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    Clinical Trial Results:
    Hepatitis C in renal transplant recipients – Safety and efficacy of a conversion of immunosuppression to high-dose cyclosporine A and its impact on HCV-replication, parameters of liver function and glucose tolerance. An open label trial.

    Summary
    EudraCT number
    2011-002267-26
    Trial protocol
    AT  
    Global end of trial date
    01 Feb 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    10 Feb 2022
    First version publication date
    10 Feb 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    13071981
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Medical University of Vienna
    Sponsor organisation address
    Währinger Gürtel 18-20, Vienn, Austria, 1090
    Public contact
    Ammon Handisurya, Medizinische Universität Wien, 0043 1404004495, ammon.handisurya@meduniwien.ac.at
    Scientific contact
    Ammon Handisurya, Medizinische Universität Wien, 0043 1404004495, ammon.handisurya@meduniwien.ac.at
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    24 Jul 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    29 May 2013
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Feb 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the impact of a conversion to a cyclosporine A-based immunosuppressive regimen on HCV-replication and parameters of liver function in renal transplant recipients
    Protection of trial subjects
    frequent control visits
    Background therapy
    n/a
    Evidence for comparator
    n/a
    Actual start date of recruitment
    01 Aug 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 12
    Worldwide total number of subjects
    12
    EEA total number of subjects
    12
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    12
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    All HCV-positive RTRs who were admitted at the outpatient department of the Division of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, between 01-July-2011 and 31-Aug 2012, were assessed for eligibility.

    Pre-assignment
    Screening details
    Inclusion criteria comprised written informed consent, prior renal transplantation, current treatment with TAC, HCV infection and age 18–70 years. Subjects with known CyA-intolerance or current renal replacement therapy and pregnant or breastfeeding women were excluded.

    Period 1
    Period 1 title
    overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    CyA Sandimmun capsules
    Arm description
    to twice daily oral CyA (Sandimmun capsules, Novartis GmBH)
    Arm type
    Active comparator

    Investigational medicinal product name
    CyA (Sandimmun capsules, Novaritis GmbH)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    twice daily

    Number of subjects in period 1
    CyA Sandimmun capsules
    Started
    12
    Completed
    10
    Not completed
    2
         missing data at baseline
    1
         changes in confounding concomitant medication
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    overall trial
    Reporting group description
    -

    Reporting group values
    overall trial Total
    Number of subjects
    12 12
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    12 12
        From 65-84 years
    0 0
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    2 2
        Male
    10 10
    Subject analysis sets

    Subject analysis set title
    before conversion
    Subject analysis set type
    Full analysis
    Subject analysis set description
    study participants, who entered the final analysis. Of 12 subjects, who entered the study, one subject was excluded due to missing data at baseline and one subject was excluded due to changes in confounding concomitant medication

    Subject analysis set title
    after conversion
    Subject analysis set type
    Full analysis
    Subject analysis set description
    study participants, who entered the final analysis. Of 12 subjects, who entered the study, one subject was excluded due to missing data at baseline and one subject was excluded due to changes in confounding concomitant medication

    Subject analysis sets values
    before conversion after conversion
    Number of subjects
    10
    10
    Age categorical
    Units: Subjects
        In utero
    0
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
    0
        Newborns (0-27 days)
    0
    0
        Infants and toddlers (28 days-23 months)
    0
    0
        Children (2-11 years)
    0
    0
        Adolescents (12-17 years)
    0
    0
        Adults (18-64 years)
    10
    10
        From 65-84 years
    0
    0
        85 years and over
    0
    0
    Age continuous
    Units: years
        median (inter-quartile range (Q1-Q3))
    Gender categorical
    Units: Subjects
        Female
    2
    2
        Male
    8
    8

    End points

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    End points reporting groups
    Reporting group title
    CyA Sandimmun capsules
    Reporting group description
    to twice daily oral CyA (Sandimmun capsules, Novartis GmBH)

    Subject analysis set title
    before conversion
    Subject analysis set type
    Full analysis
    Subject analysis set description
    study participants, who entered the final analysis. Of 12 subjects, who entered the study, one subject was excluded due to missing data at baseline and one subject was excluded due to changes in confounding concomitant medication

    Subject analysis set title
    after conversion
    Subject analysis set type
    Full analysis
    Subject analysis set description
    study participants, who entered the final analysis. Of 12 subjects, who entered the study, one subject was excluded due to missing data at baseline and one subject was excluded due to changes in confounding concomitant medication

    Primary: difference in OGIS

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    End point title
    difference in OGIS
    End point description
    End point type
    Primary
    End point timeframe
    at baseline and after three months
    End point values
    before conversion after conversion
    Number of subjects analysed
    10
    10
    Units: mL/min/m2
        median (inter-quartile range (Q1-Q3))
    422.17 (370.82 to 441.92)
    468.80 (414.27 to 488.57)
    Statistical analysis title
    Primary
    Statistical analysis description
    Considering insulin sensitivity as the primary endpoint, a post-hoc analysis found that a sample size of 10 had 99% power to detect a difference in OGIS of 47 ml min-1m-2, with a stan- dard deviation of 31 using a paired t-test with a 0.05 two-sided significance level
    Comparison groups
    before conversion v after conversion
    Number of subjects included in analysis
    20
    Analysis specification
    Post-hoc
    Analysis type
    other
    P-value
    < 0.05
    Method
    SAS Enterprise Guide
    Confidence interval

    Primary: HCV-PCR

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    End point title
    HCV-PCR
    End point description
    End point type
    Primary
    End point timeframe
    at baseline and after three months
    End point values
    before conversion after conversion
    Number of subjects analysed
    10
    10
    Units: copies/mL
        median (inter-quartile range (Q1-Q3))
    546000 (351750 to 2965000)
    2560000 (798000 to 3370000)
    Statistical analysis title
    Primary
    Statistical analysis description
    study participants, who entered the final analysis. Of 12 subjects, who entered the study, one subject was excluded due to missing data at baseline and one subject was excluded due to changes in confounding concomitant medication
    Comparison groups
    before conversion v after conversion
    Number of subjects included in analysis
    20
    Analysis specification
    Post-hoc
    Analysis type
    other
    P-value
    < 0.285
    Method
    SAS Enterprise Guide
    Confidence interval

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    during control visits, at least once monthly
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    20.1
    Reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    Study population

    Serious adverse events
    Overall trial
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Overall trial
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: There was no non-serious adverse event

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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