Alefacept in Kidney Transplant Recipients

Kidney Transplantation Clinical Trial

Official title:

Effects of Alefacept on Donor-Specific Memory in Kidney Transplant Recipients

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT01433770
• Other study ID #: 02-11-06
• Status: Withdrawn
• Phase: N/A
• First received: September 8, 2011
• Last updated: February 17, 2012
• Start date: October 2011
• Est. completion date: October 2014

Study information

• Verified date: February 2012
• Source: University Hospital Case Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Alefacept, also known as Amevive®, is a medication approved by the Food and Drug Administration (FDA) in the United States and other countries for the treatment of psoriasis, which is a chronic inflammatory immunological skin condition that can result in chronic dry, red patches that are covered in scales. Alefacept is approved by the FDA for the treatment of psoriasis but not as an anti-rejection medication in transplant patients. It is now being tested in new kidney transplant patients as a supplement to other approved anti-rejection drugs. Alefacept will be used as an investigational drug in this study.

The reason for this study is to test whether using Alefacept will inhibit T cells, known as memory cells, using a test named ELISPOT-IFN. In patients with psoriasis, Alefacept inhibits these memory cells. If memory cells specific to your donor can be inhibited by this drug, it might prevent rejection and promote acceptance of the transplanted kidney in a unique manner.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: October 2014
• Est. primary completion date: October 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Able and willing to sign informed consent

• Adult (>18years) kidney-alone transplant recipient

• 6 months post-transplant

• Persistently positive donor-stimulated ELISPOT-IFN (=30 spots/300K cells)-2 positive assays separated by at least one week

• Female subjects of child bearing potential must have a negative urine or serum pregnancy test within 7 days prior to enrollment and must agree to maintain effective birth control during the study

Exclusion Criteria:

• Baseline CD4 count <250 cells/uL

• Acute rejection episode within the 3 months prior to enrollment

• Clinically overt infection within the 3 months prior to enrollment

• History of BK polyoma viremia

• Recipient or donor is known to be seropositive for human immunodeficiency virus (HIV)

• Subject has a current malignancy or a history of malignancy (within the past 5 years), except non-metastatic basal or squamous cell carcinoma of the skin that has been treated successfully

• Any major illnesses/condition that, in the investigator's judgment, will substantially increase the risk associated with the subject's participation in and completion of the study, or could preclude the evaluation of the subject's response

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label

Related Conditions & MeSH terms

• Kidney Transplantation

Intervention

Drug:
• Amevive
Alefacept 15mg subcutaneous; once a week for 12 weeks

Locations

Country	Name	City	State
United States	University Hospitals Case Medical Center	Cleveland	Ohio

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital Case Medical Center	Astellas Pharma Global Development, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Absolute changes in ELISPOTS, PRT (Panel Reactive T Cells), and lymphocyte subsets will be analyzed using paired t-tests to compare baseline vs 4, 8, 12, 16, and 24 weeks of follow-up		12, 24, and 36 months	No
Secondary	The incidence of clinically overt infections will be descriptive or calculated as a simple percentage.		12, 24, and 36 months	No