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| ID | Type | Description | Link |
|---|---|---|---|
| CEL340 |
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Part 1 of the study is to gradually withdraw steroids in a group of 50 older renal transplant recipients, converting then from the 3 drug regimen to a 2 drug regimen (cyclosporine and MMF), while carefully monitoring their graft function. 25 subjects would serve as control patients in the study and would remain on the 3 drug regimen (steroids, cyclosporine and MMF). Immunologic status will be determined before and after IS withdrawal using a delayed-type hypersensitivity (DTH) transfer test previously described in the original submission. Both the steroid withdrawal subjects and the control subjects will undergo the DTH testing throughout the 3 years of study participation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | No Intervention | Remain on 3-drug standard of care immunosuppression including prednisone | |
| 2 | Experimental | Corticosteroid withdrawal / prednisone taper over 14 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Corticosteroid withdrawal | Drug | prednisone withdrawal, with maintenance mycophenolate mofetil therapy and either cyclosporine or tacrolimus |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Allograft rejection | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Renal function as determined by serum creatinine | measure after 36 months | |
| Allograft Survival | 3 years | |
| Immunological function as determined by Trans-vivo delayed hypersensitivity assay (TV-DTH) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hans Sollinger, MD | University of Wisconsin, Madison | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unversity of Wisconsin | Madison | Wisconsin | 53792 | United States |
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Research assay done to determine correlation between the status of donor specific regulation (DSR) and rates of rejection in both arms of the study. |
| Day 0 (pre-transplant) |