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To evaluate the efficacy and safety of CertiroBell® tablet plus tacrolimus
This study is multi-center, single arm, open-label, phase 4 study to evaluate the efficacy and safety of CertiroBell® tablet plus tacrolimus in primary living donor liver transplant recipients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CertiroBell Tablet | Experimental | Use in combination with Tacrolimus at least 6 months after liver transplantation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Everolimus | Drug | - Oral intake, BID - After first dose 1mg(total 2mg daily), check the blood concentration of everolimus at each visit and adjust the dose to achieve the blood concentration maintaining at 3~8mg/mL. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of composite efficacy failure | composite efficacy failure include biopsy-confirmed acute rejection, graft loss, death, or follow-up failure | until 24 weeks after taking medicine |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of biopsy-confirmed acute rejection | acute rejection confirmed by result of biopsy(over 4 points of RAI score) | until 24 weeks after taking medicine |
| Pathological result, time of occurrence, treatment method and treatment result of acute rejection confirmed by biopsy(over 4 points of RAI score) |
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Inclusion Criteria:
Exclusion Criteria:
Patients who had received non-liver organs before liver transplantation or had received other organs while receiving liver.
Patients who had auxiliary partial orthotopic liver transplantation or had bioartifical liver
Patients who have been diagnosed with acute rejection within 6 months and have been treated
Patients who had hepatic artery complication such as hepatic artery thrombosis within recent 6 months
Patients who have been diagnosed with malignant tumor within 5 years(however, the following will be excepted)
Patients with severe systemic infection
Patients who are difficult to communicate due to mental disorder
Patients who are in treatment for hapatitis, or are over 3 times higher than upper normal limit in liver function test(T-bilirubin, AST, ALT) or over 5 times higher than normal limit of ALP
Patients who are(at screening visit)
Patients taking HCV(hapatitis C virus) therapeutic drug or anti-HCV positive patients who have positive result in HCV RNA test at screening visit
Patients who had plasmapheresis within 1 week
Those who are pregnant, nursing, or are not practicing contraception with appropriate method
Patients who had plasmapheresis within 3 months
if participated in other trail within 4 weeks(28 days)
In investigator's judgement
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kyung-Suk Suh, M.D., Ph.D. | Contact | 82-2-2072-7200 | kssuh@snu.ac.kr |
| Name | Affiliation | Role |
|---|---|---|
| Kyung-Suk Suh, M.D., Ph.D. | Seoul National University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hosipital | Recruiting | Seoul | South Korea |
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| ID | Term |
|---|---|
| D000068338 | Everolimus |
| ID | Term |
|---|---|
| D020123 | Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
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|
details of acute rejection confiremd by result of biopsy(over 4 points of RAI score) |
| until 24 weeks after taking medicine |
| Survival rate of patients | Survival rate of patients | until 24 weeks after taking medicine |
| Survival rate of transplanted organ | Survival rate of transplanted organ | until 24 weeks after taking medicine |
| Incidence rate of liver cancer | Incidence rate of liver cancer | until 24 weeks after taking medicine |
| Recurrence rate of liver cancer | Recurrence rate of liver cancer | until 24 weeks after taking medicine |
| Incidence rate of CMV infection | Incidence rate of CMV infection | until 24 weeks after taking medicine |
| Variation of serum creatinine, eGFR(estimated glomerular filtration rate) compared to baseline using MDRD(Modification of Diet in Renal Disease) | eGRF using MDRD(Modification of Diet in Renal Disease) method | until 24 weeks after taking medicine |