Liver TransplantationPhase 4NCT00118742
Liver Spare the Nephron (STN) Study - A Study of CellCept (Mycophenolate Mofetil) and Sirolimus in Recipients of a Liver Transplant
A Phase 4 study testing mycophenolate mofetil [CellCept], Tacrolimus and Cyclosporine in people with Liver Transplantation, run by Hoffmann-La Roche at 46 sites in 2 countries.
Trial summary
This two-arm study will assess the efficacy and safety of a long-term calcineurin inhibitor-free maintenance regimen with CellCept and sirolimus in recipients of an orthotropic liver transplant. Read more about this study
- Who is it for?
- Ages 18 to 74 years
- Conditions the study is for
- Liver Transplantation
- What is being tested?
- mycophenolate mofetil [CellCept], Tacrolimus and Cyclosporine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 293 participants
- Where
- 46 sitesin 2 countries
- Study dates
- Aug 2005to Dec 2008
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 74 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients 18-74 years of age
- Single primary liver transplant from a deceased donor
- CellCept plus tacrolimus or cyclosporine from time of transplantation (within 72 hours)
- Patients with hepatitis C-positive status may be entered if they have had an intraoperative (back table) biopsy of the transplanted liver or will have a biopsy at the time of randomization. This is not required for patients negative for hepatitis C.
Who cannot join
- Liver allograft from a living donor or a split liver
- Multiple organ transplant
- Dialysis therapy for >14 days from transplantation to randomization
- History of malignancy in the last 5 years (except hepatoma or non-melanoma skin cancer)
- Previous sirolimus therapy
Trial locations and contacts
46 sites in 2 countries.
46 sites in 2 countries
United States41 sites
Study site
Atlanta, Georgia, 30322
Study site
Baltimore, Maryland, 21201
Study site
Birmingham, Alabama, 35294
Study site
Boston, Massachusetts, 02111
Study site
Boston, Massachusetts, 02114-2696
Study site
Boston, Massachusetts, 02215
Study site
Burlington, Massachusetts, 01805
Study site
Chapel Hill, North Carolina, 27599
Study site
Chicago, Illinois, 60611
Study site
Chicago, Illinois, 60612-3824
Study site
Cleveland, Ohio, 44195
Study site
Dallas, Texas, 75246
Study site
Denver, Colorado, 80262
Study site
Detroit, Michigan, 48202-2689
Study site
Hawthorne, New York, 10532
Study site
Houston, Texas, 77030
Study site
Jacksonville, Florida, 32216
Study site
La Jolla, California, 92037
Study site
Los Angeles, California, 90033-4612
Study site
Los Angeles, California, 90095
Study site
Madison, Wisconsin, 53792
Study site
Miami, Florida, 33136
Study site
Minneapolis, Minnesota, 55455
Study site
Nashville, Tennessee, 37232
Study site
New Orleans, Louisiana, 70121
Study site
New York, New York, 10016
Study site
New York, New York, 10029
Study site
New York, New York, 10032
Study site
Newark, New Jersey, 07101-1709
Study site
Oklahoma City, Oklahoma, 73112-4481
Study site
Philadelphia, Pennsylvania, 19141
Study site
Phoenix, Arizona, 85054
Study site
Portland, Oregon, 97201-3098
Study site
Richmond, Virginia, 23298
Study site
Rochester, Minnesota, 55905
Study site
San Antonio, Texas, 78284
Study site
San Diego, California, 92103-8401
Study site
San Francisco, California, 94115
Study site
San Francisco, California, 94143-0780
Study site
St Louis, Missouri, 63110
Study site
Tampa, Florida, 33606
Canada5 sites
Study site
Edmonton, Alberta, T6G 2B7
Study site
Halifax, Nova Scotia, B3H 3A7
Study site
London, Ontario, N6A 5A5
Study site
Montreal, Quebec, H2X 3J4
Study site
Montreal, Quebec, H3A 1A1
About this study
Official title: A Randomized, Open-label Study of the Effect of a Long-term Calcineurin Inhibitor-free Maintenance Regimen With CellCept and Sirolimus on Preservation of Renal Function and Prevention of Acute Rejection in Recipients of an Orthotropic Liver Transplant
This two-arm study will assess the efficacy and safety of a long-term calcineurin inhibitor-free maintenance regimen with CellCept and sirolimus in recipients of an orthotropic liver transplant. Patients will be randomized to receive either CellCept 1-1.5 g twice daily (BID) + tacrolimus + cyclosporine, or CellCept 1-1.5 g BID + sirolimus. The anticipated time on study treatment is 1 to 2 years, and the target sample size is 100 to 500 individuals.
- Conditions
- Liver Transplantation
- Being tested
- mycophenolate mofetil [CellCept], Tacrolimus, Cyclosporine, Sirolimus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mycophenolate mofetil [CellCept]Drug
1-1.5 g orally or intravenously twice daily
TacrolimusDrug
As prescribed, for 12 months
CyclosporineDrug
As prescribed, for 12 months
SirolimusDrug
2-4 mg orally once daily for 9-11 months
| Study group | Role | What they receive |
|---|---|---|
| CellCept + CNI (tacrolimus or cyclosporine) | Experimental | Not described Receives: Drug: mycophenolate mofetil [CellCept]; Drug: Tacrolimus; Drug: Cyclosporine |
| CellCept + sirolimus | Active comparator | Not described Receives: Drug: mycophenolate mofetil [CellCept]; Drug: Sirolimus |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Glomerular Filtration Rate (GFR) at 12 Months Posttransplant
Mean percent change from baseline in estimated glomerular filtration rate (GFR) calculated by modification of diet in renal disease (MDRD)-6 variable equation at 12 months posttransplantation. MDRD-6 variables: serum creatinine, albumin and urea nitrogen, gender, age and ethnicity.
Measured: 12 months posttransplant
Secondary outcomes (3)
Change From Baseline in Glomerular Filtration Rate (GFR) at 6 Months Posttransplant
Mean percent change from baseline in estimated GFR calculated by modification of diet in renal disease (MDRD)-6 variable equation at 6 and 24 months posttransplantation. MDRD-6 variables: serum creatinine, albumin and urea nitrogen, gender, age and ethnicity.
Measured: 6 months posttransplant
Change From Baseline in Glomerular Filtration Rate (GFR) at 24 Months Posttransplant
Mean percent change from baseline in estimated GFR calculated by modification of diet in renal disease (MDRD)-6 variable equation at 6 and 24 months posttransplantation. MDRD-6 variables: serum creatinine, albumin and urea nitrogen, gender, age and ethnicity.
Measured: 24 months posttransplant
Change From Baseline in Creatinine Clearance
Mean percent change from baseline in calculated creatinine clearance (CL) at 6, 12, and 24 months posttransplantation
Measured: 6, 12, and 24 months posttransplantation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jul 2005 (estimated)
- Study startAug 2005
- Primary completionJul 2008
- Study completionDec 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Liver TransplantationStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 293 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00118742
- Sponsor's protocol ID
- ML18423
- Status last verified
- Jul 2010
- First submitted
- 30 Jun 2005
- Last updated
- 3 Aug 2010
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 3 Aug 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-label Study of the Effect of a Long-term Calcineurin Inhibitor-free Maintenance Regimen With CellCept and Sirolimus on Preservation of Renal Function and Prevention of Acute Rejection in Recipients of an Orthotropic Liver Transplant
- ClinicalTrials.gov ID
- NCT00118742
- Acronym / sponsor ID
- ML18423
- Conditions
- Liver Transplantation
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 293 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Aug 2005
- Primary completion
- Jul 2008 (actual)
- Study completion
- Dec 2008 (actual)
- First posted
- 12 Jul 2005 (estimated)
- Results
- Posted 10 Mar 2010
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This two-arm study will assess the efficacy and safety of a long-term calcineurin inhibitor-free maintenance regimen with CellCept and sirolimus in recipients of an orthotropic liver transplant. Patients will be randomized to receive either CellCept 1-1.5 g twice daily (BID) + tacrolimus + cyclosporine, or CellCept 1-1.5 g BID + sirolimus. The anticipated time on study treatment is 1 to 2 years, and the target sample size is 100 to 500 individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| CellCept + CNI (tacrolimus or cyclosporine) | Experimental | Drug: mycophenolate mofetil [CellCept], Drug: Tacrolimus, Drug: Cyclosporine |
| CellCept + sirolimus | Active comparator | Drug: mycophenolate mofetil [CellCept], Drug: Sirolimus |
Who may qualify
- Ages
- 18 to 74 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Adult patients 18-74 years of age
- Single primary liver transplant from a deceased donor
- CellCept plus tacrolimus or cyclosporine from time of transplantation (within 72 hours)
- Patients with hepatitis C-positive status may be entered if they have had an intraoperative (back table) biopsy of the transplanted liver or will have a biopsy at the time of randomization. This is not required for patients negative for hepatitis C.
Key exclusion criteria (5 listed)
- Liver allograft from a living donor or a split liver
- Multiple organ transplant
- Dialysis therapy for >14 days from transplantation to randomization
- History of malignancy in the last 5 years (except hepatoma or non-melanoma skin cancer)
- Previous sirolimus therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| mycophenolate mofetil [CellCept]1-1.5 g orally or intravenously twice daily | Drug | CellCept + CNI (tacrolimus or cyclosporine), CellCept + sirolimus |
| TacrolimusAs prescribed, for 12 months | Drug | CellCept + CNI (tacrolimus or cyclosporine) |
| CyclosporineAs prescribed, for 12 months | Drug | CellCept + CNI (tacrolimus or cyclosporine) |
| Sirolimus2-4 mg orally once daily for 9-11 months | Drug | CellCept + sirolimus |
Primary outcome
Change From Baseline in Glomerular Filtration Rate (GFR) at 12 Months Posttransplant
Time frame: 12 months posttransplant
Mean percent change from baseline in estimated glomerular filtration rate (GFR) calculated by modification of diet in renal disease (MDRD)-6 variable equation at 12 months posttransplantation. MDRD-6 variables: serum creatinine, albumin and urea nitrogen, gender, age and ethnicity.
3 secondary outcomes
Change From Baseline in Glomerular Filtration Rate (GFR) at 6 Months Posttransplant
Time frame: 6 months posttransplant
Change From Baseline in Glomerular Filtration Rate (GFR) at 24 Months Posttransplant
Time frame: 24 months posttransplant
Change From Baseline in Creatinine Clearance
Time frame: 6, 12, and 24 months posttransplantation
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Aug 2010.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
46 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing mycophenolate mofetil [CellCept], Tacrolimus and Cyclosporine in people with Liver Transplantation, run by Hoffmann-La Roche at 46 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Aug 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 46 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Mar 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Glomerular Filtration Rate (GFR) at 12 Months Posttransplant (time frame: 12 months posttransplant). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Aug 2010.