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Cornerstone immunosuppressive therapy currently relies on immediate-release tacrolimus, a calcineurin inhibitor (CNI) that is potentially nephrotoxic and is more diabetogenic than cyclosporine A. A new formulation of tacrolimus has been launched: an extended-release formulation (Advagraf®/Astagraf XL®, Astellas company).
This study wants to assess the efficacy of an extended-release formulation of tacrolimus (Advagraf®/Astagraf XL®) used in conjunction with an mTOR-inhibitor agent (sirolimus ) instead of MMF to evaluate the hypothesis that this regimen is associated with good allograft outcome, and might also prevent late-onset cytomegalovirus infection. Advagraf®-based immunosuppression given to de novo kidney-transplant recipients may also increase patients' adherence to treatment due to once-daily usage of the drug.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of care | No Intervention | Advograf plus Cellcept plus Prednisolone | |
| Intervention | Other | Advograf plus Rapamiune plus Prednisolone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rapamune Pill | Drug | Rapamiune Tablet 1mg daily plus Advograf plus prednisolone |
|
| Measure | Description | Time Frame |
|---|---|---|
| Kidney function | gfr measurement | through study completion, an average of 1 year |
| Post-transplant viral Infections | Number of participents with positive blood tests of CMV and BK as assessed by PCR | through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| PI | Contact | 00989122404331 | dr.nooshindalili@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Dalili | SBMU | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nooshin Dalili | Recruiting | Tehran | 1666663421 | Iran |
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| ID | Term |
|---|---|
| D020123 | Sirolimus |
| ID | Term |
|---|---|
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
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