Myfortic in High MELD Liver Transplantation

Withdrawn before enrolling · Not applicable

Conditions studied: High Model for End-Stage Liver Disease (MELD) Score

In brief

The objective of the study is to determine the efficacy and safety of Everolimus conversion in liver transplantation. Most large US liver centers transplant patients with high Model for End-Stage Liver Disease (MELD) scores. However, many of the sponsored liver transplant trials in the US do not include patients with high MELD scores making it difficult to extrapolate these trial data to the patients cared for at larger liver transplant centers. The greatest potential benefit of mammalian target of rapamycin (mTOR) inhibitors is the avoidance of the side-effects of calcineurin-inhibitors, namely, renal insufficiency, diabetes and hypertension. Therefore, this protocol is designed to study the efficacy and safety of everolimus and Myfortic in liver transplant patients with high MELD scores at two large centers with a vast experience in the administration of mTOR inhibitors.

Key facts

Study ID: NCT01807767
Run by: Medical College of Wisconsin
People needed: 0
Starts: 2013-03-01
Expected to finish: 2015-08-01
Last updated by the study team: 2019-10-21

Who can join

Age: 18 and older, up to 70. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Patients must give written informed consent before any assessment is performed.
MELD ≥ 25.
Recipients who are 18-70 years of age of a primary or secondary liver transplant from a deceased donor.
Allograft is functioning at an acceptable level by the time of randomization as defined by the Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Total Bilirubin levels ≤3 times Upper Limit of Normal (ULN), and Alkaline Phosphatase (AlkP) levels ≤ 5 times ULN.
Ability and willingness to provide written informed consent and adhere to study regimen.
Patients who are able to take oral medication at time of randomization. Glomerular Filtration Rate (GFR) ≥ 30 ml/min.

You may not qualify if…

Patients receiving 3rd transplants
Fulminant hepatic failure
Living donor transplants
Donation after Cardiac Death (DCD) donors or split grafts
Active infection or hemodynamic instability at the time of transplant
Renal replacement therapy for clearance within 7 days prior to randomization
Presence of thrombosis via Doppler ultrasound of the major hepatic arteries, major hepatic veins, portal vein and inferior vena cava.
An episode of acute rejection that required antibody therapy or more than one steroid sensitive episode of acute rejection prior to randomization. This includes patients who have not completed steroid treatment for acute rejection within 7 days prior to randomization.
Spot urine protein/creatinine ratio > 1g/24h at time of randomization
Combined liver/kidney transplant
Patients who have severe hypercholesterolemia (>350 mg/dL) or Patients with platelet count < 50,000 at time of randomization
Patients with an Absolute neutrophil count (ANC) of < 1,000 or White Blood Count (WBC) of <2,000 at time of randomization
Patients with hemoglobin <6g/dL
Patients who are unable to take oral medication at time of randomization
Patients with clinically significant systemic infection requiring active use of IV antibiotics, anti-virals, or anti-fungals
Patients who are in a critical care setting at the time of randomization requiring life support measures such as mechanical ventilation, dialysis, requirement of vasopressor agents
Known intolerance to tacrolimus or everolimus or Myfortic.

Where it is running

University of Colorado Denver — Aurora, Colorado, United States

Full record on ClinicalTrials.gov

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