A Single Center, Open-label, Randomized, Pilot Study to Evaluate the Safety and Efficacy of a Tacrolimus Modified Release, ADVAGRAF®, Versus Tacrolimus Twice Daily, PROGRAF® in Stable Renal Recipients

Study Overview
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Brief Summary
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The purpose of this study is to evaluate and compare the safety and efficacy of two drugs (ADVAGRAF® and PROGRAF® groups) in patients who received renal transplantation.

Official Title
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A Single Center, Open-label, Randomized Pilot Study to Evaluate the Safety and Efficacy of Modified-release Tacrolimus, ADVAGRAF®, Versus Those of Twice-daily Tacrolimus, PROGRAF®, in Stable Renal Recipients (SINGLE)

Conditions
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Renal Transplantation, Kidney Transplantation, Stable Renal Recipients

Intervention / Treatment
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* Drug: ADVAGRAF
* Drug: PROGRAF


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Only patients who meet the following inclusion criteria should be enrolled. Patients who received a kidney at least within 12 months of their study enrollment (from a deceased or living donor) Patients whose tacrolimus dose have not been changed in at least 12 weeks from their study enrollment and whose minimum blood tacrolimus concentration mean value is within 3-10 ng/ml Female patients who showed a negative result in the serum pregnancy test and who agreed to use an effective contraceptive method during the study period Patients who are clinically stable based on the judgment of the investigator Patients who were given enough information regarding the study, understood the objectives and risks of the study, and signed the informed consent form Exclusion Criteria: Patients who fall under any of the following criteria should not be enrolled in this study. Patients who had received any other organ except a kidney Patients who showed an acute rejection reaction within 12 weeks of their enrollment or who showed an acute rejection reaction that required antilymphocyte antibody therapy within 24 weeks Patients who were diagnosed with a newly developed malignant tumor (Patients with successfully treated squamous cell/basal cell carcinoma can be enrolled, though.) Patients who have a known allergy to the investigational drug (the test/control drug) or to tacrolimus Patients who have an unstable medical condition that may affect the evaluation of the study's objectives based on the investigator's judgment Patients who have any form of drug abuse or mental illness that might complicate communication with the investigators based on the investigator's judgment Patients who are currently participating in another clinical trial or who received the investigational drug in another trial within 28 days of their enrollment Patients who are receiving prohibited concomitant medications or who received those medications within 28 days of their enrollment Patients who are pregnant or breastfeeding Patients who had been HIV-positive Patients who are considered non-compliant with the scheduled study visits in the protocol Patients who have abnormal kidney functions or a serum creatinine level higher than 1.6 mg/dL/GFR (MDRD) or less than 30 mL/min at the screening visit Patients who have Creeping creatinine (a 20% increase in their creatinine for six months before their enrollment) Patients who have abnormal liver functions: i.e., whose SGPT/ALT and/or SGOT/AST and/or bilirubin is twice higher than the normal range in the center, and who have liver cirrhosis Patients who have an underlying disease such as focal segmental glomerulosclerosis (FSGS) or type II membranoproliferative glomerulonephritis (Type II MPGN)

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ADVAGRAF group<br> | Drug: ADVAGRAF<br>* oral<br>* Other names: modified release tacrolimus;|
| Active Comparator: PROGRAF group<br> | Drug: PROGRAF<br>* oral<br>* Other names: twice-daily tacrolimus;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of adverse events |  | at 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Glomerular Filtration Rate (GFR) | Calculated by Modification of Diet in Renal Disease equation | at 24 weeks | 
| Incidence of rejection reactions |  | at 24 weeks | 
| Blood pressure |  | at 24 weeks | 
| Survival rate of the grafts |  | at 24 weeks | 
| Subject's physical condition (SF-35) | Evaluation of subject's physical condition | at 24 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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tacrolimus, kidney