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Liver TransplantationPhase 4NCT05152628

A Study of Modigraf® (Tacrolimus Granules) to Evaluate the Pharmacokinetics and Long-term Safety and Efficacy in De Novo Pediatric Allograft Liver and Kidney Transplantation Recipients

A Phase 4 study testing Tacrolimus granules in people with Liver Transplantation and Kidney Transplantation, run by Astellas Pharma China, Inc. at 4 sites in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine the pharmacokinetics of tacrolimus following oral administration of Modigraf, after the first oral dose and at steady state in pediatric participants undergoing de novo allograft liver or kidney transplantation. Read more about this study

Who is it for?
Ages Up to 17 years
Conditions the study is for
Liver Transplantation, Kidney Transplantation
What is being tested?
Tacrolimus granules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
55 participants
Where
4 sitesChina
Study dates
11 Jan 2022to 6 Mar 2024
Phase
Phase 4
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 Up to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Participant's parent(s) or their legal representative(s), and participant where applicable agrees not to participate in another interventional study while participating in the present study from 1 month before screening to the end of the study.

Who cannot join

  • Participant has previously received another organ transplant.
  • Participant has a high immunological risk, defined as a panel reactive antibody (PRA) score > 50% in the previous 6 months (only applicable for kidney transplantation recipients).
  • Cold ischemia time of the donor kidney longer than 30 hours (only applicable for kidney transplantation recipients).
  • Bilateral kidney transplantation recipients (only applicable for kidney transplantation recipients).
  • Participant receives an ABO incompatible donor organ.
  • Participant has significant kidney impairment, defined as having serum creatinine ≥ 230 μmol/L (≥ 2.6 mg/dL) prior to transplantation (not applicable for kidney transplantation recipients).
Show all 16Show fewer
  • Participant has significant liver disease, defined as having elevated alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) and/or total bilirubin (TBL) levels 3 times the upper value of the normal range prior to transplantation (not applicable for liver transplantation recipients).
  • Participants with malignancies or a history of malignancy within the last 5 years.
  • Participant has a significant, uncontrolled systemic infection and/or severe diarrhea, vomiting, active upper gastrointestinal disorder that may affect the absorption of tacrolimus or has an active peptic ulcer.
  • Recipient or donor known to be human immunodeficiency virus (HIV), hepatitis C virus (HCV), or hepatitis B virus (HBV) positive.
  • Participant requires systemic immunosuppressive medication for any indication other than transplantation.
  • Participants taking or requiring to be treated with medication or substances prohibited by this protocol.
  • Known allergy or intolerance to steroids, macrolide antibiotics, basiliximab, or tacrolimus.
  • Participants with severe primary disease/complications/poor general condition which may be unsuitable for participating in this study.
  • Participant is currently participating in another clinical trial and/or has been taking any other study drug within 1 month prior to screening.
  • Participant is unlikely to comply with the visits scheduled in the protocol.

Trial locations and contacts

4 sites in 1 country.

China4 sites
  • Site CN86003

    Beijing

  • Site CN86002

    Guangzhou

  • Site CN86001

    Shanghai

  • Site CN86004

    Wuhan

Other trials in China

About this study

Official title: A Multicenter, Open-label, Non-comparative Study of Modigraf® (Tacrolimus Granules) to Evaluate the Pharmacokinetics and Long-term Safety and Efficacy in De Novo Pediatric Allograft Liver and Kidney Transplantation Recipients

The purpose of this study is to determine the pharmacokinetics of tacrolimus following oral administration of Modigraf, after the first oral dose and at steady state in pediatric participants undergoing de novo allograft liver or kidney transplantation. This study will also observe the safety and efficacy of Modigraf in de novo pediatric allograft liver and kidney transplantation recipients.

Read the detailed description

Pediatric participants will be treated with a Modigraf (tacrolimus granules) based immunosuppressive regimen for 12 months.

Being tested
Tacrolimus granules
Keywords
Liver Transplantation, Kidney Transplantation, Modigraf, Tacrolimus, Pediatric, Pharmacokinetics

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tacrolimus granulesDrug

    Also called Modigraf

    Oral

  • Tacrolimus granulesDrug

    Also called Modigraf

    Oral

Study groups in NCT05152628
Study groupRoleWhat they receive
Liver TransplantExperimentalPediatric participants who undergo de novo allograft liver transplantation receive initial daily dose of 0.2 milligram per kilogram (mg/kg) of body weight oral suspension of tacrolimus granules post-operatively for 12 months.
Receives: Drug: Tacrolimus granules
Kidney TransplantExperimentalPediatric participants who undergo de novo allograft kidney transplantation receive initial daily dose of 0.2 mg/kg of body weight oral suspension of tacrolimus granules post-operatively for 12 months.
Receives: Drug: Tacrolimus granules

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetics (PK) of tacrolimus granules in whole blood: area under the blood concentration - time curve for a dosing interval (AUCtau) on Day 1

    AUCtau is recorded from the pharmacokinetic (PK) whole blood samples collected.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  2. PK of tacrolimus granules in whole blood: AUCtau on Day 7

    AUCtau is recorded from the PK blood samples collected.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  3. PK of tacrolimus granules in whole blood: maximum concentration (Cmax) on Day 1

    Cmax is recorded from the PK blood samples collected. Cmax is maximum concentration observed in an observation period.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  4. PK of tacrolimus granules in whole blood: Cmax on Day 7

    Cmax is recorded from the PK blood samples collected. Cmax is maximum concentration observed in an observation period.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  5. PK of tacrolimus granules in Whole Blood: Time of Maximum Concentration (Tmax) on Day 1

    Tmax is recorded from the PK blood samples collected. Tmax is time of maximum concentration in an observation period.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  6. PK of tacrolimus granules in Whole Blood: Tmax on Day 7

    Tmax is recorded from the PK blood samples collected. Tmax is time of maximum concentration in an observation period.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  7. PK of tacrolimus granules in whole blood: Trough blood concentration (Ctrough) on Day 1

    Ctrough is recorded from the PK blood samples collected.

    Measured: Pre-dose on day 1

  8. PK of granules tacrolimus in whole blood: Ctrough on Day 7

    Ctrough is recorded from the PK blood samples collected.

    Measured: Pre-dose on day 7

  9. Correlation between Ctrough and AUCtau of tacrolimus granules PK parameters in whole blood on Day 1

    The correlation between Ctrough and AUCtau PK parameters will be assessed by Pearson's coefficient at each sample time by visit.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  10. Percentage of Participants With Acute Rejection (AR)

    AR is an immune response against the donor graft that causes tissue impairment and potential failure. The criteria for rejection is performed by the local histopathologist following the "Histological Grading of Liver Biopsies for Rejection", the "Banff diagnostic categories for renal allograft biopsies".

    Measured: From first dose to month 12

  11. Number of Participants who Died

    Number of participant who died is recorded during 12 months' post-transplant; any cause of death is taken into account.

    Measured: From first dose to month 12

  12. Number of Participants with Graft Failure

    Graft failure is defined as graft dysfunction, including re-transplantation or death, during the study period. A graft dysfunction to permanent dialysis in kidney transplantation is also considered as graft failure.

    Measured: From first dose to month 12

  13. Number of Dose Adjustments Throughout the Study Period

    The dose adjustments required for the organ transplant is reported.

    Measured: From first dose to month 12

  14. Number of Participants with Treatment Emergent Adverse Events (AEs)

    An AE is defined as any untoward medical occurrence in a participant given a study drug not necessarily linked to this treatment. An AE can be any unfavorable and unintended sign (e.g., abnormal laboratory finding; abnormal laboratory test result or other safety assessment, symptom, or disease) temporally associated with the use of study drug whether or not considered related to the study drug. Treatment emergent adverse event (TEAE) is defined as AE observed after administering the study drug.

    Measured: From first dose to month 12

  15. Whole Blood Trough Levels of Tacrolimus

    Tacrolimus whole blood trough levels are routinely monitored from whole blood samples, using a local assay method, for example EMITÒ or Liquid-Chromatography-Mass-Spectrometry-Mass-Spectrometry (LC-MS-MS) in the local laboratories. Mean trough levels of tacrolimus from day 1 through month 12 are reported.

    Measured: From day 1 through month 12 (predose)

  16. Correlation between Ctrough and AUCtau of tacrolimus granules in whole blood on Day 7

    The correlation between Ctrough and AUCtau is assessed by Pearson's coefficient at each sample time by visit.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  17. PK of tacrolimus granules in Whole Blood: Dose-normalized AUCtau on Day 1

    Dose-normalized AUCtau is AUCtau normalized with the dose just prior to blood sampling. Dose-normalized AUCtau is calculated as AUCtau/dose.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  18. PK of tacrolimus granules in Whole Blood: Dose-normalized AUCtau on Day 7

    Dose-normalized AUCtau is AUCtau normalized with the dose just prior to blood sampling. Dose-normalized AUCtau is calculated as AUCtau/dose.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  19. PK of tacrolimus granules in Whole Blood: Dose-normalized Cmax on Day 1

    Dose-normalized Cmax is Cmax normalized with the dose just prior to blood sampling. Dose-normalized Cmax is calculated as Cmax/dose.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  20. PK of tacrolimus granules in Whole Blood: Dose-normalized Cmax on Day 7

    Dose-normalized Cmax is Cmax normalized with the dose just prior to blood sampling. Dose-normalized Cmax is calculated as Cmax/dose.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  21. PK of tacrolimus granules in Whole Blood: Dose-normalized Ctrough on Day 1

    Ctrough normalized with the dose just prior to blood sampling. Dose-normalized Ctrough is calculated as Ctrough/dose.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1

  22. PK of tacrolimus granules in Whole Blood: Dose-normalized Ctrough on Day 7

    Ctrough normalized with the dose just prior to blood sampling. Dose-normalized Ctrough is calculated as Ctrough/dose.

    Measured: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 7

  23. Percentage of Participants With Biopsy-Proven Acute Rejections (BPAR)

    AR is an immune response against the donor graft that causes tissue impairment and potential failure. The criteria for rejection is performed by the local histopathologist following the "Histological Grading of Liver Biopsies for Rejection", the "Banff diagnostic categories for renal allograft biopsies". A BPAR episode is defined as any AR episode confirmed by biopsy.

    Measured: From first dose to month 12

  24. Percentage of Participants With Clinically Suspected Rejection

    AR is an immune response against the donor graft that causes tissue impairment and potential failure. The criteria for rejection is performed by the local histopathologist following the "Histological Grading of Liver Biopsies for Rejection", the "Banff diagnostic categories for renal allograft biopsies". An AR is clinically suspected in participants who experienced an increase in serum creatinine, after the exclusion of other causes of graft dysfunction (generally with biopsy).

    Measured: From first dose to month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Dec 2021
  2. Study start11 Jan 2022
  3. Primary completion6 Mar 2024
  4. Study completion6 Mar 2024

Resources

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05152628
Sponsor's protocol ID
F506-CL-0405
Other IDs
CTR20212678, 2022-002350-68
Status last verified
Mar 2025
First submitted
29 Nov 2021
Last updated
17 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Tacrolimus granules in people with Liver Transplantation and Kidney Transplantation, run by Astellas Pharma China, Inc. at 4 sites in China.

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 16 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 17 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. 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?

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?

Pharmacokinetics (PK) of tacrolimus granules in whole blood: area under the blood concentration - time curve for a dosing interval (AUCtau) on Day 1 (time frame: Predose, 0.5, 1, 2, 8, 12 hours post dose on day 1). The study lists 24 primary outcomes in all. 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 17 Mar 2025.

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