from a deceased donor under a triple drug regimen (cyclosporine + mycophenolate mofetil + prednisone)
2) No acute rejection episode during the first 3 months post graft (time of randomisation)
3) Patients who gave their informed consent and are able to understand the scope of the study
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1) Living donor, re-transplantation
2) Panel ractive antibodies > 30%
3) Serum creatinine > 2.5 mg/dl (222 umol/l)
4) Cyclosporine toxicity at the time of randomisation (3 months post graft)
5) Patients with generalized infection at the time of transplantation
6) Women in child-bearing age who do not plan to use efficient contraception
7) Age of donor > 65
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/1999
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
108
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2047
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France
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State/province [1]
2047
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Protocole Hospitalier de Recherche Clinique (PHRC)
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Address [1]
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French Minister of Health
Ministere de la Sante et des Sports
14, avenue Duquesne
75350 PARIS 07 SP
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Country [1]
256289
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France
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Primary sponsor type
Government body
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Name
Protocole Hospitalier de Recherche Clinique (PHRC)
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Address
French Minister of Health
Ministere de la Sante et des Sports
14, avenue Duquesne
75350 PARIS 07 SP
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Country
France
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Santelys Association
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Address [1]
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Santelys - Parc Eurasante - 351 rue Ambroise Pare - 59120 LOOS - FRANCE
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Country [1]
251614
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France
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
The aim of this study was to compare the incidence of acute rejection in de novo low risk renal transplant patients after an early cyclosporin or mycophenolate mofetil withdrawal (3 months post graft) from an initial triple drug regimen (cyclosporin + mycophenolate + prednisone). The primary outcome was the incidence of biopsy proven acute rejection (BPAR) episodes at 12 months post graft. We tested the hypothesis of a unilateral equivalence of an incidence of 10% BPAR in the cyclosporin group. With a non inferiority limit of 15% the number of patients to include was 98. To take into account a 10% rate of non assessable patients for the statistical analysis, 108 patients were enrolled (54 in each group).
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Trial website
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Trial related presentations / publications
Predictive factors of acute rejection after early cyclosporine withdrawal in renal transplant recipients who receive mycophenolate mofetil: results from a prospective, randomized trial. M Hazzan, M Labalette, MC Copin, F Glowacki, F Provot, FR Pruvot, C Noel. J Am Soc Nephrol. 2005 ; 16 : 2509-2516 Assessment of the risk of chronic allograft dysfunction after renal transplantation in a randomized cyclosporine withdrawal trial. M Hazzan, D Buob, M Labalette, F Provot, F Glowacki, M Hoffmann, MC Copin, C Noël. Transplantation. 2006 ; 15 : 657-662
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof, Christian, NOEL
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Address
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Head, Nephrology, Regional Hospital of Lille, Hopital Huriez, CHRU de Lille. 59037 Lille cedex (France)
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Country
13426
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France
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Phone
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+33 3 20 44 41 42
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof, Marc, HAZZAN
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Address
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Nephrology, Regional Hospital of Lille, Hopital Huriez, CHRU de Lille. 59037 Lille cedex (France)
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Country
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France
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Phone
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+33 3 20 44 67 70
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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