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
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EudraCT number |
2011-002267-26 |
Trial protocol |
AT |
Global end of trial date |
01 Feb 2017
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Results information
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Results version number |
v1(current) |
This version publication date |
10 Feb 2022
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First version publication date |
10 Feb 2022
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
13071981
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Medical University of Vienna
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Sponsor organisation address |
Währinger Gürtel 18-20, Vienn, Austria, 1090
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Public contact |
Ammon Handisurya, Medizinische Universität Wien, 0043 1404004495, ammon.handisurya@meduniwien.ac.at
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Scientific contact |
Ammon Handisurya, Medizinische Universität Wien, 0043 1404004495, ammon.handisurya@meduniwien.ac.at
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
24 Jul 2015
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
29 May 2013
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Global end of trial reached? |
Yes
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Global end of trial date |
01 Feb 2017
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Was the trial ended prematurely? |
No
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General information about the trial
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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
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Protection of trial subjects |
frequent control visits
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Background therapy |
n/a | ||
Evidence for comparator |
n/a | ||
Actual start date of recruitment |
01 Aug 2011
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Austria: 12
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Worldwide total number of subjects |
12
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EEA total number of subjects |
12
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
12
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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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
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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
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Period 1 title |
overall trial (overall period)
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Is this the baseline period? |
Yes | ||||||||||||
Allocation method |
Non-randomised - controlled
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Blinding used |
Not blinded | ||||||||||||
Arms
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Arm title
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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)
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Oral use
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Dosage and administration details |
twice daily
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Baseline characteristics reporting groups
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Reporting group title |
overall trial
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
before conversion
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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
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Subject analysis set title |
after conversion
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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
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End points reporting groups
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Reporting group title |
CyA Sandimmun capsules
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Reporting group description |
to twice daily oral CyA (Sandimmun capsules, Novartis GmBH) | ||
Subject analysis set title |
before conversion
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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
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Subject analysis set title |
after conversion
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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
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End point title |
difference in OGIS | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
at baseline and after three months
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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
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Comparison groups |
before conversion v after conversion
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Number of subjects included in analysis |
20
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Analysis specification |
Post-hoc
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Analysis type |
other | ||||||||||||
P-value |
< 0.05 | ||||||||||||
Method |
SAS Enterprise Guide | ||||||||||||
Confidence interval |
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End point title |
HCV-PCR | ||||||||||||
End point description |
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End point type |
Primary
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End point timeframe |
at baseline and after three months
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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
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Comparison groups |
before conversion v after conversion
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Number of subjects included in analysis |
20
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Analysis specification |
Post-hoc
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Analysis type |
other | ||||||||||||
P-value |
< 0.285 | ||||||||||||
Method |
SAS Enterprise Guide | ||||||||||||
Confidence interval |
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Adverse events information [1]
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Timeframe for reporting adverse events |
during control visits, at least once monthly
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Assessment type |
Non-systematic | ||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||
Dictionary version |
20.1
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Reporting groups
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Reporting group title |
Overall trial
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Reporting group description |
Study population | ||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||
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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 |
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |