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CompletedNCT03415750ENHVIEUpdated Jan 8, 2021

Everolimus and Tacrolimus Combination for Regression of Left Ventricular Hypertrophy in Renal Transplants

A Phase 4 interventional study of Everolimus and Mycophenolate mofetil in Hypertrophy, Left Ventricular, sponsored by Edoardo Melilli. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-08.

Sponsored by Edoardo Melilli · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Clinical study with two parallel group to compare the efficacy of everolimus combination + tacrolimus in regression of left ventricular hypertrophy vs tacrolimus + mycophenolate mofetil in renal transplant patients in the maintenance phase.

Read the detailed description

A single-center, randomized, open-label, 12 months study, with two parallel group to compare the efficacy of everolimus combination + tacrolimus in regression of left ventricular hypertrophy vs tacrolimus + mycophenolate mofetil in renal transplant patients in the maintenance phase.

02

Conditions studied

  • Hypertrophy, Left Ventricular

Keywords

  • Renal transplant
03

In context

Hypertrophy, Left Ventricular

162 studies on the registry are indexed under Hypertrophy, Left Ventricular; 28 are open to participants now.

This study's enrollment of 20 is below the median of 100 across 97 interventional studies indexed under Hypertrophy, Left Ventricular.

Browse Hypertrophy, Left Ventricular studies →

Lead sponsor

Edoardo Melilli is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Patient's signed prior to any study-related procedure.
  • Adult patients (> 18 years), renal transplant recipients of more than 1 year of evolution.
  • Patients receiving maintenance with tacrolimus delayed release (Envarsus®) and MMF / MPA.
  • Patients with Left Ventricular Hypertrophy detected by Cardio-NMR.
  • Subjects with >30 ml/min (calculated by CKD-EPI) and stable in the last two analytical determinations (variation \<20%).
  • No known to the use of Mtor inhibitors (previous intolerance, deep vein thrombosis , pulmonary embolism, proteinuria > 0.5 g/day)
  • Patients with levels ≥ 11 gr/dl.
  • Patients with blood pressure \<140/90 mmHg in the hospital visits or \<135/85 mmHg at home.

Exclusion criteria

Exclusion Criteria:

  • Patient's signed prior to any study-related procedure.
  • Adult patients (> 18 years), renal transplant recipients of more than 1 year of evolution.
  • Patients receiving maintenance with tacrolimus delayed release (Envarsus®) and MMF / MPA.
  • Patients with Left Ventricular Hypertrophy detected by Cardio-NMR.
  • Subjects with >30 ml/min (calculated by CKD-EPI) and stable in the last two analytical determinations (variation \<20%).
  • No known to the use of Mtor inhibitors (previous intolerance, deep vein thrombosis , pulmonary embolism, proteinuria > 0.5 g/day)
  • Patients with levels ≥ 11 gr/dl.
  • Patients with blood pressure \<140/90 mmHg in the hospital visits or \<135/85 mmHg at home.
Terms in these criteria, in plain language(5)

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

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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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Everolimus arm

    Patients will be converted from Tacrolimus + Mycophenolate mofetil to Everolimus + Tacrolimus 'Conversion from Mycophenolate mofetil to Everolimus'

    Drug: Everolimus · Drug: Tacrolimus

  • Active comparator
    Mycophenolate arm

    Patients will remain in Tacrolimus + Mycophenolate mofetil combination

    Drug: Mycophenolate mofetil · Drug: Tacrolimus

Interventions

  • Conversion from Mycophenolate mofetil to Everolimus

    Also known as: Certican

  • Patients will remain in Tacrolimus + Mycophenolate mofetil

    Also known as: Cellcept

  • Also known as: Prograf

06

What researchers measure

Primary outcomes

  1. Reduction of Left Ventricular Hypertrophy

    Reduction of Left Ventricular Hypertrophy more or equal than 10 g/m2 in the study group compared to control group at 12 months. Regression of LVH is defined as a decrease of 10 g/m2 compared to baseline value. Cardio nuclear magnetic resonance will be performed to evaluate left ventricular hypertrophy

    Time frame: 12 months

07

Study locations

1 site
  • Hospital Universitari de Bellvitge
    L'Hospitalet de Llobregat, Barcelona 08907, Spain
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 reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2016 to primary completion in May 2020, 42 months.

Of 14 phase 4 interventional studies under Hypertrophy, Left Ventricular, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 44. This study's 42 months is above that.

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

Registered
Nov 17, 2016
First posted
Jan 30, 2018
StartActual
Nov 2016
Primary completionActual
May 2020
CompletionActual
May 2020
Last update
Jan 8, 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 Jan 8, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03415750
Lead sponsor
Edoardo Melilli
Responsible party
Edoardo Melilli (Principal Investigator MD, Hospital Universitari de Bellvitge) — Sponsor-investigator
First posted
Jan 30, 2018
Start date
Nov 2016
Primary completion
May 2020
Completion
May 2020
Last update
Jan 8, 2021

Study contacts

Edoardo Melilli, MD
principal investigator · Hospital Universitari de Bellvitge

Oversight

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

Not currently enrolling

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

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Studies of the drug tested here: Everolimus

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