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Trial · NCT00300274

Efficacy and Safety of Everolimus in Recipients of Heart Transplants to Prevent Acute and Chronic Rejection

NCT00300274, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2012-08-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Everolimus in Recipients of Heart Transplants to Prevent Acute and Chronic Rejection. Trials, record NCT00300274. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00300274

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Everolimus in Recipients of Heart Transplants to Prevent Acute and Chronic Rejection
NCT number
NCT00300274
Status
Completed
Phases
Phase 3
Enrollment
721 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Graft Rejection
Interventions
everolimus, mycophenolate mofetil, cyclosporine, corticosteroids
First posted
2006-03-08
Last updated
2012-08-16
Results first posted
2012-08-16

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Composite Efficacy Failure at 12 Months12 Months
Composite efficacy failure was defined as Biopsy Proven Acute Rejection(BPAR) of International Society for Heart and Lung Transplantation(ISHLT) grade ≥3A, Acute Rejection associated with Hemodynamic Compromise, Graft loss/Retransplant, Death or Loss to follow-up. Identification of acute rejection was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤30% or 25% lower than Baseline or Fractional shortening ≤20% or 25% lower than Baseline and/or use of inotropic treatment.
SecondaryPercentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 12 Months12 Months
Loss to follow-up for this composite endpoint included participants who did not experience graft loss/re-transplant or death and whose last day of contact was prior to Day 316 (start day of the Month 12 visit window).
SecondaryRenal Function Measured by Glomerular Filtration Rate (GFR) at 12 Months12 Months
GFR was calculated using the Modification of Diet and Renal Disease (MDRD) formula: GFR \[mL/min/1.73m\^2\] = 186.3\*(C\^-1.154)\*(A\^-0.203)\*G\*R where C is the serum concentration of creatinine \[mg/dL\] A is age \[years\] G=0.742 when gender is female, otherwise G=1 R=1.21 when race is black, otherwise R=1
SecondaryChange From Baseline in the Average Maximum Intimal Thickness at Month 12Baseline, Month 12
Maximum intimal thickness was assessed using Intravascular Ultrasound (IVUS). IVUS is a technique for taking ultrasound pictures of the wall of an artery from inside the artery itself. It shows the thickness of the artery wall and any narrowing of the artery.
SecondaryPercentage of Participants With Cardiac Allograft Vasculopathy (CAV) at Month 1212 MonthsCardiac allograft vasculopathy is defined as a 0.5 mm increase in maximum intimal thickness as measured by Intravascular Ultrasound (IVUS) in at least one matched slice between baseline and Month 12.
SecondaryPercentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 1212 Months
Identification of acute rejections was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤ 30% or 25% lower than Baseline or Fractional shortening ≤ 20% or 25% lower than Baseline, and/or use of inotropic treatment.
SecondaryPercentage of Participants With Composite Efficacy Failure at 24 Months24 Months
Composite efficacy failure was defined as Biopsy Proven Acute Rejection (BPAR) of International Society for Heart and Lung Transplantation grade ≥ 3A, Acute Rejection associated with Hemodynamic Compromise, Graft loss/Retransplant, Death or Loss to follow-up. Identification of acute rejections was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤ 30% or 25% lower than Baseline or Fractional shortening ≤ 20% or 25% lower than Baseline and/or use of inotropic treatment.
SecondaryPercentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 24 Months24 Months
Loss to follow-up for this composite endpoint included participants who did not experience graft loss/re-transplant or death and whose last day of contact was prior to Day 631 (start day of 24 Month visit window).
SecondaryRenal Function Calculated by Glomerular Filtration Rate (GFR) at 24 Months24 Months
GFR was calculated using the Modification of Diet and Renal Disease (MDRD) formula: GFR \[mL/min/1.73m\^2\] = 186.3\*(C\^-1.154)\*(A\^-0.203)\*G\*R C is the serum concentration of creatinine \[mg/dL\] A is age \[years\] G=0.742 when gender is female, otherwise G=1 R=1.21 when race is black, otherwise R=1
Secondary
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection (AR) Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 24
24 Months
Identification of acute rejections was based on the local pathologist's evaluation of endomyocardial biopsy slides. Hemodynamic compromise was present if 1 or more of the following were met: Ejection fraction ≤ 30% or 25% lower than Baseline or Fractional shortening ≤ 20% or 25% lower than Baseline, and/ or use of inotropic treatment.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Composite Efficacy Failure at 12 Months12 MonthsIntent-to-treat population included all randomized participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 12 Months12 MonthsIntent-to-treat population included all randomized participants.Percentage of participantsNUMBER
SECONDARYRenal Function Measured by Glomerular Filtration Rate (GFR) at 12 Months12 MonthsParticipants from the intent-to-treat population (all randomized participants) with data available for analysis.mL/min/1.73^2MEAN
SECONDARYChange From Baseline in the Average Maximum Intimal Thickness at Month 12Baseline, Month 12IVUS population consisted of randomized patients who had a minimum of 11 matched slices between IVUS images from Baseline and from Month 12 (IVUS Centers).mmMEAN
SECONDARYPercentage of Participants With Cardiac Allograft Vasculopathy (CAV) at Month 1212 MonthsIVUS population consisted of randomized patients who had a minimum of 11 matched slices between IVUS images from Baseline and from Month 12 (IVUS centers).Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 1212 MonthsIntent-to-treat population includes all randomized participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Composite Efficacy Failure at 24 Months24 MonthsIntent-to-treat population included all randomized participants.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 24 Months24 MonthsIntent-to-treat population included all randomized participants.Percentage of participantsNUMBER
SECONDARYRenal Function Calculated by Glomerular Filtration Rate (GFR) at 24 Months24 MonthsParticipants from the intent-to-treat population (all randomized participants) with data available for analysis.mL/min/1.73^2MEAN
SECONDARY
Percentage of Participants With Biopsy-proven Acute Rejection (BPAR of ISHLT Grade ≥ 3A), Acute Rejection (AR) Associated With Hemodynamic Compromise (HDC), Graft Loss/Re-transplant and Death at Month 24
24 MonthsIntent-to-treat population included all randomized participants.Percentage of participantsNUMBER

Results by group48

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Composite Efficacy Failure at 12 MonthsEverolimus 1.5 mg35.1Percentage of participants
Percentage of Participants With Composite Efficacy Failure at 12 MonthsEverolimus 3.0 mg35.1Percentage of participants
Percentage of Participants With Composite Efficacy Failure at 12 MonthsMycophenolate Mofetil33.6Percentage of participants
Percentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 12 MonthsEverolimus 1.5 mg11.7Percentage of participants
Percentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 12 MonthsEverolimus 3.0 mg11.9Percentage of participants
Percentage of Participants With Graft Loss/Re-transplant, Death or Loss to Follow-up at 12 MonthsMycophenolate Mofetil8.9Percentage of participants
Renal Function Measured by Glomerular Filtration Rate (GFR) at 12 MonthsEverolimus 1.5 mg59.21Standard Deviation 23.113mL/min/1.73^2
Renal Function Measured by Glomerular Filtration Rate (GFR) at 12 MonthsEverolimus 3.0 mg59.78Standard Deviation 23.141mL/min/1.73^2
Renal Function Measured by Glomerular Filtration Rate (GFR) at 12 MonthsMycophenolate Mofetil64.37Standard Deviation 28.365mL/min/1.73^2
Change From Baseline in the Average Maximum Intimal Thickness at Month 12Everolimus 1.5 mg0.03Standard Deviation 0.052mm

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEverolimus 1.5 mg282
Overall StudySTARTEDEverolimus 3.0 mg168
Overall StudySTARTEDMycophenolate Mofetil271
Overall StudyCompleted 12 MonthEverolimus 1.5 mg250
Overall StudyCompleted 12 MonthEverolimus 3.0 mg149
Overall StudyCompleted 12 MonthMycophenolate Mofetil248
Overall StudyCOMPLETEDEverolimus 1.5 mg236
Overall StudyCOMPLETEDEverolimus 3.0 mg141
Overall StudyCOMPLETEDMycophenolate Mofetil226
Overall StudyNOT COMPLETEDEverolimus 1.5 mg46

Adverse events1,797

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersEverolimus 1.5 mg105279
otherAnaemiaBlood and lymphatic system disordersEverolimus 3.0 mg60167
otherAnaemiaBlood and lymphatic system disordersMycophenolate Mofetil74268
otherLeukocytosisBlood and lymphatic system disordersEverolimus 1.5 mg37279
otherLeukocytosisBlood and lymphatic system disordersEverolimus 3.0 mg27167
otherLeukocytosisBlood and lymphatic system disordersMycophenolate Mofetil27268
otherLeukopeniaBlood and lymphatic system disordersEverolimus 1.5 mg36279
otherLeukopeniaBlood and lymphatic system disordersEverolimus 3.0 mg29167
otherLeukopeniaBlood and lymphatic system disordersMycophenolate Mofetil67268
otherNeutropeniaBlood and lymphatic system disordersEverolimus 1.5 mg8279

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEverolimus 1.5 mg
Total, all-cause mortalityEverolimus 3.0 mg
Total, all-cause mortalityMycophenolate Mofetil
Total, other adverse eventsEverolimus 1.5 mg275279
Total, other adverse eventsEverolimus 3.0 mg165167
Total, other adverse eventsMycophenolate Mofetil262268
Total, serious adverse eventsEverolimus 1.5 mg209279
Total, serious adverse eventsEverolimus 3.0 mg119167
Total, serious adverse eventsMycophenolate Mofetil168268

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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