This study will evaluate the safety, PK, and efficacy of AT 1501 in patients undergoing kidney transplantation.
Eligibility
Sex
ALL
Min age
18 Years
Max age
100 Years
Healthy volunteers
No
Inclusion Criteria:
1. Male or female ≥ 18 years of age
2. Recipient of their first kidney transplant from a living or deceased donor
3. Agree to comply with contraception requirements during and for at least 90 days after the last administration of study drug
Exclusion Criteria:
1. Induction therapy, other than study assigned rATG, planned as part of initial immunosuppressive regimen
2. Currently treated with any systemic immunosuppressive regimen, including immunologic biologic therapies, with the exception of 5 mg prednisone or equivalent daily;
3. Previous treatment with AT 1501 or any other anti CD40LG therapy
4. The patient has previously received a bone marrow transplant or any other solid organ transplant, including a kidney, or will be undergoing a multi organ or dual kidney transplant
5. Will receive a kidney with an anticipated cold ischemia time of \> 30 hours;
6. Will receive a kidney from a donor that meets any of the following criteria:
* Donation after Cardiac Death (DCD) criteria; or
* Extended Criteria Donor (ECD) criteria, defined as:
* Is blood group (ABO) incompatible; or
* Age ≥ 60 years; or Age 50-59 years with any 2 of the following criteria:
* Death due to cerebrovascular accident
* History of hypertension
* Terminal creatinine ≥ 133 μmol/L (1.5 mg/dL)
7. Human leukocyte antigen identical (two haplotype match or zero HLA mismatch) donor
8. Medical conditions that require chronic use of systemic steroids at a dose higher than 5 mg prednisone or equivalent per day
9. History of a TE event, known hypercoagulable state, or condition requiring long term anticoagulation:
10. Positive T- or B-cell crossmatch that is due to HLA antibodies or presence of a DSA at Screening
Primary outcome measure(s)
Safety Incidences — Through study completion, an average up to 20 months Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and Adverse Events of Special Interest (AESIs)
Pharmacokinetic- PK profile — Day 1 and at steady state Month 3 PK profile of the first dose of AT 1501 and at steady state Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (Ct), calculated using noncompartmental analysis (AUC0-t)
Pharmacokinetic- Area under the plasma concentration — Day 1 and at steady state Month 3 Area under the plasma concentration versus time curve from time 0 extrapolated to infinity, calculated using noncompartmental analysis (AUC0-inf)
Pharmacokinetic- Cmax — Day 1 and at steady state Month 3 Maximum observed plasma concentration (Cmax)
Pharmacokinetic- Tmax — Day 1 and at steady state Month 3 Time to reach maximum observed plasma concentration (Tmax)
Pharmacokinetic- Ke — Day 1 and at steady state Month 3 Terminal elimination rate constant (Ke)
Pharmacokinetic- (t1/2) — Day 1 and at steady state Month 3 Terminal phase half-life (t1/2)
Pharmacokinetic- CL — Day 1 and at steady state Month 3 Clearance (CL)
Pharmacokinetic- (Vdss) — Day 1 and at steady state Month 3 Volume of distribution at steady state (Vdss)
Trial sites (9)
Facility
City
Region
Status
University of Cincinnati
Cincinnati
Ohio
Recruiting
Royal Prince Alfred Hospital
Camperdown
New South Wales
Recruiting
Royal Adelaide Hospital
Adelaide
South Australia
Recruiting
Fundação Oswaldo Ramos - Hospital do Rim
São Paulo
Brazil
Recruiting
Providence Health Care - St. Paul's Hospital
Vancouver
British Columbia
Recruiting
Vancouver General Hospital
Vancouver
British Columbia
Recruiting
McGill University Health Care Centre
Montreal
Quebec
Recruiting
Liverpool University Hospitals NHS Foundation Trust - Royal Liverpool University Hospital
Liverpool
United Kingdom
Recruiting
Oxford University Hospitals NHS Foundation Trust - John Radcliffe Hospital
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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