Kidney TransplantationPhase 2NCT01780844
A Study to Assess the Efficacy and Safety of ASKP1240 in de Novo Kidney Transplant Recipients
A Phase 2 study testing ASKP1240, Tacrolimus and Mycophenolate Mofetil (MMF) in people with Kidney Transplantation, run by Astellas Pharma Global Development, Inc. at 42 sites in United States.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of ASKP1240, an anti-CD40 monoclonal antibody, for the prophylaxis of organ rejection after kidney transplantation. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Kidney Transplantation
- What is being tested?
- ASKP1240, Tacrolimus and Mycophenolate Mofetil (MMF)
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 149 participants
- Where
- 42 sitesUnited States
- Study dates
- 5 Mar 2013to 27 Jan 2017
- 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
- Subject is a recipient of a de novo kidney from a living or deceased donor
Who cannot join
- Subject has induction therapy, other than study-assigned basiliximab, planned as part of initial immunosuppressive regimen
- Subject has previously received or is receiving an organ transplant other than a kidney
- Subject will receive a solitary kidney from a deceased donor < 5 years of age
- Subject will receive a kidney with an anticipated cold ischemia time (CIT) of > 30 hours
- Subject will receive a kidney that meets both Extended Criteria Donor (ECD) and Donation after Cardiac Death (DCD) criteria. Note: a kidney that meets either ECD or DCD criteria is eligible for inclusion
- Subject will receive an ABO incompatible donor kidney
- Subject has a current calculated panel reactive antibody (cPRA) level >50%
Trial locations and contacts
42 sites in 1 country.
42 sites in 1 country
United States42 sites
Site US10017
Ann Arbor, Michigan, 48109
Site US10007
Atlanta, Georgia, 30322
Site US10041
Augusta, Georgia, 30912
Site US10013
Aurora, Colorado, 80045
Site US10014
Baltimore, Maryland, 21201
Site US10006
Birmingham, Alabama, 35233
Site US10031
Buffalo, New York, 14215
Site US10036
Chapel Hill, North Carolina, 27599
Site US10012
Charleston, South Carolina, 29425
Site US10042
Charlotte, North Carolina, 28203
Site US10020
Charlottesville, Virginia, 22908
Site US10010
Chicago, Illinois, 60612
Site US10018
Chicago, Illinois, 60612
Site US10037
Chicago, Illinois, 60637
Site US10009
Cincinnati, Ohio, 45267
Site US10040
Cleveland, Ohio, 44106
Site US10032
Cleveland, Ohio, 44195
Site US10001
Dallas, Texas, 75246
Site US10016
Durham, North Carolina, 27710
Site US10002
Fort Worth, Texas, 76104
Site US10026
Greenville, North Carolina, 27834
Site US10027
Harrisburg, Pennsylvania, 17011
Site US10029
Houston, Texas, 77030
Site US10044
Houston, Texas, 77030
Site US10015
Lexington, Kentucky, 40536
Site US10022
Livingston, New Jersey, 07039
Site US10008
Los Angeles, California, 90057
Site US10005
Madison, Wisconsin, 53792
Site US10028
Memphis, Tennessee, 38104
Site US10035
Nashville, Tennessee, 37232-4750
Site US10045
New Orleans, Louisiana, 70112
Site US10034
New York, New York, 10029
Site US10023
New York, New York, 10065
Site US10021
Palo Alto, California, 94304
Site US10024
Phoenix, Arizona, 85054
Site US10038
Pittsburgh, Pennsylvania, 15213
Site US10033
Salt Lake City, Utah, 84132
Site US10030
San Diego, California, 92123
Site US10004
San Francisco, California, 94115
Site US10003
San Francisco, California, 94143
Site US10025
St Louis, Missouri, 63110
Site US10019
The Bronx, New York, 10467
About this study
Official title: A Phase 2a, Randomized, Open-label, Active Control, Multi-Center Study to Assess the Efficacy and Safety of ASKP1240 in de Novo Kidney Transplant Recipients
The purpose of this study is to evaluate the efficacy and safety of ASKP1240, an anti-CD40 monoclonal antibody, for the prophylaxis of organ rejection after kidney transplantation. This study will compare the efficacy of basiliximab induction, ASKP1240, mycophenolate mofetil (MMF), and steroids [calcineurin inhibitor (CNI) avoidance] to the standard of care immunosuppressive regimen (basiliximab induction + tacrolimus + MMF + steroids). In addition, the study will compare the efficacy of basiliximab induction, ASKP1240, tacrolimus and steroids [CNI minimization-MMF avoidance] to the standard of care immunosuppressive regimen (basiliximab induction + tacrolimus + MMF + steroids).
Read the detailed description
Subjects will be followed for 6 months. Upon completion of the first 6 months of the study, subjects may participate in the Long Term Extension period of the study. Subjects will remain on their original treatment arm up to three years post-transplant (and / or Sponsor discontinues development or the subject no longer wishes to participate in the study).
- Conditions
- Kidney Transplantation
- Being tested
- ASKP1240, Tacrolimus, Mycophenolate Mofetil (MMF), Basiliximab, Methylprednisone
- Keywords
- Kidney Transplantation, de novo Kidney Transplantation, ASKP1240
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ASKP1240Drug
intravenous infusion
TacrolimusDrug
Also called Prograf®
intravenous or oral
Mycophenolate Mofetil (MMF)Drug
Also called CellCept®
intravenous or oral
BasiliximabDrug
Also called Simulect®
intravenous
MethylprednisoneDrug
Intravenous
PrednisoneDrug
Oral
| Study group | Role | What they receive |
|---|---|---|
| Standard of Care | Active comparator | Basiliximab induction + Tacrolimus + MMF + Corticosteroids Receives: Drug: Tacrolimus; Drug: Mycophenolate Mofetil (MMF); Drug: Basiliximab; Drug: Methylprednisone; Drug: Prednisone |
| CNI avoidance | Experimental | Basiliximab induction + ASKP1240 + MMF + Corticosteroids Receives: Drug: ASKP1240; Drug: Mycophenolate Mofetil (MMF); Drug: Basiliximab; Drug: Methylprednisone; Drug: Prednisone |
| CNI minimization-MMF avoidance | Experimental | Basiliximab induction + ASKP1240 + Tacrolimus + Corticosteroids Receives: Drug: ASKP1240; Drug: Tacrolimus; Drug: Basiliximab; Drug: Methylprednisone; Drug: Prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Biopsy-proven acute (T or B cell) rejection (BPAR) (Banff 2007 Grade ≥ 1) by local review
Measured: 6 months
Secondary outcomes (3)
Glomerular Filtration Rate (GFR)
GFR is based on Modification of Diet in Renal Disease (4 variable-MDRD) criteria
Measured: 6 months
Patient Survival
Subject survival is defined as any subject who does not die during the study.
Measured: 6 months
Graft Survival
Graft survival is defined as any subject who does not experience graft loss during the study. Graft loss is defined as subject death, retransplantation, transplant nephrectomy, or the permanent return to dialysis (greater than 30 days).
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2013 (estimated)
- Study start5 Mar 2013
- Primary completion30 Jun 2014
- Study completion27 Jan 2017
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 Kidney TransplantationStudies of the same condition, open and under way.
- More trials run by Astellas Pharma Global Development, Inc.The 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 149 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Global Development, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Kyowa Kirin Co., Ltd.
- Responsible party
- Sponsor
- Investigators
- Senior Medical Director, Study director, Astellas Pharma Global Development, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01780844
- Sponsor's protocol ID
- 7163-CL-0108
- Status last verified
- Nov 2025
- First submitted
- 29 Jan 2013
- Last updated
- 21 Nov 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency.
Publications
Harland RC, Klintmalm G, Jensik S, Yang H, Bromberg J, Holman J, Kumar MSA, Santos V, Larson TJ, Wang X. Efficacy and safety of bleselumab in kidney transplant recipients: A phase 2, randomized, open-label, noninferiority study. Am J Transplant. 2020 Jan;20(1):159-171. doi: 10.1111/ajt.15591. Epub 2019 Oct 19.
PubMed 31509331
Study at a glance
From the registry record, last updated by the sponsor on 21 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2a, Randomized, Open-label, Active Control, Multi-Center Study to Assess the Efficacy and Safety of ASKP1240 in de Novo Kidney Transplant Recipients
- ClinicalTrials.gov ID
- NCT01780844
- Acronym / sponsor ID
- 7163-CL-0108
- Conditions
- Kidney Transplantation
- Keywords
- Kidney Transplantation, de novo Kidney Transplantation, ASKP1240
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 149 participants (actual)
- Lead sponsor
- Astellas Pharma Global Development, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Kyowa Kirin Co., Ltd.
- Study start
- 5 Mar 2013 (actual)
- Primary completion
- 30 Jun 2014 (actual)
- Study completion
- 27 Jan 2017 (actual)
- First posted
- 31 Jan 2013 (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.
The purpose of this study is to evaluate the efficacy and safety of ASKP1240, an anti-CD40 monoclonal antibody, for the prophylaxis of organ rejection after kidney transplantation. This study will compare the efficacy of basiliximab induction, ASKP1240, mycophenolate mofetil (MMF), and steroids [calcineurin inhibitor (CNI) avoidance] to the standard of care immunosuppressive regimen (basiliximab induction + tacrolimus + MMF + steroids). In addition, the study will compare the efficacy of basiliximab induction, ASKP1240, tacrolimus and steroids [CNI minimization-MMF avoidance] to the standard of care immunosuppressive regimen (basiliximab induction + tacrolimus + MMF + steroids).
Detailed description
Subjects will be followed for 6 months. Upon completion of the first 6 months of the study, subjects may participate in the Long Term Extension period of the study. Subjects will remain on their original treatment arm up to three years post-transplant (and / or Sponsor discontinues development or the subject no longer wishes to participate in the study).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Standard of Care | Active comparator | Drug: Tacrolimus, Drug: Mycophenolate Mofetil (MMF), Drug: Basiliximab, Drug: Methylprednisone, Drug: PrednisoneBasiliximab induction + Tacrolimus + MMF + Corticosteroids |
| CNI avoidance | Experimental | Drug: ASKP1240, Drug: Mycophenolate Mofetil (MMF), Drug: Basiliximab, Drug: Methylprednisone, Drug: PrednisoneBasiliximab induction + ASKP1240 + MMF + Corticosteroids |
| CNI minimization-MMF avoidance | Experimental | Drug: ASKP1240, Drug: Tacrolimus, Drug: Basiliximab, Drug: Methylprednisone, Drug: PrednisoneBasiliximab induction + ASKP1240 + Tacrolimus + Corticosteroids |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Subject is a recipient of a de novo kidney from a living or deceased donor
Key exclusion criteria (7 listed)
- Subject has induction therapy, other than study-assigned basiliximab, planned as part of initial immunosuppressive regimen
- Subject has previously received or is receiving an organ transplant other than a kidney
- Subject will receive a solitary kidney from a deceased donor < 5 years of age
- Subject will receive a kidney with an anticipated cold ischemia time (CIT) of > 30 hours
- Subject will receive a kidney that meets both Extended Criteria Donor (ECD) and Donation after Cardiac Death (DCD) criteria. Note: a kidney that meets either ECD or DCD criteria is eligible for inclusion
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 |
|---|---|---|
| ASKP1240intravenous infusion | Drug | CNI avoidance, CNI minimization-MMF avoidance |
| TacrolimusAlso: Prograf®intravenous or oral | Drug | CNI minimization-MMF avoidance, Standard of Care |
| Mycophenolate Mofetil (MMF)Also: CellCept®intravenous or oral | Drug | CNI avoidance, Standard of Care |
| BasiliximabAlso: Simulect®intravenous | Drug | CNI avoidance, CNI minimization-MMF avoidance, Standard of Care |
| MethylprednisoneIntravenous | Drug | CNI avoidance, CNI minimization-MMF avoidance, Standard of Care |
| PrednisoneOral | Drug | CNI avoidance, CNI minimization-MMF avoidance, Standard of Care |
Primary outcome
Biopsy-proven acute (T or B cell) rejection (BPAR) (Banff 2007 Grade ≥ 1) by local review
Time frame: 6 months
3 secondary outcomes
Glomerular Filtration Rate (GFR)
Time frame: 6 months
Patient Survival
Time frame: 6 months
Graft Survival
Time frame: 6 months
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 21 Nov 2025.
- Derived from this study: PubMed 31509331Harland RC, Klintmalm G, Jensik S, Yang H, Bromberg J, Holman J, Kumar MSA, Santos V, Larson TJ, Wang X. Efficacy and safety of bleselumab in kidney transplant recipients: A phase 2, randomized, open-label, noninferiority study. Am J Transplant. 2020 Jan;20(1):159-171. doi: 10.1111/ajt.15591. Epub 2019 Oct 19.
- Link to results and other applicable study documents on the Astellas Clinical Trials websiteLink provided by the sponsor.
- Link to plain language summary of the study on the Trial Results Summaries websiteLink provided by the sponsor.
- Individual participant dataSharing planned: No. Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency.
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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.
Senior Medical Director study director
Astellas Pharma Global Development, Inc.
42 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ASKP1240, Tacrolimus and Mycophenolate Mofetil (MMF) in people with Kidney Transplantation, run by Astellas Pharma Global Development, Inc. at 42 sites in United States.
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 1 inclusion and 7 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 21 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in United States. 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?
Biopsy-proven acute (T or B cell) rejection (BPAR) (Banff 2007 Grade ≥ 1) by local review (time frame: 6 months). 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 NCT01780844, 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 21 Nov 2025.