Study of Efficacy, Safety, Tolerability, Pharmacokinetic (PK) and Pharmacodynamic (PD) of an Anti-CD40 Monoclonal Antibody, CFZ533, in Kidney Transplant Recipients
Official Title
A Partially-blinded, Active-controlled, Multicenter, Randomized Study Evaluating Efficacy, Safety, Tolerability, Pharmacokinetic (PK) and Pharmacodynamic (PD) of an Anti-CD40 Monoclonal Antibody, CFZ533, in de Novo and Maintenance Kidney Transplant Recipients (CIRRUS I)
Acronym
CIRRUS I
Organization
NovartisINDUSTRY
Status Module
Record Verification Date
Feb 2026
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Nov 28, 2018Actual
Primary Completion Date
Oct 29, 2021Actual
Completion Date
Oct 29, 2021Actual
First Submitted Date
Jun 4, 2018
First Submission Date that Met QC Criteria
Sep 6, 2018
First Posted Date
Sep 10, 2018Actual
Results Waived
Not provided
Results First Submitted Date
Oct 28, 2022
Results First Submitted that Met QC Criteria
Mar 2, 2026
Results First Posted Date
Mar 23, 2026Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Mar 2, 2026
Last Update Posted Date
Mar 23, 2026Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Novartis PharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study was to compare CFZ533 to tacrolimus (TAC) in prevention of organ rejection in kidney transplant.
Detailed Description
The purpose of this study was to investigate the safety, efficacy, pharmacokinetics (PK) and pharmacodynamics (PD) of three CFZ533 dose regimens in kidney transplant recipients.
Study CCFZ533A2201 was a randomized, planned 60-month (5 year) study comprising of 12-months treatment for the primary analysis plus an additional 48-month treatment period. The study had 2 different cohorts: adult de novo kidney transplant recipients and maintenance kidney transplant population (6-24 months post-transplant).
The study was terminated after the interim analysis.
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
Percentage of Participants With Composite Efficacy Failure Event (Biopsy Proven Acute Rejection (BPAR), Graft Loss or Death) Over 12 Months Post-transplantation (Cohort 1)
The composite efficacy failure event is defined as any of the following:
(1) biopsy-proven acute rejection (BPAR) or (2) graft loss or (3) death. BPAR (BANFF ≥ 1A) is based on the central and adjudicated assessments. Graft loss is defined as when the allograft was presumed lost on the day the participant started dialysis and was not able to subsequently be removed from dialysis or re-transplanted. If the participant underwent allograft nephrectomy prior to start of permanent dialysis, the day of the nephrectomy was day of graft loss.
12 Months
Percentage of Participants With Composite Efficacy Failure Event (BPAR, Graft Loss or Death) Over 12 Months Post-conversion (Cohort 2)
The composite efficacy failure event is defined as any of the following:
(1) biopsy-proven acute rejection (BPAR) or (2) graft loss or (3) death. BPAR (BANFF ≥ 1A) is based on the central and adjudicated assessments. Graft loss is defined as when the allograft was presumed lost on the day the participant started dialysis and was not able to subsequently be removed from dialysis or re-transplanted. If the participant underwent allograft nephrectomy prior to start of permanent dialysis, the day of the nephrectomy was day of graft loss.
12 Months
Secondary Outcomes
Measure
Description
Time Frame
Cohort 1: Mean Estimated Glomerular Filtration Rate (eGFR) ((MDRD4) at 12 Months Post-transplantation
In the de novo population (Cohort 1), the mean eGFR at Month 12 post-transplantation was the endpoint of interest. Estimated GFR using central laboratory serum creatinine values was calculated using the MDRD4 formula.
12 months
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Key inclusion criteria for both cohorts
Written informed consent obtained before any assessment.
Male or female patient ≥ 18 years old.
Up to date vaccination as per local immunization schedules.
Key inclusion criteria specific to Cohort 1:
Recipients of a primary kidney transplant from a brain-dead donor, living unrelated or non-human leukocyte antigen (HLA) identical living related donors.
Recipients of a kidney with a cold ischemia time < 24 hours.
Key inclusion criteria specific to Cohort 2:
Recipients of a primary graft received 6 to 24 months prior enrollment, on a regimen containing TAC+MMF/ Enteric-coated mycophenolate sodium (EC-MPS)±corticosteroids (CS).
Patients with an actual eGFR according to Modification of Diet in Renal Disease (MDRD-4) ≥ 45 mL/min/1.73m2.
Exclusion Criteria:
Key exclusion criteria for both cohorts
Recipient who tests positive for anti-HIV, HBsAg or anti-HCV (without proof of sustained viral response (SVR12) after anti-HCV treatment) within 28 days prior to baseline visit.
Recipient who tests negative for Epstein Barr virus (EBV) within 28 days prior to baseline visit.
Evidence of advanced liver disease (Child-Pugh C), or any sign of liver decompensation.
Patient with severe systemic infections, current or within the two weeks prior to randomization.
History of malignancy of any organ system, treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases, with the exception of localized excised non-melanomatous skin lesions.
Patients who weighed less than 30 kg or more than 180 kg.
Key exclusion criteria specific to Cohort 1:
Multi-organ transplant recipients, including en bloc and dual kidney transplantation, or prior kidney transplant
Recipients of an organ from a donor after cardiac death.
Recipient of an organ from an HLA identical living related donor.
ABO incompatible or complement-dependent lymphocytotoxic crossmatch positive transplant (isolated positive B cell crossmatches were not an exclusion criterion).
Recipients of kidneys from donors who were older than >65 years.
Recipients of kidneys from donors with terminal serum creatinine > 2 mg/dL.
Patients at high immunological risk for rejection as determined for assessment of anti-donor reactivity:
high panel reactive antibodies> 20% or
Presence of pre-formed DSA. Results 12 weeks prior to enrollment were acceptable if no blood transfusion or abortion occurred during this period.
Recipient of a kidney from a donor who tests positive for HIV, HBsAg or HCV.
Key exclusion criteria to Cohort 2
Recipients of a kidney re-transplant.
Recipient of a multi-organ transplant, including en bloc and dual kidney transplantation.
DSA within 12 weeks prior enrollment.
eGFR decline ≥10.0 mL/min within 12 weeks prior enrollment.
Ongoing rejection or rejection that required treatment within 12 weeks prior enrollment.
Severe humoral and/or cellular rejection (BANFF ≥ IIb) within 12 weeks before enrollment.
Proteinuria > 1 g/day or UPCR >1.2 mg/mg at time of enrollment
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Study Director
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Novartis Investigative Site
Los Angeles
California
90033
United States
Novartis Investigative Site
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
Plan to Share IPD
Yes
Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
Patients were enrolled at 74 sites. 403 patients were randomized.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Arm 1/Cohort 1 (De Novo Cohort): CFZ533 600 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Mar 18, 2021
Oct 28, 2022
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Estonia
Lithuania
Slovakia
Submission Tracking
Estimated Results First Submitted Date
Not provided
Condition Browse Module
No data available
No data is available for this block.
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Triple
Masking Description
Not provided
Who Masked
ParticipantCare ProviderInvestigator
Drug: Placebo 1 mL
Arm 3/Cohort 1: Control/Standard of Care: Tacrolimus (TAC) + MMF + Corticosteroids
Active Comparator
Patients randomized to the TAC control arm were initiated on a TAC-based regimen with MMF and corticosteroids.
Arm 1/Cohort 2: CFZ533 450 mg + MMF ± Corticosteroids
Experimental
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 were administered sc at 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
Biological: CFZ533 - Cohort 1/Cohort 2
Drug: Corticosteroids (CS)
Drug: Maintenance population: EC-MPS
Drug: Maintenance population: MMF
Arm 2/Cohort 2: TAC + MMF ± Corticosteroids
Active Comparator
Patients received TAC-based regimen throughout the study.
Drug: Corticosteroids (CS)
Drug: Tacrolimus
Drug: Maintenance population: EC-MPS
Drug: Maintenance population: MMF
Arm 1/Cohort 2: CFZ533 450 mg + MMF ± Corticosteroids
Cohort 2: Mean Change in Estimated Glomerular Filtration Rate (eGFR) ((MDRD4) at 12 Months Post-conversion
In the maintenance population (Cohort 2), a baseline kidney function and the mean change from baseline at Month 12 post-conversion of eGFR was the endpoint of interest. Estimated GFR using central laboratory serum creatinine values was calculated using the MDRD4 formula.
12 months
Free CFZ533 Plasma Concentrations Over Time (Cohort 1)
Pharmacokinetics were determined for free CFZ533 plasma concentrations during the treatment period.
Day 1-Pre-Dose to Month 30-Pre-Dose
Free CFZ533 Plasma Concentrations Over Time (Cohort 2)
Pharmacokinetics were determined for free CFZ533 plasma concentrations during the treatment period.
Day 1-Pre-Dose to Month 30-Pre-Dose
Semi-quantiative Analysis of Anti-CFZ533 Antibodes in Plasma (CFZ533 Treated Patients Only) (Cohort 1)
The presence of anti-CFZ533 antibodies was assessed using screening and confirmatory assays.
24 Months
Semi-quantiative Analysis of Anti-CFZ533 Antibodes in Plasma (CFZ533 Treated Patients Only) (Cohort 2)
The presence of anti-CFZ533 antibodies was assessed using screening and confirmatory assays.
24 Months
San Francisco
California
94143 0116
United States
Novartis Investigative Site
Aurora
Colorado
80045
United States
Novartis Investigative Site
Chicago
Illinois
60611
United States
Novartis Investigative Site
Chicago
Illinois
60612
United States
Novartis Investigative Site
Kansas City
Kansas
66103
United States
Novartis Investigative Site
Baltimore
Maryland
21201
United States
Novartis Investigative Site
Boston
Massachusetts
02114
United States
Novartis Investigative Site
Detroit
Michigan
48202 2689
United States
Novartis Investigative Site
St Louis
Missouri
63110
United States
Novartis Investigative Site
Durham
North Carolina
27710
United States
Novartis Investigative Site
Cincinnati
Ohio
45219
United States
Novartis Investigative Site
Cincinnati
Ohio
45267-0585
United States
Novartis Investigative Site
Dallas
Texas
75390
United States
Novartis Investigative Site
Seattle
Washington
98195
United States
Novartis Investigative Site
Buenos Aires
W3400ABH
Argentina
Novartis Investigative Site
Corrientes
W3400
Argentina
Novartis Investigative Site
Córdoba
X5016KEH
Argentina
Novartis Investigative Site
Camperdown
New South Wales
2050
Australia
Novartis Investigative Site
Adelaide
South Australia
5000
Australia
Novartis Investigative Site
Clayton
Victoria
3168
Australia
Novartis Investigative Site
Leuven
3000
Belgium
Novartis Investigative Site
Porto Alegre
Rio Grande do Sul
90020-090
Brazil
Novartis Investigative Site
São Paulo
São Paulo
04038-002
Brazil
Novartis Investigative Site
São Paulo
São Paulo
05403 000
Brazil
Novartis Investigative Site
Vancouver
British Columbia
V6Z 1Y6
Canada
Novartis Investigative Site
Prague
146 24
Czechia
Novartis Investigative Site
Bordeaux
33076
France
Novartis Investigative Site
Créteil
94010
France
Novartis Investigative Site
Grenoble
38043
France
Novartis Investigative Site
Lyon
69003
France
Novartis Investigative Site
Nantes
44093
France
Novartis Investigative Site
Paris
75015
France
Novartis Investigative Site
Toulouse
31054
France
Novartis Investigative Site
Tours
37044
France
Novartis Investigative Site
Regensburg
Bavaria
93053
Germany
Novartis Investigative Site
Berlin
13353
Germany
Novartis Investigative Site
Dresden
01307
Germany
Novartis Investigative Site
Erlangen
91054
Germany
Novartis Investigative Site
Essen
45147
Germany
Novartis Investigative Site
Hamburg
20246
Germany
Novartis Investigative Site
Heidelberg
69120
Germany
Novartis Investigative Site
Mainz
55131
Germany
Novartis Investigative Site
Budapest
H-1083
Hungary
Novartis Investigative Site
Debrecen
4032
Hungary
Novartis Investigative Site
Milan
MI
20132
Italy
Novartis Investigative Site
Roma
RM
00133
Italy
Novartis Investigative Site
Nagakute
Aichi-ken
480-1195
Japan
Novartis Investigative Site
Nagoya
Aichi-ken
466-8650
Japan
Novartis Investigative Site
Sapporo
Hokkaido
060 8648
Japan
Novartis Investigative Site
Sapporo
Hokkaido
060-8604
Japan
Novartis Investigative Site
Yokohama
Kanagawa
232 0024
Japan
Novartis Investigative Site
Tomigusuku
Okinawa
9010224
Japan
Novartis Investigative Site
Suita
Osaka
565 0871
Japan
Novartis Investigative Site
Kumamoto
861-8520
Japan
Novartis Investigative Site
Osaka
545-8586
Japan
Novartis Investigative Site
Riga
LV 1002
Latvia
Novartis Investigative Site
Rotterdam
South Holland
3015 GD
Netherlands
Novartis Investigative Site
Groningen
9713 GZ
Netherlands
Novartis Investigative Site
Utrecht
3584CX
Netherlands
Novartis Investigative Site
Oslo
0424
Norway
Novartis Investigative Site
Seoul
03080
South Korea
Novartis Investigative Site
Palma de Mallorca
Balearic Islands
07120
Spain
Novartis Investigative Site
L'Hospitalet de Llobregat
Barcelona
08907
Spain
Novartis Investigative Site
Barcelona
Catalonia
08003
Spain
Novartis Investigative Site
Barcelona
Catalonia
08035
Spain
Novartis Investigative Site
Barcelona
Catalonia
08036
Spain
Novartis Investigative Site
Zaragoza
50009
Spain
Novartis Investigative Site
Gothenburg
413 45
Sweden
Novartis Investigative Site
Uppsala
751 85
Sweden
Novartis Investigative Site
Bern
3010
Switzerland
Novartis Investigative Site
Glasgow
G51 4TF
United Kingdom
Novartis Investigative Site
London
SW17 0QT
United Kingdom
Novartis Investigative Site
Manchester
M13 9WL
United Kingdom
FG001
Arm 2/Cohort 1 (De Novo Cohort): CFZ533 300 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
FG002
Arm 3/Cohort 1 (De Novo Cohort): Control/Standard of Care: Tacrolimus (TAC) + MMF + Corticosteroids
Patients randomized to the TAC control arm were initiated on a TAC-based regimen with MMF and corticosteroids.
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 was administered sc 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
FG004
Arm 2/Cohort 2 (Maintenance Cohort): TAC + MMF ± Corticosteroids
Patients continued to receive the same immunosuppressive regimen (same drugs) as before entering the study. Patients on a once daily TAC formulation could continue with this regimen.
FG000108 subjects
FG001109 subjects
FG00274 subjects
FG00370 subjects
FG00442 subjects
Full Analysis Set
FG000108 subjects
FG001109 subjects
FG00274 subjects
FG00370 subjects
FG00442 subjects
Pharmacokinetics Analysis Set
The PK analysis set has 2 more patients than the FAS as these patients took study medication but did not undergo transplantation.
FG000110 subjects
FG001109 subjects
FG0020 subjects
FG00370 subjects
FG0040 subjects
COMPLETED
Completed = Completed Month 60
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
NOT COMPLETED
FG000108 subjects
FG001109 subjects
FG00274 subjects
FG00370 subjects
FG00442 subjects
Type
Comment
Reasons
Unsatisfactory therapeutic effect
FG0005 subjects
FG0012 subjects
FG0021 subjects
FG0030 subjects
FG0040 subjects
Adverse Event
FG0008 subjects
FG00119 subjects
FG0023 subjects
FG0036 subjects
FG004
Death
FG0009 subjects
FG0011 subjects
FG0022 subjects
FG0031 subjects
FG004
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Patient not continuing after Month12
FG00012 subjects
FG0019 subjects
FG00211 subjects
FG0033 subjects
FG004
Physician Decision
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Study terminated by Sponsor
FG00071 subjects
FG00173 subjects
FG00253 subjects
FG00360 subjects
FG004
Subject decision
FG0003 subjects
FG0015 subjects
FG0023 subjects
FG0030 subjects
FG004
Full Analysis Set (FAS): all patients who received transplantation and randomized, excluding mis-randomized patients. Mis-randomized patients were defined as cases where IRT contacts were made by the Investigator/qualified site staff either prematurely or inappropriately for confirmation of the patient's final randomization eligibility and treatment was not administered to the patient.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Arm 1/Cohort 1 (De Novo Cohort): CFZ533 600 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
BG001
Arm 2/Cohort 1 (De Novo Cohort): CFZ533 300 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
BG002
Arm 3/Cohort 1 (De Novo Cohort): Control/Standard of Care: Tacrolimus (TAC) + MMF + Corticosteroids
Patients randomized to the TAC control arm were initiated on a TAC-based regimen with MMF and corticosteroids.
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 was administered sc 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
BG004
Arm 2/Cohort 2 (Maintenance Cohort): TAC + MMF ± Corticosteroids
Patients continued to receive the same immunosuppressive regimen (same drugs) as before entering the study. Patients on a once daily TAC formulation could continue with this regimen.
BG005
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000108
BG001109
BG00274
BG00370
BG00442
BG005403
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Customized
Number
Participants
Title
Denominators
Categories
< 60 years
Title
Measurements
BG00086
BG00179
BG00254
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00034
BG00132
BG002
Race/Ethnicity, Customized
Full Analysis Set (FAS): all patients who received transplantation and randomized, excluding mis-randomized patients. Mis-randomized patients were defined as cases where IRT contacts were made by the Investigator/qualified site staff either prematurely or inappropriately for confirmation of the patient's final randomization eligibility and treatment was not administered to the patient.
Number
Participants
Title
Denominators
Categories
White
Title
Measurements
BG00084
BG001
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Percentage of Participants With Composite Efficacy Failure Event (Biopsy Proven Acute Rejection (BPAR), Graft Loss or Death) Over 12 Months Post-transplantation (Cohort 1)
The composite efficacy failure event is defined as any of the following:
(1) biopsy-proven acute rejection (BPAR) or (2) graft loss or (3) death. BPAR (BANFF ≥ 1A) is based on the central and adjudicated assessments. Graft loss is defined as when the allograft was presumed lost on the day the participant started dialysis and was not able to subsequently be removed from dialysis or re-transplanted. If the participant underwent allograft nephrectomy prior to start of permanent dialysis, the day of the nephrectomy was day of graft loss.
Full Analysis Set (FAS): all patients who received transplantation and randomized, excluding mis-randomized patients. The analysis was based on the number of patients with composite efficacy failure up to Month 12 per-protocol central and adjudicated assessment.
Posted
Number
Percentage of participants
12 Months
ID
Title
Description
OG000
Arm 1/Cohort 1 (De Novo Cohort): CFZ533 600 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
OG001
Arm 2/Cohort 1 (De Novo Cohort): CFZ533 300 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
OG002
Arm 3/Cohort 1 (De Novo Cohort): Control/Standard of Care: Tacrolimus (TAC) + MMF + Corticosteroids
Patients randomized to the TAC control arm were initiated on a TAC-based regimen with MMF and corticosteroids.
Units
Counts
Participants
OG00066
OG00170
OG00241
Title
Denominators
Categories
Title
Measurements
OG00060.6
OG00138.6
OG00222.0
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Rate Difference
15.80
2-Sided
95
3.86
27.74
Non-Inferiority
The non-inferiority (NI) margin was set at 20%.
posterior probability rate difference 0.2 <=0.754
OG001
OG002
Primary
Percentage of Participants With Composite Efficacy Failure Event (BPAR, Graft Loss or Death) Over 12 Months Post-conversion (Cohort 2)
The composite efficacy failure event is defined as any of the following:
(1) biopsy-proven acute rejection (BPAR) or (2) graft loss or (3) death. BPAR (BANFF ≥ 1A) is based on the central and adjudicated assessments. Graft loss is defined as when the allograft was presumed lost on the day the participant started dialysis and was not able to subsequently be removed from dialysis or re-transplanted. If the participant underwent allograft nephrectomy prior to start of permanent dialysis, the day of the nephrectomy was day of graft loss.
Full Analysis Set (FAS): all patients who received transplantation and randomized, excluding mis-randomized patients. The analysis was based on the number of patients with composite efficacy failure up to Month 12 per-protocol central and adjudicated assessment.
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 was administered sc 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
Secondary
Cohort 1: Mean Estimated Glomerular Filtration Rate (eGFR) ((MDRD4) at 12 Months Post-transplantation
In the de novo population (Cohort 1), the mean eGFR at Month 12 post-transplantation was the endpoint of interest. Estimated GFR using central laboratory serum creatinine values was calculated using the MDRD4 formula.
Full Analysis Set (FAS): all patients who received transplantation and randomized, excluding mis-randomized patients.
Posted
Mean
Standard Error
mL/min/1.73m^2
12 months
ID
Title
Description
OG000
Arm 1/Cohort 1 (De Novo Cohort): CFZ533 600 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
OG001
Arm 2/Cohort 1 (De Novo Cohort): CFZ533 300 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
Secondary
Cohort 2: Mean Change in Estimated Glomerular Filtration Rate (eGFR) ((MDRD4) at 12 Months Post-conversion
In the maintenance population (Cohort 2), a baseline kidney function and the mean change from baseline at Month 12 post-conversion of eGFR was the endpoint of interest. Estimated GFR using central laboratory serum creatinine values was calculated using the MDRD4 formula.
Full Analysis Set (FAS): all patients who received transplantation and randomized, excluding mis-randomized patients.
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 was administered sc 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
OG001
Arm 2/Cohort 2 (Maintenance Cohort): TAC + MMF ± Corticosteroids
Secondary
Free CFZ533 Plasma Concentrations Over Time (Cohort 1)
Pharmacokinetics were determined for free CFZ533 plasma concentrations during the treatment period.
Pharmacokinetics analysis set (PK): all patients with at least one available valid (i.e. not flagged for exclusion) PK concentration measurement who received any study drug and experienced no protocol deviations with relevant impact on PD, e.g. if a dose was taken more than 7 days after the planned date.
The PK analysis set has 2 more patients than the FAS as these patients took study medication but did not undergo transplantation.
Posted
Mean
Standard Deviation
µg/mL
Day 1-Pre-Dose to Month 30-Pre-Dose
ID
Title
Description
OG000
Arm 1/Cohort 1 (De Novo Cohort): CFZ533 600 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
OG001
Arm 2/Cohort 1 (De Novo Cohort): CFZ533 300 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Secondary
Free CFZ533 Plasma Concentrations Over Time (Cohort 2)
Pharmacokinetics were determined for free CFZ533 plasma concentrations during the treatment period.
Pharmacokinetics analysis set (PK): all patients with at least one available valid (i.e. not flagged for exclusion) PK concentration measurement who received any study drug and experienced no protocol deviations with relevant impact on PD, e.g. if a dose was taken more than 7 days after the planned date.
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 was administered sc 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
OG001
Arm 2/Cohort 2 (Maintenance Cohort): TAC + MMF ± Corticosteroids
Patients received TAC-based regimen throughout the study.
Secondary
Semi-quantiative Analysis of Anti-CFZ533 Antibodes in Plasma (CFZ533 Treated Patients Only) (Cohort 1)
The presence of anti-CFZ533 antibodies was assessed using screening and confirmatory assays.
Pharmacokinetics analysis set (PK): all patients with at least one available valid (i.e. not flagged for exclusion) PK concentration measurement who received any study drug and experienced no protocol deviations with relevant impact on PD, e.g. if a dose was taken more than 7 days after the planned date.
The PK analysis set has 2 more patients than the FAS as these patients took study medication but did not undergo transplantation.
Posted
Number
Participants
24 Months
ID
Title
Description
OG000
Arm 1/Cohort 1 (De Novo Cohort): CFZ533 600 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Eligible patients were randomized to CFZ533 600 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 600 mg sc (2 injections of 2 mL CFZ533 at 150 mg/mL) Q2W, up to a planned Month 59.5 visit.
OG001
Arm 2/Cohort 1 (De Novo Cohort): CFZ533 300 mg + Mycophenolate Mofetil (MMF) + Corticosteroids
Secondary
Semi-quantiative Analysis of Anti-CFZ533 Antibodes in Plasma (CFZ533 Treated Patients Only) (Cohort 2)
The presence of anti-CFZ533 antibodies was assessed using screening and confirmatory assays.
Pharmacokinetics analysis set (PK): all patients with at least one available valid (i.e. not flagged for exclusion) PK concentration measurement who received any study drug and experienced no protocol deviations with relevant impact on PD, e.g. if a dose was taken more than 7 days after the planned date.
Eligible patients who were 6 to 24 months post renal transplantation and were on a stable regimen containing TAC+MMF/Enteric-coated mycophenolate sodium (EC-MPS)±CS were randomized to CFZ533 450 mg sc Q2W.
On Day 1, patients randomized to Arm 1 were administered the 1st dose of CFZ533 at 30 mg/kg IV, concomitantly with MMF/EC-MPS and 50% of the current TAC dose.
At Day 15, CFZ533 was administered sc 450 mg (1 injection of 2 mL & 1 injection of 1 mL CFZ533 at 150 mg/mL) concomitantly with MMF/EC-MPS, and TAC reduced by a further 50%. By Day 29, patients were fully tapered off their TAC. Subsequent doses of 450 mg sc Q2W, were administered in combination with MMF/EC-MPS with or without corticosteroids, up to Month 59.5 visit.
Units
Counts
Time Frame
Deaths were reported from randomization until end of study, up to approx. 2.9 years. Adverse Events were reported from first dose of study treatment until end of safety follow-up (14 weeks safety follow-up CFZ533 and 12 weeks safety follow-up for TAC) up to approx. 2.9 years.
Description
An adverse event (AE) is any untoward medical occurrence (e.g., any unfavorable and unintended sign (including abnormal laboratory findings), symptom or disease) in a subject or clinical investigation subject after providing written informed consent for participation in the study until the end of study visit. Therefore, an AE may or may not be temporally or causally associated with the use of a medicinal (investigational) product.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Pre-treatment
from randomization until first treatment to report pre-treatment mortalities
1
403
0
0
0
0
EG001
De Novo Cohort: CFZ533 600 mg + MMF + CS/On-treatment Period
From first dose up to 14 days after last dose of CFZ533
2
108
71
108
105
108
EG002
De Novo Cohort: CFZ533 600 mg + MMF + CS/Post- Treatment Safety Follow-up Period
From day 15 after last CFZ533 dose till completion of the 14 weeks safety follow up. Note: patients may have switched to Standard of care.
5
108
18
108
20
108
EG003
De Novo Cohort: CFZ533 600 mg + MMF + CS/Post- Treatment Survival Follow-up Period
After 14 weeks safety follow-up to end of study. Adverse Events were not collected during this period.
2
108
0
0
0
0
EG004
De Novo Cohort: CFZ533 300 mg + MMF + CS/On-treatment Period
From first dose up to 14 days after last dose of CFZ533
0
109
76
109
102
109
EG005
De Novo Cohort: CFZ533 300 mg + MMF + CS/Post-treatment Safety Follow-up Period
From day 15 after last CFZ533 dose till completion of the 14 weeks safety follow up. Note: patients may have switched to Standard of care.
1
109
19
109
19
109
EG006
De Novo Cohort: CFZ533 300 mg + MMF + CS/Post- Treatment Survival Follow-up Period
After 14 weeks safety follow-up to end of study. Adverse Events were not collected during this period.
0
109
0
0
0
0
EG007
De Novo Cohort: TAC + MMF + CS/On-treatment Period
From 1st dose to last dose of TAC
1
73
39
73
67
73
EG008
De Novo Cohort: TAC + MMF + CS/Post-treatment Safety Follow-up Period
From day 1 after last dose of TAC till completion of the 12 weeks safety follow up. Note: patients may have switched to Standard of care.
0
73
3
73
4
73
EG009
De Novo Cohort: TAC + MMF + CS/Post- Treatment Survival Follow-up Period
After 14 weeks safety follow-up to end of study. Adverse Events were not collected during this period.
0
73
0
0
0
0
EG010
Maintenance Cohort: CFZ533 450 mg + MMF +/- CS/On-treatment Period
From first dose up to 14 days after last dose of CFZ533
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Ovarian adenoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Parathyroid tumour benign
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Anosmia
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Guillain-Barre syndrome
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Headache
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Hypertensive encephalopathy
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Intensive care unit acquired weakness
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Ischaemic neuropathy
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Mononeuropathy multiplex
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Posterior reversible encephalopathy syndrome
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Quadrantanopia
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Radiculitis brachial
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Seizure
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Subarachnoid haemorrhage
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Device dislocation
Product Issues
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Acute kidney injury
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0023 affected108 at risk
EG003
Calculus urinary
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Dysuria
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Glomerulonephritis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Haematuria
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Perinephric collection
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Renal artery stenosis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Renal cyst
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Renal cyst haemorrhage
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Renal impairment
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Renal infarct
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Renal ischaemia
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Renal tubular necrosis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Renal vein thrombosis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Subcapsular renal haematoma
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Tubulointerstitial nephritis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Ureteric stenosis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Urinary fistula
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Urinary incontinence
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Urinary retention
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Urinary tract disorder
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Acquired hydrocele
Reproductive system and breast disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Prostatitis
Reproductive system and breast disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Acute pulmonary oedema
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Chronic obstructive pulmonary disease
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Hypoxia
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Diabetic foot
Skin and subcutaneous tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Stasis dermatitis
Skin and subcutaneous tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Arterial stenosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Arterial thrombosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Arteriosclerosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Deep vein thrombosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Haematoma
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Hypotension
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Iliac artery stenosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Lymphocele
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0022 affected108 at risk
EG003
Peripheral artery stenosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Shock
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Shock haemorrhagic
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Subclavian artery stenosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Varicose ulceration
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Venous thrombosis
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Bicytopenia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Pancytopenia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Angina pectoris
Cardiac disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Mesenteric panniculitis
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Malaise
General disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Hepatic cytolysis
Hepatobiliary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Haemophagocytic lymphohistiocytosis
Immune system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Device related infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Gastrointestinal infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0022 affected108 at risk
EG003
H1N1 influenza
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Leishmaniasis
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Pneumonia viral
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Pseudomonas infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Tuberculosis
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Road traffic accident
Injury, poisoning and procedural complications
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Blood creatine increased
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Clostridium test positive
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Diabetes mellitus
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Metastases to lung
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Syncope
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Anxiety
Psychiatric disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Hydronephrosis
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Urethral obstruction
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0020 affected108 at risk
EG003
Infarction
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0010 affected108 at risk
EG0021 affected108 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00136 affected108 at risk
EG0020 affected108 at risk
EG0030 at risk
EG00423 affected109 at risk
EG0051 affected109 at risk
EG0060 at risk
EG00712 affected73 at risk
EG0082 affected73 at risk
EG0090 at risk
EG0104 affected70 at risk
EG0111 affected70 at risk
EG0120 at risk
EG0133 affected42 at risk
EG0140 affected42 at risk
EG0150 at risk
Leukocytosis
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Leukopenia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00131 affected108 at risk
EG0024 affected108 at risk
EG003
Lymphopenia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00114 affected108 at risk
EG0021 affected108 at risk
EG003
Neutropenia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0019 affected108 at risk
EG0020 affected108 at risk
EG003
Polycythaemia
Blood and lymphatic system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0018 affected108 at risk
EG0021 affected108 at risk
EG003
Abdominal pain upper
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0020 affected108 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00130 affected108 at risk
EG0022 affected108 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00119 affected108 at risk
EG0025 affected108 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0014 affected108 at risk
EG0021 affected108 at risk
EG003
Haemorrhoids
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00113 affected108 at risk
EG0021 affected108 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00112 affected108 at risk
EG0020 affected108 at risk
EG003
Asthenia
General disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Fatigue
General disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00110 affected108 at risk
EG0020 affected108 at risk
EG003
Oedema peripheral
General disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00121 affected108 at risk
EG0023 affected108 at risk
EG003
Pyrexia
General disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00120 affected108 at risk
EG0023 affected108 at risk
EG003
BK virus infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00113 affected108 at risk
EG0021 affected108 at risk
EG003
Bronchitis
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0017 affected108 at risk
EG0020 affected108 at risk
EG003
COVID-19
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0019 affected108 at risk
EG0020 affected108 at risk
EG003
Cytomegalovirus infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00115 affected108 at risk
EG0023 affected108 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0020 affected108 at risk
EG003
Herpes zoster
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0014 affected108 at risk
EG0021 affected108 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0018 affected108 at risk
EG0021 affected108 at risk
EG003
Oral herpes
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0017 affected108 at risk
EG0021 affected108 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0018 affected108 at risk
EG0021 affected108 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00119 affected108 at risk
EG0023 affected108 at risk
EG003
Delayed graft function
Injury, poisoning and procedural complications
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0017 affected108 at risk
EG0020 affected108 at risk
EG003
Procedural pain
Injury, poisoning and procedural complications
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00113 affected108 at risk
EG0020 affected108 at risk
EG003
Transplant dysfunction
Injury, poisoning and procedural complications
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0018 affected108 at risk
EG0020 affected108 at risk
EG003
Blood creatinine increased
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0014 affected108 at risk
EG0020 affected108 at risk
EG003
Cytomegalovirus test positive
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Lymphocyte count decreased
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00110 affected108 at risk
EG0020 affected108 at risk
EG003
Neutrophil count decreased
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00113 affected108 at risk
EG0020 affected108 at risk
EG003
SARS-CoV-2 test negative
Investigations
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Acidosis
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Dyslipidaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Gout
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Hypercalcaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0015 affected108 at risk
EG0020 affected108 at risk
EG003
Hyperglycaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00112 affected108 at risk
EG0024 affected108 at risk
EG003
Hyperkalaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00118 affected108 at risk
EG0021 affected108 at risk
EG003
Hypervolaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Hypocalcaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0015 affected108 at risk
EG0020 affected108 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00121 affected108 at risk
EG0023 affected108 at risk
EG003
Hypomagnesaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0017 affected108 at risk
EG0023 affected108 at risk
EG003
Hypophosphataemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00112 affected108 at risk
EG0021 affected108 at risk
EG003
Hypovolaemia
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0014 affected108 at risk
EG0020 affected108 at risk
EG003
Iron deficiency
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Metabolic acidosis
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0015 affected108 at risk
EG0020 affected108 at risk
EG003
Steroid diabetes
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0019 affected108 at risk
EG0020 affected108 at risk
EG003
Vitamin D deficiency
Metabolism and nutrition disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0021 affected108 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0015 affected108 at risk
EG0022 affected108 at risk
EG003
Groin pain
Musculoskeletal and connective tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0021 affected108 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0020 affected108 at risk
EG003
Dizziness
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0020 affected108 at risk
EG003
Headache
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00115 affected108 at risk
EG0021 affected108 at risk
EG003
Tremor
Nervous system disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0012 affected108 at risk
EG0020 affected108 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0019 affected108 at risk
EG0020 affected108 at risk
EG003
Dysuria
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0021 affected108 at risk
EG003
Haematuria
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0015 affected108 at risk
EG0020 affected108 at risk
EG003
Perinephric collection
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Proteinuria
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0021 affected108 at risk
EG003
Renal impairment
Renal and urinary disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0013 affected108 at risk
EG0021 affected108 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00111 affected108 at risk
EG0021 affected108 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0019 affected108 at risk
EG0020 affected108 at risk
EG003
Oropharyngeal pain
Respiratory, thoracic and mediastinal disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00110 affected108 at risk
EG0022 affected108 at risk
EG003
Alopecia
Skin and subcutaneous tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0016 affected108 at risk
EG0020 affected108 at risk
EG003
Haematoma
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0011 affected108 at risk
EG0020 affected108 at risk
EG003
Hypertension
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00136 affected108 at risk
EG0021 affected108 at risk
EG003
Hypotension
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG00112 affected108 at risk
EG0022 affected108 at risk
EG003
Lymphocele
Vascular disorders
MedDRA (24.1)
Systematic Assessment
EG0000 at risk
EG0014 affected108 at risk
EG0020 affected108 at risk
EG003
One patient in Cohort 1 randomized to the TAC arm died one day after transplantation and did not take study drug.
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of pooled data (i.e. data from all sites) in clinical trial or disclosure of trial results in their entirety.
Hormones, Hormone Substitutes, and Hormone Antagonists
D018942
Macrolides
D007783
Lactones
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
2 subjects
0 subjects
2 subjects
1 subjects
33 subjects
4 subjects
53
BG00432
BG005304
>= 60 6years
Title
Measurements
BG00022
BG00130
BG00220
BG00317
BG00410
BG00599
14
BG00318
BG00414
BG005112
Male
BG00074
BG00177
BG00260
BG00352
BG00428
BG005291
86
BG00259
BG00347
BG00432
BG005308
Black or African American
Title
Measurements
BG00014
BG0016
BG0026
BG0033
BG0044
BG00533
Asian: Indian
Title
Measurements
BG0002
BG0010
BG0020
BG0031
BG0040
BG0053
Asian: Japanese
Title
Measurements
BG0004
BG00112
BG0023
BG00312
BG0044
BG00535
Asian: Korean
Title
Measurements
BG0001
BG0010
BG0020
BG0033
BG0040
BG0054
Asian: Other
Title
Measurements
BG0000
BG0011
BG0022
BG0031
BG0041
BG0055
American Indian or Alaskan Native
Title
Measurements
BG0000
BG0010
BG0021
BG0030
BG0040
BG0051
Multiple
Title
Measurements
BG0003
BG0014
BG0023
BG0032
BG0041
BG00513
Other - Unknown
Title
Measurements
BG0000
BG0010
BG0020
BG0031
BG0040
BG0051
Rate Difference
5.61
2-Sided
95
-5.67
16.90
Non-Inferiority
The non-inferiority (NI) margin was set at 20%.
posterior probability rate difference 0.2 <=0.994
OG001
Arm 2/Cohort 2 (Maintenance Cohort): TAC + MMF ± Corticosteroids
Patients received TAC-based regimen throughout the study.
Units
Counts
Participants
OG00034
OG00118
Title
Denominators
Categories
Title
Measurements
OG00014.7
OG00111.1
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
Rate Difference
-1.43
2-Sided
95
-14.24
11.39
Non-Inferiority
The non-inferiority (NI) margin was set at 20%.
Posterior probability rate difference of 0.12 <=0.985
OG002
Arm 3/Cohort 1 (De Novo Cohort): Control/Standard of Care: Tacrolimus (TAC) + MMF + Corticosteroids
Patients randomized to the TAC control arm were initiated on a TAC-based regimen with MMF and corticosteroids.
Units
Counts
Participants
OG00058
OG00158
OG00251
Title
Denominators
Categories
Title
Measurements
OG00058.83± 1.971
OG00160.63± 1.976
OG00254.12± 2.101
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
ANOVA
the ANOVA model adjusted by treatment group, donor category and induction therapy
0.103
mean difference
4.71
Standard Deviation
2.873
2-Sided
95
-0.96
10.38
Superiority
OG001
OG002
ANOVA
the ANOVA model adjusted by treatment group, donor category and induction therapy
0.025
mean difference
6.51
Standard Error of the Mean
2.875
2-Sided
95
0.83
12.18
Superiority
Patients received TAC-based regimen throughout the study.
Units
Counts
Participants
OG00039
OG00127
Title
Denominators
Categories
Title
Measurements
OG0004.30± 1.722
OG0011.42± 1.866
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
ANOVA
ANCOVA model adjusted by baseline, treatment group, corticosteroid use, time since transplant
0.153
mean change difference
2.88
Standard Error of the Mean
1.987
2-Sided
95
-1.10
6.85
Superiority
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
OG002
Arm 3/Cohort 1 (De Novo Cohort): Control/Standard of Care: Tacrolimus (TAC) + MMF + Corticosteroids
Patients screened to the TAC control arm were initiated on a TAC-based regimen with MMF and corticosteroids.
Units
Counts
Participants
OG000110
OG001109
OG0020
Title
Denominators
Categories
Day 1 Pre-dose
ParticipantsOG00096
ParticipantsOG00194
ParticipantsOG0020
Title
Measurements
OG0000.00± 0.000
OG0010.00± 0.000
Day 1 post-dose
ParticipantsOG000106
ParticipantsOG001106
ParticipantsOG0020
Title
Measurements
OG000
Day 5 pre-dose
ParticipantsOG00095
ParticipantsOG00197
ParticipantsOG0020
Title
Measurements
OG000
Day 5 post-dose
ParticipantsOG00098
ParticipantsOG00199
ParticipantsOG0020
Title
Measurements
OG000
Day 15 pre-dose
ParticipantsOG000104
ParticipantsOG00198
ParticipantsOG0020
Title
Measurements
OG000
Day 29 pre-dose
ParticipantsOG00098
ParticipantsOG00195
ParticipantsOG0020
Title
Measurements
OG000
Month 1.5 pre-dose
ParticipantsOG00093
ParticipantsOG00193
ParticipantsOG0020
Title
Measurements
OG000
Month 2 pre-dose
ParticipantsOG00089
ParticipantsOG00190
ParticipantsOG0020
Title
Measurements
OG000
Month 2.5 pre-dose
ParticipantsOG00086
ParticipantsOG00188
ParticipantsOG0020
Title
Measurements
OG000
Month 3 pre-dose
ParticipantsOG00084
ParticipantsOG00183
ParticipantsOG0020
Title
Measurements
OG000
Month 4 pre-dose
ParticipantsOG00081
ParticipantsOG00172
ParticipantsOG0020
Title
Measurements
OG000
Month 6 pre-dose
ParticipantsOG00069
ParticipantsOG00177
ParticipantsOG0020
Title
Measurements
OG000
Month 8 pre-dose
ParticipantsOG00060
ParticipantsOG00164
ParticipantsOG0020
Title
Measurements
OG000
Month 10 pre-dose
ParticipantsOG00056
ParticipantsOG00158
ParticipantsOG0020
Title
Measurements
OG000
Moth 12 pre-dose
ParticipantsOG00051
ParticipantsOG00155
ParticipantsOG0020
Title
Measurements
OG000
Month 15 pre-dose
ParticipantsOG00036
ParticipantsOG00140
ParticipantsOG0020
Title
Measurements
OG000
Month 18 pre-dose
ParticipantsOG00043
ParticipantsOG00137
ParticipantsOG0020
Title
Measurements
OG000
Month 21 pre-dose
ParticipantsOG00040
ParticipantsOG00132
ParticipantsOG0020
Title
Measurements
OG000
Month 24 pre-dose
ParticipantsOG00036
ParticipantsOG00133
ParticipantsOG0020
Title
Measurements
OG000
Month 30 pre-dose
ParticipantsOG00011
ParticipantsOG00112
ParticipantsOG0020
Title
Measurements
OG000
Units
Counts
Participants
OG00070
OG0010
Title
Denominators
Categories
Day 1 Pre-dose
ParticipantsOG00067
ParticipantsOG0010
Title
Measurements
OG0000.00± 0.000
Day 1 post-dose
ParticipantsOG00068
ParticipantsOG0010
Title
Measurements
OG000681.59± 698.086
Day 15 pre-dose
ParticipantsOG00067
ParticipantsOG0010
Title
Measurements
OG000181.81± 72.297
Day 29 pre-dose
ParticipantsOG00065
ParticipantsOG0010
Title
Measurements
OG000147.56± 43.749
Month 1.5 pre-dose
ParticipantsOG00065
ParticipantsOG0010
Title
Measurements
OG000127.55± 39.794
Month 2 pre-dose
ParticipantsOG00061
ParticipantsOG0010
Title
Measurements
OG000121.81± 44.801
Month 2.5 pre-dose
ParticipantsOG00066
ParticipantsOG0010
Title
Measurements
OG000114.53± 44.759
Month 3 pre-dose
ParticipantsOG00063
ParticipantsOG0010
Title
Measurements
OG000104.40± 42.563
Month 4 pre-dose
ParticipantsOG00062
ParticipantsOG0010
Title
Measurements
OG000108.61± 51.790
Month 6 pre-dose
ParticipantsOG00056
ParticipantsOG0010
Title
Measurements
OG000112.14± 46.932
Month 8 pre-dose
ParticipantsOG00051
ParticipantsOG0010
Title
Measurements
OG000118.08± 42.868
Month 10 pre-dose
ParticipantsOG00041
ParticipantsOG0010
Title
Measurements
OG000106.98± 53.798
Moth 12 pre-dose
ParticipantsOG00037
ParticipantsOG0010
Title
Measurements
OG000111.05± 54.629
Month 15 pre-dose
ParticipantsOG00025
ParticipantsOG0010
Title
Measurements
OG000104.11± 67.744
Month 18 pre-dose
ParticipantsOG00024
ParticipantsOG0010
Title
Measurements
OG000115.59± 66.227
Month 21 pre-dose
ParticipantsOG00024
ParticipantsOG0010
Title
Measurements
OG000116.89± 53.953
Month 24 pre-dose
ParticipantsOG00018
ParticipantsOG0010
Title
Measurements
OG000111.03± 39.901
Month 30 pre-dose
ParticipantsOG0003
ParticipantsOG0010
Title
Measurements
OG000132.97± 65.132
Eligible patients were randomized to CFZ533 300 mg sc bi-weekly (Q2W) + Mycophenolate Mofetil (MMF) + Corticosteroids.
Patients randomized to CFZ533 arms were administered the first dose of CFZ533 at 30 mg/kg IV pre- or intra-operatively (Day 1) with completion of the infusion within one hour of unclamping and prior graft revascularization, in combination with MMF and corticosteroids. MMF and corticosteroids might be initiated prior to surgery according to local practice. A second IV dose of CFZ533 at 15 mg/kg was infused at Day 5 post-transplant.
Subsequent doses starting at Day 15: 300 mg sc (1 injection of 2 mL CFZ533 at 150 mg/mL, and 1 injection of 2 mL of the generic placebo) sc, Q2W, up to a planned Month 59.5 visit.
Units
Counts
Participants
OG000110
OG001109
Title
Denominators
Categories
Subject with an on-study result
ParticipantsOG000110
ParticipantsOG001109
Title
Measurements
OG000109
OG001108
Binding antibody positive at any time
ParticipantsOG000109
ParticipantsOG001108
Title
Measurements
OG0002
OG001
Subject with a result at baseline
ParticipantsOG000110
ParticipantsOG001109
Title
Measurements
OG000104
OG001
Binding antibody positive at or before baseline
ParticipantsOG000104
ParticipantsOG001101
Title
Measurements
OG0000
OG001
Subject with a post-baseline result
ParticipantsOG000110
ParticipantsOG001109
Title
Measurements
OG000102
OG001
Binding antibody positive post-baseline with a positive result at baseline
ParticipantsOG000102
ParticipantsOG001103
Title
Measurements
OG0000
OG001
Binding antibody positive post-baseline with a negative result at baseline
ParticipantsOG000102
ParticipantsOG001103
Title
Measurements
OG0002
OG001
Participants
OG00070
Title
Denominators
Categories
Subject with an on-study result
ParticipantsOG00070
Title
Measurements
OG00070
Binding antibody positive at any time
ParticipantsOG00070
Title
Measurements
OG0000
Subject with a result at baseline
ParticipantsOG00070
Title
Measurements
OG00068
Binding antibody positive at or before baseline
ParticipantsOG00068
Title
Measurements
OG0000
Subject with a post-baseline result
ParticipantsOG00070
Title
Measurements
OG00069
Binding antibody positive post-baseline with a positive result at baseline
ParticipantsOG00069
Title
Measurements
OG0000
Binding antibody positive post-baseline with a negative or no result at baseline