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Safety and Efficacy of Tegoprubart in Patients Undergoing Kidney Transplantation

NCT_ID: NCT05983770

Clinical Trial Link

Brief Summaries

Sequence: 30870447
Description This study will evaluate the safety and efficacy of AT-1501 compared with tacrolimus in patients undergoing kidney transplantation.

Studies

Study First Submitted Date 2023-08-02
Study First Posted Date 2023-08-09
Last Update Posted Date 2023-08-09
Start Month Year August 2023
Primary Completion Month Year March 2025
Verification Month Year August 2023
Verification Date 2023-08-31
Last Update Posted Date 2023-08-09

Detailed Descriptions

Sequence: 20791674
Description This study is a randomized, multicenter, open-label, active control study to evaluate the safety and efficacy of AT-1501 compared with tacrolimus in the prevention of rejection in patients undergoing kidney transplantation. Up to 120 de novo kidney transplant recipients will receive rATG induction with corticosteroids (CS), and mycophenolate as maintenance therapy, and will be randomized 1:1 to receive either AT-1501 or tacrolimus.

Facilities

Sequence: 200693960 Sequence: 200693961
Status Recruiting Status Recruiting
Name Washington University in St. Louis Name Virginia Commonwealth University
City Saint Louis City Richmond
State Missouri State Virginia
Zip 63110 Zip 23298
Country United States Country United States

Browse Interventions

Sequence: 96333959 Sequence: 96333960 Sequence: 96333961 Sequence: 96333962 Sequence: 96333963 Sequence: 96333964 Sequence: 96333965
Mesh Term Tacrolimus Mesh Term Immunosuppressive Agents Mesh Term Immunologic Factors Mesh Term Physiological Effects of Drugs Mesh Term Calcineurin Inhibitors Mesh Term Enzyme Inhibitors Mesh Term Molecular Mechanisms of Pharmacological Action
Downcase Mesh Term tacrolimus Downcase Mesh Term immunosuppressive agents Downcase Mesh Term immunologic factors Downcase Mesh Term physiological effects of drugs Downcase Mesh Term calcineurin inhibitors Downcase Mesh Term enzyme inhibitors Downcase Mesh Term molecular mechanisms of pharmacological action
Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Conditions

Sequence: 52350287
Name Kidney Transplant Rejection
Downcase Name kidney transplant rejection

Id Information

Sequence: 40286994 Sequence: 40286995 Sequence: 40286996
Id Source org_study_id Id Source secondary_id Id Source secondary_id
Id Value AT-1501-K207 Id Value 2023-503336-41-00 Id Value U1111-1278-5225
Id Type Other Identifier Id Type Other Identifier
Id Type Description European Clinical Trial Register Id Type Description World Health Organization

Countries

Sequence: 42708526
Name United States
Removed False

Design Groups

Sequence: 55793325 Sequence: 55793326
Group Type Experimental Group Type Active Comparator
Title Investigative Title Comparator
Description AT-1501 monoclonal antibody targeting CD40L given as an IV infusion Description Tacrolimus administered BID, targeting a whole blood trough concentration of 6-12 ng/mL until Month 6, and 6-8 ng/mL thereafter

Interventions

Sequence: 52661649 Sequence: 52661650
Intervention Type Drug Intervention Type Drug
Name AT-1501 Name Tacrolimus
Description IV infusions of AT-1501 20 mg/kg over 1 hour. Description Tacrolimus will be administered BID, targeting a whole blood trough concentration of 6-12 ng/mL until Month 6, and 6-8 ng/mL thereafter.

Keywords

Sequence: 80116339 Sequence: 80116336 Sequence: 80116337 Sequence: 80116338 Sequence: 80116340 Sequence: 80116341 Sequence: 80116342 Sequence: 80116343 Sequence: 80116344 Sequence: 80116345 Sequence: 80116346
Name Prophylaxis Name AT-1501 Name Kidney Transplant Name Renal Allograft Rejection Name CD40L Inhibitor Name Humanized blocking antibody to CD40L Name Monoclonal Antibody Name Renal Name Transplant Name ESRD Name Tegoprubart
Downcase Name prophylaxis Downcase Name at-1501 Downcase Name kidney transplant Downcase Name renal allograft rejection Downcase Name cd40l inhibitor Downcase Name humanized blocking antibody to cd40l Downcase Name monoclonal antibody Downcase Name renal Downcase Name transplant Downcase Name esrd Downcase Name tegoprubart

Design Outcomes

Sequence: 178041372 Sequence: 178041373 Sequence: 178041374 Sequence: 178041375 Sequence: 178041376
Outcome Type primary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary
Measure eGFR at 12 months Measure NODAT at 12 months post-transplant Measure The proportion of patient and graft survival at 12 months post-transplant Measure BPAR-free patient and graft survival at 12 months post-transplant Measure BPAR at 12 months
Time Frame Assessed from date of transplant through Day 364 (Month 12) Time Frame Assessed from date of transplant through Day 364 (Month 12 Time Frame Assessed from date of transplant through Day 364 (Month 12) Time Frame The proportion of BPAR-free patient and graft survival at 12 months post-transplant Time Frame Assessed from date of transplant through Day 364 (Month 12)
Description Estimated Glomerular Filtration Rate (eGFR) at 12 months post-transplant Description The proportion of new onset diabetes after transplant (NODAT) at 12 months post-transplant Description Patient and graft survival are defined as either A) Death, B) re-transplantation or C) Requirement for regular dialysis Description Assessed from date of transplant through Day 364 (Month 12) Description The proportion of BPAR at 12 months

Sponsors

Sequence: 48486889
Agency Class INDUSTRY
Lead Or Collaborator lead
Name Eledon Pharmaceuticals

Central Contacts

Sequence: 12053984
Contact Type primary
Name Eledon Pharmaceuticals
Phone 949-238-8090
Email clinicaltrials@eledon.com
Role Contact

Design Group Interventions

Sequence: 68393196 Sequence: 68393197
Design Group Id 55793325 Design Group Id 55793326
Intervention Id 52661649 Intervention Id 52661650

Eligibilities

Sequence: 30869228
Gender All
Minimum Age 18 Years
Maximum Age 100 Years
Healthy Volunteers No
Criteria Inclusion Criteria: Male or female ≥ 18 years of age Recipient of their first kidney transplant from a living or deceased donor Agree to comply with contraception requirements during and for at least 90 days after the last administration of study drug Exclusion Criteria: Induction therapy, other than study assigned rATG, planned as part of initial immunosuppressive regimen Currently treated with any systemic immunosuppressive regimen, including immunologic biologic therapies Currently treated with corticosteroids other than topical or inhaled corticosteroids Will receive a kidney with an anticipated cold ischemia time of > 30 hours Will receive a kidney from a donor that meets any of the following: 5a. Donation after Cardiac Death (DCD) criteria; Or 5b. Kidney Donor Profile Index (KDPI) of > 85%; Or 5c. Is blood group (ABO) incompatible 6. Medical conditions that require chronic use of systemic corticosteroids or other immunosuppressants 7. History of a thromboembolic event, known hypercoagulable state, or condition requiring long term anticoagulation 8. Positive T- or B-cell crossmatch that is due to HLA antibodies or presence of a DSA at Screening
Adult True
Child False
Older Adult True

Calculated Values

Sequence: 254021609
Number Of Facilities 2
Registered In Calendar Year 2023
Were Results Reported False
Has Us Facility True
Has Single Facility False
Minimum Age Num 18
Maximum Age Num 100
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 1
Number Of Secondary Outcomes To Measure 4

Designs

Sequence: 30615037
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking None (Open Label)

Intervention Other Names

Sequence: 26758650
Intervention Id 52661649
Name Tegoprubart

Responsible Parties

Sequence: 28981563
Responsible Party Type Sponsor