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TerminatedNCT02134288Updated Sep 23, 2021

Belatacept for Renal Transplant Recipients With Delayed Graft Function

An Early Phase 1 interventional study of Belatacept and Everolimus in Delayed Graft Function, sponsored by Ohio State University. Terminated at 1 site in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2021-09-23.

Sponsored by Ohio State University · Early Phase 1, Interventional, and Treatment

Why this study was terminated
Drug unavailability due to a manufacturing transition.
Phase
Early Phase 1
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Currently looking for individuals that have received a kidney transplant, are experiencing delayed graft function (DGF), and meet the criteria for study participation.

Read the detailed description

Patients who undergo kidney transplantation require long term immunosuppressive therapy (therapy that reduces your body's ability to respond to anything foreign) to prevent damage to the graft, and some experience delayed graft function (DGF, a condition in which the transplanted kidney does not function properly) after transplantation. This study is being conducted to determine if kidney transplant recipients with delayed graft function (DGF) who are switched to the immunosuppressive regimen of belatacept with mycophenolate and steroid will recover from delayed graft function (DGF) in less time (which could potentially lower the risk of rejection associated with delayed graft function) than kidney transplant recipients with delayed graft function (DGF) who remain on the current standard immunosuppressive regimen (standard of care).

02

Conditions studied

  • Delayed Graft Function

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Keywords

  • Dialysis
  • Kidney Transplant
  • immunosuppressive therapy
  • Delayed Graft Function
  • Belatacept
03

In context

Delayed Graft Function

83 studies on the registry are indexed under Delayed Graft Function; 15 are open to participants now.

This study's enrollment of 8 is below the median of 90 across 62 interventional studies indexed under Delayed Graft Function.

Browse Delayed Graft Function studies →

Lead sponsor

Ohio State University is the lead sponsor of 663 studies on the registry; 148 are open to participants now.

Of its 67 completed or terminated interventional studies of FDA-regulated products, 49 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Signed Written
  2. Deceased donor renal transplant recipient
  3. Men and women, aged 18-60 years of age

Exclusion criteria

Exclusion Criteria:

  1. Seronegative or unknown EBV serostatus
  2. Patients unwilling or incapable of providing .
  3. Patients with active tuberculosis or positive TB test without evidence of infection treatment.
  4. Patients with demonstrated acute rejection on first evaluation for delayed graft function; Second transplant or multiple organ transplant; patients more than 12 days post renal transplant prior to enrollment
  5. Evidence of Sepsis or other clinical indicators deemed clinically for study enrollment by the primary physician
  6. Inadequate vein access to receive monthly IV infusions
  7. Prior proven allergy or severe adverse drug reaction to mycophenolate, or Belatacept preventing therapy.
  8. Pregnant women or women of child bearing age not willing to commit to dual prophylaxis
  9. Use of alemtuzumab (Campath 1-H©), basilixumab (Simulect©) and daclizumab (Zenapax©) are not permitted in this protocol; Use of other agents must be limited to those specified in this protocol.
  10. Prisoners or subjects who are involuntarily incarcerated.
  11. Subjects who are compulsorily detained for treatment of either a psychiatric or physical (eg, infectious disease) illness.
  12. Pre-sensitized patients with alloscreen antibody levels of 80% or more class I or class II
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Active comparator
    Belatacept

    Belatacept 10mg/kg administered intravenously on days 1, 4, 15, and 28, weeks 8 and 12. Then continue at 5mg/kg every 4 weeks throughout the completion of the study.

    Drug: Belatacept

  • Active comparator
    Everolimus

    Everolimus 1.5 mg/kg twice a day by mouth, the dose will be adjusted after Day 3.

    Drug: Everolimus

Interventions

06

What researchers measure

Primary outcomes

  1. Time to recover from Delayed Graft Function

    For renal transplant recipients with DGF, time (days) to recover from DGF as defined as: date of enrollment (day 1) until calculated MDRD IV eGFR at least 21 ml/min: at least 2 days after last dialysis if meeting dialysis criteria for enrollment (end date) and no requirement for dialysis at least 2 weeks, with a stable or improving MDRD calculated eGFR (assessed weekly for at least three weeks).

    Time frame: 2 weeks

Secondary outcomes

  1. Percent patients reaching recovery (defined above) by 14 days and 3 months.

    Percent patients reaching recovery (defined above) by 14 days and 3 months.

    Time frame: Assessed at 3, 6, 12 months

  2. Hospital length of stay (days) from date of transplant to discharge

    by monitoring patient while inpatient

    Time frame: up to 7 days

  3. Number of dialysis treatments

    by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

  4. Number of biopsies

    medical record review of clinically indicated renal allograft biopsies performed within the followup 12 month period

    Time frame: Assessed at 3, 6, 12 months

  5. Biopsy proven acute rejection events

    by blood draws, and by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

  6. Patient and graft survival

    by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

  7. Number of hospital readmissions

    by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

  8. Detection of DSA (Luminex)

    by blood draw

    Time frame: Assessed at 3, 6, 12 months

  9. Incidence and type of infection

    by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

  10. Measured or estimated creatinine clearance.

    by blood draw

    Time frame: Assessed at 3, 6, 12 months

  11. Banff score of rejection episodes and immune suppression treatment/management of rejection

    by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

  12. Immune suppression drug levels (everolimus or sirolimus, cyclosporine, or mycophenolate as clinically monitored).

    by blood draw, and by monitoring patients health at each visit, and notification of hospitalizations/AE's

    Time frame: Assessed at 3, 6, 12 months

07

Study locations

1 site
  • The Ohio State Universtiy Wexner Medical Center
    Columbus, Ohio 43212, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2014 to primary completion in Dec 2018, 56 months.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 21, 2014
First posted
May 9, 2014
StartActual
Apr 2014
Primary completionActual
Dec 11, 2018
CompletionActual
Jan 18, 2019
Last update
Sep 23, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02134288
Responsible party
Sponsor
First posted
May 9, 2014
Start date
Apr 2014
Primary completion
Dec 11, 2018
Completion
Jan 18, 2019
Last update
Sep 23, 2021

Study contacts

Jon Von Visger, M.D./Ph.D.
principal investigator · OSU Wexner Medical Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Abatacept · Everolimus

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