Renal TransplantationPhase 2NCT01064791
Efficacy, Safety, Tolerability, and Pharmacokinetics of Sotrastaurin Combined With Tacrolimus vs. a Mycophenolic Acid-tacrolimus Regimen in Renal Transplant Patients
A Phase 2 study of Renal Transplantation, run by Novartis Pharmaceuticals at 44 sites in 15 countries.
Trial summary
This study will assess the safety and efficacy of different doses of sotrastaurin when combined with tacrolimus for the prevention of acute rejection after de novo renal transplantation. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Renal Transplantation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 298 participants
- Where
- 44 sitesin 15 countries
- Study dates
- Dec 2009to Aug 2012
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Recipients of a first or second kidney transplant from a deceased, living unrelated or non-human leukocyte antigen (HLA) identical living related donor.
- Recipients of a kidney with a cold ischemia time < 30 hours.
- Recipients of a kidney from a donor 10 - 65 years old.
Who cannot join
- Multi-organ transplant recipients.
- Recipients of an organ from an non-heart beating donor.
- Patients receiving a second kidney allograft if the first allograft was
- Functional for less than three years
- Patients who are treated with drugs that are strong inducers or inhibitors of cytochrome P450 3A4 (CYP3A4) at screening and cannot discontinue this treatment.
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
44 sites in 15 countries.
44 sites in 15 countries
Germany8 sites
Novartis Investigative Site
Berlin, 10098
Novartis Investigative Site
Berlin, 13353
Novartis Investigative Site
Cologne, 51109
Novartis Investigative Site
Essen, 45147
Novartis Investigative Site
Hamburg, 20246
Novartis Investigative Site
Hanover, 30625
Novartis Investigative Site
Heidelberg, 69120
Novartis Investigative Site
Regensburg, 93053
United States7 sites
Novartis Investigative Site
Ann Arbor, Michigan, 48109
Novartis Investigative Site
Aurora, Colorado, 80045
Novartis Investigative Site
Birmingham, Alabama, 35233
Novartis Investigative Site
Cincinnati, Ohio, 45219
Novartis Investigative Site
Cincinnati, Ohio, 45267-0585
Novartis Investigative Site
Detroit, Michigan, 48202-2689
Novartis Investigative Site
Madison, Wisconsin, 53792
Australia4 sites
Novartis Investigative Site
Adelaide, South Australia, 5000
Novartis Investigative Site
Camperdown, New South Wales, 2050
Novartis Investigative Site
Melbourne, Victoria, 3050
Novartis Investigative Site
Woolloongabba, Queensland, 4102
Argentina3 sites
Novartis Investigative Site
Córdoba, X5016KEH
Novartis Investigative Site
Córdoba, X5022CPU
Novartis Investigative Site
Corrientes, W3400
Belgium3 sites
Novartis Investigative Site
Brussels, 1070
Novartis Investigative Site
Brussels, 1200
Novartis Investigative Site
Leuven, 3000
Portugal3 sites
Novartis Investigative Site
Coimbra, 3000-075
Novartis Investigative Site
Lisbon, 1069-166
Novartis Investigative Site
Porto, 4099-001
Sweden3 sites
Novartis Investigative Site
Gothenburg, SE-413 45
Novartis Investigative Site
Stockholm, 141 86
Novartis Investigative Site
Uppsala, 751 85
United Kingdom3 sites
Novartis Investigative Site
Glasgow, G11 6NT
Novartis Investigative Site
Leicester, LE5 4PW
Novartis Investigative Site
Manchester, M13 9WL
Brazil2 sites
Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90035-903
Novartis Investigative Site
São Paulo, São Paulo, 04023-900
Hungary2 sites
Novartis Investigative Site
Budapest, 1082
Novartis Investigative Site
Szeged, 6720
South Korea2 sites
Novartis Investigative Site
Seoul, Korea, 120-752
Novartis Investigative Site
Seoul, Korea, 138-736
About this study
Official title: A Partially Blinded, Prospective, Randomized Multicenter Study Evaluating Efficacy, Safety and Tolerability of Oral Sotrastaurin Plus Standard or Reduced Exposure Tacrolimus vs. Mycophenolic Acid Plus Tacrolimus in de Novo Renal Transplant Recipients
This study will assess the safety and efficacy of different doses of sotrastaurin when combined with tacrolimus for the prevention of acute rejection after de novo renal transplantation.
- Conditions
- Renal Transplantation
- Being tested
- sotrastaurin (Dose 1) + tacrolimus + standard of care medications, sotrastaurin (Dose 2) + tacrolimus + standard of care medications, sotrastaurin (Dose 3) + tacrolimus + standard of care medications, mycophenolic acid + tacrolimus + standard of care medications
- Keywords
- Renal transplantation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
sotrastaurin (Dose 1) + tacrolimus + standard of care medicationsDrug
sotrastaurin (100mg bid) + tacrolimus + standard of care medications
sotrastaurin (Dose 2) + tacrolimus + standard of care medicationsDrug
sotrastaurin (200mg bid) + tacrolimus + standard of care medications
sotrastaurin (Dose 3) + tacrolimus + standard of care medicationsDrug
sotrastaurin (300mg bid) + tacrolimus + standard of care medications
mycophenolic acid + tacrolimus + standard of care medicationsDrug
mycophenolic acid (720mg bid) + tacrolimus + standard of care medications
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 | Experimental | sotrastaurin (100mg bid) + tacrolimus + standard of care medications Receives: Drug: sotrastaurin (Dose 1) + tacrolimus + standard of care medications |
| Arm 2 | Experimental | sotrastaurin (200mg bid) + tacrolimus + standard of care medications Receives: Drug: sotrastaurin (Dose 2) + tacrolimus + standard of care medications |
| Arm 3 | Experimental | sotrastaurin (300mg bid) + tacrolimus + standard of care medications Receives: Drug: sotrastaurin (Dose 3) + tacrolimus + standard of care medications |
| Arm 4 | Active comparator | mycophenolic acid (720mg bid) + tacrolimus + standard of care medications Receives: Drug: mycophenolic acid + tacrolimus + standard of care medications |
What is being measured
The primary outcome is the main question the study is designed to answer.
Demonstrate that at least one of the sotrastaurin + tacrolimus treatment arms is non-inferior to the active control regimen with respect to composite efficacy failure (treated BPAR of grade IA or higher, graft loss, death or lost to follow up).
Measured: Month 6
Secondary outcomes (4)
Evaluate renal allograft function post-transplantation (estimated GFR by MDRD equation; estimated creatinine clearance by Cockroft-Gault formula; serum creatinine)
Measured: Months 6, 12, 24, and 36
Demonstrate that at least one of the sotrastaurin + tacrolimus treatment arms is non-inferior to the active control regimen with respect to composite efficacy failure (treated BPAR of grade IA or higher, graft loss, death or lost to follow up).
Measured: Months 12, 24, and 36
Evaluate individual components of the composite efficacy endpoint (treated BPAR, severity of acute rejections by Banff 2007 diagnostic category).
Measured: Months 6, 12, 24, and 36
Evaluate safety and tolerability (adverse events, serious adverse events, laboratory abnormalities, vital signs, electrocardiograms, physical examination).
Measured: Months 6, 12, 24, and 36
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2010 (estimated)
- Study startDec 2009
- Primary completionAug 2012
- Study completionAug 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Renal TransplantationStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 298 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis PharmaceuticalsNovartis Pharmceuticals, Study director, Novartis Pharmceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01064791
- Sponsor's protocol ID
- CAEB071A2214
- Other IDs
- 2009-015456-14, 2009
- Status last verified
- Nov 2016
- First submitted
- 2 Feb 2010
- Last updated
- 22 Dec 2020
- Results posted
- No
Publications
Russ GR, Tedesco-Silva H, Kuypers DR, Cohney S, Langer RM, Witzke O, Eris J, Sommerer C, von Zur-Muhlen B, Woodle ES, Gill J, Ng J, Klupp J, Chodoff L, Budde K. Efficacy of sotrastaurin plus tacrolimus after de novo kidney transplantation: randomized, phase II trial results. Am J Transplant. 2013 Jul;13(7):1746-56. doi: 10.1111/ajt.12251. Epub 2013 May 13.
PubMed 23668931
Study at a glance
From the registry record, last updated by the sponsor on 22 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Partially Blinded, Prospective, Randomized Multicenter Study Evaluating Efficacy, Safety and Tolerability of Oral Sotrastaurin Plus Standard or Reduced Exposure Tacrolimus vs. Mycophenolic Acid Plus Tacrolimus in de Novo Renal Transplant Recipients
- ClinicalTrials.gov ID
- NCT01064791
- Acronym / sponsor ID
- CAEB071A2214
- Conditions
- Renal Transplantation
- Keywords
- Renal transplantation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 298 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Dec 2009
- Primary completion
- Aug 2012 (actual)
- Study completion
- Aug 2012 (actual)
- First posted
- 8 Feb 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the safety and efficacy of different doses of sotrastaurin when combined with tacrolimus for the prevention of acute rejection after de novo renal transplantation.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm 1 | Experimental | Drug: sotrastaurin (Dose 1) + tacrolimus + standard of care medicationssotrastaurin (100mg bid) + tacrolimus + standard of care medications |
| Arm 2 | Experimental | Drug: sotrastaurin (Dose 2) + tacrolimus + standard of care medicationssotrastaurin (200mg bid) + tacrolimus + standard of care medications |
| Arm 3 | Experimental | Drug: sotrastaurin (Dose 3) + tacrolimus + standard of care medicationssotrastaurin (300mg bid) + tacrolimus + standard of care medications |
| Arm 4 | Active comparator | Drug: mycophenolic acid + tacrolimus + standard of care medicationsmycophenolic acid (720mg bid) + tacrolimus + standard of care medications |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Recipients of a first or second kidney transplant from a deceased, living unrelated or non-human leukocyte antigen (HLA) identical living related donor.
- Recipients of a kidney with a cold ischemia time < 30 hours.
- Recipients of a kidney from a donor 10 - 65 years old.
Key exclusion criteria (6 listed)
- Multi-organ transplant recipients.
- Recipients of an organ from an non-heart beating donor.
- Patients receiving a second kidney allograft if the first allograft was
- Functional for less than three years
- Patients who are treated with drugs that are strong inducers or inhibitors of cytochrome P450 3A4 (CYP3A4) at screening and cannot discontinue this treatment.
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 |
|---|---|---|
| sotrastaurin (Dose 1) + tacrolimus + standard of care medicationssotrastaurin (100mg bid) + tacrolimus + standard of care medications | Drug | Arm 1 |
| sotrastaurin (Dose 2) + tacrolimus + standard of care medicationssotrastaurin (200mg bid) + tacrolimus + standard of care medications | Drug | Arm 2 |
| sotrastaurin (Dose 3) + tacrolimus + standard of care medicationssotrastaurin (300mg bid) + tacrolimus + standard of care medications | Drug | Arm 3 |
| mycophenolic acid + tacrolimus + standard of care medicationsmycophenolic acid (720mg bid) + tacrolimus + standard of care medications | Drug | Arm 4 |
Primary outcome
Demonstrate that at least one of the sotrastaurin + tacrolimus treatment arms is non-inferior to the active control regimen with respect to composite efficacy failure (treated BPAR of grade IA or higher, graft loss, death or lost to follow up).
Time frame: Month 6
4 secondary outcomes
Evaluate renal allograft function post-transplantation (estimated GFR by MDRD equation; estimated creatinine clearance by Cockroft-Gault formula; serum creatinine)
Time frame: Months 6, 12, 24, and 36
Demonstrate that at least one of the sotrastaurin + tacrolimus treatment arms is non-inferior to the active control regimen with respect to composite efficacy failure (treated BPAR of grade IA or higher, graft loss, death or lost to follow up).
Time frame: Months 12, 24, and 36
Evaluate individual components of the composite efficacy endpoint (treated BPAR, severity of acute rejections by Banff 2007 diagnostic category).
Time frame: Months 6, 12, 24, and 36
Evaluate safety and tolerability (adverse events, serious adverse events, laboratory abnormalities, vital signs, electrocardiograms, physical examination).
Time frame: Months 6, 12, 24, and 36
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Dec 2020.
- Results publication: PubMed 23668931Russ GR, Tedesco-Silva H, Kuypers DR, Cohney S, Langer RM, Witzke O, Eris J, Sommerer C, von Zur-Muhlen B, Woodle ES, Gill J, Ng J, Klupp J, Chodoff L, Budde K. Efficacy of sotrastaurin plus tacrolimus after de novo kidney transplantation: randomized, phase II trial results. Am J Transplant. 2013 Jul;13(7):1746-56. doi: 10.1111/ajt.12251. Epub 2013 May 13.
- Novartis Results on CAEB071A2214 from the Novartis Clinical Trials WebsiteLink provided by the sponsor.
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
Novartis Pharmceuticals study director
Novartis Pharmceuticals
44 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study of Renal Transplantation, run by Novartis Pharmaceuticals at 44 sites in 15 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 3 inclusion and 6 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 22 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 44 sites in Germany, United States, Australia, Argentina, Belgium and 10 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Demonstrate that at least one of the sotrastaurin + tacrolimus treatment arms is non-inferior to the active control regimen with respect to composite efficacy failure (treated BPAR of grade IA or higher, graft loss, death or lost to follow up). (time frame: Month 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01064791, which also lists 1 linked publication.
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 22 Dec 2020.