E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10038533 |
E.1.2 | Term | Renal transplant |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
- Déterminer le profil des manifestations inflammatoires cliniques et biologiques après conversion d’un inhibiteur de la calcineurine au sirolimus ; - Déterminer si ces manifestations inflammatoires corrèlent avec une exposition différente à la molécule (relation dose effet, génotype du cytochrome 3A5) ; - Valider l’hypothèse avancée chez les patients anémiques que les manifestations inflammatoires du sirolimus dépendent d’un blocage de la boucle d’autorégulation IL-10 dépendante de l’inflammation.
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E.2.2 | Secondary objectives of the trial | |
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- âge > ou égale à 18 ans - patients transplantés rénaux depuis plus de 3 mois, - suivis dans les Centres Hospitaliers Universitaires de Lyon et Grenoble, - pour lesquels est décidée l’introduction du sirolimus en remplacement des anticalcineurines (quelque soit la cause de ce changement thérapeutique).
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E.4 | Principal exclusion criteria |
- âge < 18 ans, - greffe rein-pancréas, - date de la greffe < 3 mois, - rejet en cours ou mal contrôlé, - suivi de 3 mois non possible, - hypersensibilité au sirolimus ou à l’un des excipients, - absence de contraception efficace chez la femme non ménauposée - absence de consentement éclairé - patient non affilié à un régime de sécurité sociale.
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E.5 End points |
E.5.1 | Primary end point(s) |
- Effets secondaires rattachés au sirolimus : * effets cliniques, évalués indépendamment par le médecin et par le patient à l’aide d’un questionnaire qui lui sera remis * effets biologiques - Dosage de cytokines plasmatiques impliquées dans la balance pro / anti inflammatoire - Génotypage du cytochrome P450 3A5
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |