At a glance
ClinicalIndex Comparison RecordPhase 4Completed· 599 enrolled
Drug / intervention
Tacrolimus +1 moredrug
Likely dose
Tacrolimus (Astagraf XL extended-release and/or immediate-release oral capsule); specific doses not stated in protocolAI-extracted
Key inclusion· 4
- ✓Recipient of a de novo kidney from living or deceased donor (including en bloc pediatric donor ≥5 years and >20 kg)
- ✓If deceased donor, Kidney Donor Profile Index (KDPI) ≤85 (includes DCD and extended criteria donors if KDPI ≤85)
- ✓At least one antigen mismatch at major MHC (class I or class II)
- ✓Will receive induction immunotherapy with T-cell depleting agent, anti-CD52 monoclonal antibody, or IL-2 co-stimulation blocker (steroid-only induction does not satisfy this)
Key exclusion· 20
- ✕Positive test for latent TB without adequate prior anti-microbial therapy or requiring TB prophylaxis post-transplant
- ✕Uncontrolled concomitant infection or unstable medical condition interfering with study objectives
- ✕Significant liver disease: AST or ALT >3 times upper normal limit in past 28 days
- ✕Currently taking or planned maintenance on another extended-release tacrolimus formulation post-transplant
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Astagraf XL® to Understand the Impact of Immunosuppression on De Novo DSA Development and Chronic Immune Activation in Kidney Transplantation
In Brief
A Phase 4 clinical trial evaluating Tacrolimus and Tacrolimus immediate release for Kidney Transplantation. Completed, enrolled 599 participants across 30 sites.
Detailed Summary
This study compared the incidence of a two-part composite endpoint consisting of de novo donor specific antibody (DSA) formation or a designation of immune activation (IA) on peripheral blood molecular profiling in participants maintained on twice daily, immediate-release tacrolimus versus those maintained on Astagraf XL in the first year post-transplant.
Study Details
Study Typeinterventional
Allocation--
Masking--
Primary Purpose--
ConditionsKidney Transplantation
CountriesUnited States
Collaborators--
Timeline
Phase 4CompletedFinished
20162017201820192020202120222023202420252026
First PostedMar 2016
Enrollment StartSep 2016
Primary CompletionJun 2019
TodayJul 2026
First PostedMar 30, 2016
Enrollment StartSep 9, 2016
Primary CompletionJun 14, 2019
TodayJul 2, 2026
Enrollment to primary: 2.8 yearsPosted 10.3 years ago
Interventions
Tacrolimusdrug
Oral Capsule
Tacrolimus immediate releasedrug
Oral Capsule