ClinicalTrials.gg
CompletedNCT02907554Cis-A-ReinUpdated Aug 3, 2026

Cyclosporine A Pretreatment and Kidney Graft Function

A Phase 4 interventional study of cyclosporine A and Placebo in Brain Death and Kidney Transplantation, sponsored by University Hospital, Clermont-Ferrand. Completed at 1 site in France. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-03.

Sponsored by University Hospital, Clermont-Ferrand · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
648
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Organ donors included in the study are randomized to a control group or an intervention group receiving 2.5 mg/kg of cyclosporine A before organ procurement. Harvested kidneys from these patients are transplanted to chronic kidney insufficiency patients. According to the pretreatment of the transplant, delayed graft function during the first week was evaluated as well as kidney function at different timepoints and mortality during the first year after transplantation.

Read the detailed description

Organ donors included in the study are randomized to a control group receiving a placebo or an intervention group receiving 2.5 mg/kg of cyclosporine A before organ procurement. In the operating theater organs are harvested. Thereafter, harvested kidneys from these patients are transplanted to chronic kidney insufficiency patients. The management of transplanted patients is performed as usual. According to the pretreatment of the transplant, delayed graft function during the first week (need of at least one dialysis session) was evaluated as well as kidney function at different timepoints (slow graft function, estimated creatinine clearance on day 3 and 7, acute and chronic graft rejection), length of hospital stay and mortality during the first year after transplantation.

02

Conditions studied

  • Brain Death
  • Kidney Transplantation

Keywords

  • Preconditioning
  • Tissue and organ procurement
  • Cyclosporine A
  • Kidney transplantation
  • Delayed graft function
03

In context

Brain Death

74 studies on the registry are indexed under Brain Death; 10 are open to participants now.

This study's enrollment of 648 is above the median of 154 across 39 interventional studies indexed under Brain Death.

Browse Brain Death studies →

Lead sponsor

University Hospital, Clermont-Ferrand is the lead sponsor of 859 studies on the registry; 179 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

For organ donors:

  • Male and females aged 18 to 80 years
  • Brain death

Inclusion criteria for organ recipients:

  • Male and females aged 18 to 80 years
  • Indication of kidney transplantation

Exclusion Criteria:

For organ donors:

  • for multiorgan procurement (infections, cancer, etc)
  • Preexistent chronic renal failure.
  • Refusal for organ procurement by the donor (confirmed by the French national register or reported by the next-of-kin).

Exclusion criteria for organ recipients:

  • Need for a double kidney transplantation.
  • Need for a multiorgan transplantation
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
648 participants (actual)

Study arms

  • Placebo comparator
    control group

    control group receives a placebo

    Drug: Placebo

  • Experimental
    intervention group

    the intervention group receives 2.5 mg/kg of cyclosporine

    Drug: cyclosporine A

Interventions

  • the intervention group receives 2.5 mg/kg of cyclosporine

  • DrugPlacebo

    control group receives a placebo

06

What researchers measure

Primary outcomes

  1. Percentage of delayed graft function defined by a need of at least one hemodialysis session

    Time frame: within the 7 days following renal transplantation.

Secondary outcomes

  1. Percentage of slow graft function defined by a urine output < 1000 ml

    Time frame: at on 1 day after transplantation

  2. Percentage of slow graft function defined by a decrease in plasma creatinine concentration of less than 30% or 70%

    Time frame: at day 3 and 7 after transplantation

  3. Postoperative evolution of estimated creatinine clearance

    Time frame: at day 3 and 7

  4. Percentage of acute and chronic graft rejection

    Time frame: during the first year after transplantation

  5. Percentage of primary graft dysfunction

    Time frame: during the first year after transplantation

  6. hospital length of stay

    after transplantation

    Time frame: at day 1

  7. Mortality

    Time frame: during the first year after transplantation

07

Study locations

1 site
  • CHU Clermont-Ferrand
    Clermont-Ferrand, 63003, France
08

References and documents

Publications

  • Ichai C, Fontaine E, Baumstarck K, Rimmele T, Strecker G, Boucekine M, Szabo V, Gosset C, Heng AE, Kerforne T, Naboulsi E, Velly L, Leone M, Pottecher J, Depret F, Margetis D, Bouhemad B, Orban JC, Leroy A, Riou B, Borao L, Constantin JM; Cis-A-Rein Group. Cyclosporine versus placebo pretreatment of brain-dead donors and kidney graft function (Cis-A-Rein trial): a multicenter, double-blind, randomized, controlled trial. Intensive Care Med. 2026 Feb;52(2):289-300. doi: 10.1007/s00134-025-08265-6. Epub 2026 Jan 8. PubMed 41504889 ↗
  • Orban JC, Fontaine E, Cassuto E, Baumstarck K, Leone M, Constantin JM, Ichai C; AzuRea network. Effects of cyclosporine A pretreatment of deceased organ donors on kidney graft function (Cis-A-rein): study protocol for a randomized controlled trial. Trials. 2018 Apr 17;19(1):231. doi: 10.1186/s13063-018-2597-4. PubMed 29665840 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2017 to primary completion in Apr 2022, 51 months.

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

Registered
Sep 5, 2016
First posted
Sep 20, 2016
StartActual
Dec 19, 2017
Primary completionActual
Apr 10, 2022
CompletionActual
Apr 3, 2023
Last update
Aug 3, 2026
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 Aug 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02907554
Collaborators
University Hospital, Estaing, Centre Hospitalier Universitaire de Nice, Groupe Hospitalier Pitie-Salpetriere, Centre Hospitalier Universitaire de Nīmes, University Hospital, Montpellier, Hôtel Dieu (Nantes), Poitiers University Hospital, University Hospital, Toulouse, Hôpital de la Timone
Responsible party
Sponsor
First posted
Sep 20, 2016
Start date
Dec 19, 2017
Primary completion
Apr 10, 2022
Completion
Apr 3, 2023
Last update
Aug 3, 2026

Study contacts

Carole ICHAI
principal investigator · Centre Hospitalier Universitaire de Nice

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Cyclosporine

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