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Trial · NCT00514514

Study Investigating a Standard Regimen in de Novo Kidney Transplant Patients Versus a Calcineurin Inhibitor (CNI)-Free Regimen and a CNI-low Dose Regimen

NCT00514514, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2017-01-18

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ConductScience Library. Study Investigating a Standard Regimen in de Novo Kidney Transplant Patients Versus a Calcineurin Inhibitor (CNI)-Free Regimen and a CNI-low Dose Regimen. Trials, record NCT00514514. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00514514

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Trial

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

Title
Study Investigating a Standard Regimen in de Novo Kidney Transplant Patients Versus a Calcineurin Inhibitor (CNI)-Free Regimen and a CNI-low Dose Regimen
NCT number
NCT00514514
Status
Completed
Phases
Phase 3
Enrollment
802 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Kidney Transplantation
Interventions
Everolimus, Myfortic, Sandimmun Optoral, Simulect®
First posted
2007-08-10
Last updated
2017-01-18
Results first posted
2017-01-18

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimaryGFR Via Nankivell Method at Month 12 - CNI-Free vs Standard RegimenFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Demonstrate superiority of CNI-Free vs Standard Regimen in GFR using the Nankivell formula (GFR = 6.7 / Scr + BW / 4 - Surea / 2-100 / (height)² + C where where Scr is the serum creatinine concentration expressed in mmol/L, BW the body weight in kilograms, Surea the serum urea in mmol/L, height in m, and the constant C is 35 for male and 25 for female patients. The calculated GFR is expressed in mL/min per 1.73m², last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model, with treatment, center, donor type (deceased vs. living) as factors and BL2-value at V4/M3/BL2 as covariate. P-values are not adjusted
SecondaryGFR Via Nankivell Formula at Month 12 - All RegimensFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Change in GFR using the Nankivell formula (GFR = 6.7 / Scr + BW / 4 - Surea / 2-100 / (height)² + C where where Scr is the serum creatinine concentration expressed in mmol/L, BW the body weight in kilograms, Surea the serum urea in mmol/L, height in m, and the constant C is 35 for male and 25 for female patients. The calculated GFR is expressed in mL/min per 1.73m², last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model, with treatment, center, donor type (deceased vs. living) as factors and BL2-value at V4/M3/BL2 as covariate.
SecondaryGFR at Month 12 Utilizing Modification of Diet in Renal Disease (MDRD) MethodFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Change in GFR (Modification of Diet in Renal Disease calculated using the -MDRD formulat: For men: GFR = 170 × (serum creatinine -0,999)×(age-0,176) x (urea nitrogen -0,17) × (albumin0,318) For women: GFR = 170 × (serum creatinine -0,999) × (age-0,176) × (urea nitrogen -0,17) x (albumin0,318) × 0.762 with urea nitrogen = urea / 2.144. ), last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model, with treatment, center, donor type (deceased vs. living) as factors and BL2-value at V4/M3/BL2 as covariate.
SecondaryGFR at Month 12 Utilizing Cockcroft-Gault FormulaFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Cockcroft-Gault formula: For men: GFR= ((140-age) × body weight in kg)∕(72 x serum creatinine in mg∕dl)For women: GFR= (0.85×(140-age) × body weight in kg)∕(72 x serum creatinine in mg/dl), ), last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model
SecondaryMean Change in Serum Creatinine From Month 3 to Month 12From randomization at BL2 (Month 3) to Month 12 post-transplantChange in venous blood serum creatinine. Last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model
SecondaryEfficacy Event Data From Baseline 2 (Month 3) to Month 6From Baseline 2 (Month 3) to Month 6
Efficacy events were: Biopsy-proven acute rejection (BPAR), graft loss, death, and treatment failure (defined as composite endpoint of BPAR, graft loss, death, loss to follow-up, discontinuation due to lack of efficacy or due to toxicity).
SecondaryEfficacy Event Data Baseline 2 (Month 3) to Month 12From Baseline 2 (Month 3) to Month 12
Efficacy events were: Biopsy-proven acute rejection (BPAR), graft loss, death, and treatment failure (defined as composite endpoint of BPAR, graft loss, death, loss to follow-up, discontinuation due to lack of efficacy or due to toxicity).
SecondaryChange From BL2 (Month 3) to Month 12 in Cardiovascular Risk (Framingham Score; 10-year Cardiovascular Risk)From Baseline 2 (Month 3) to Month 12
The Framingham Score (based on LDL cholesterol level) estimates the coronary heart disease risk (%) of developing one of the following coronary heart diseases: angina pectoris, myocardial infarction, or coronary disease death, over the course of 10 years.
SecondaryGFR Calculated Via Nankivell Formula at Month 60From randomization at BL2 (Month 3) to Month 60
Change in GFR using the Nankivell formula (GFR = 6.7 / Scr + BW / 4 - Surea / 2-100 / (height)² + C where where Scr is the serum creatinine concentration expressed in mmol/L, BW the body weight in kilograms, Surea the serum urea in mmol/L, height in m, and the constant C is 35 for male and 25 for female patients. The calculated GFR is expressed in mL/min per 1.73m², last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model, with treatment, center, donor type (deceased vs. living) as factors and BL2-value at V4/M3/BL2 as covariate.
SecondaryGFR at Month 60 Utilizing Cockcroft-Gault FormulaFrom randomization at BL2 (Month 3) to Month 60 post-transplant
Cockcroft-Gault formula: For men: GFR= ((140-age) × body weight in kg)∕(72 x serum creatinine in mg∕dl) For women: GFR= (0.85×(140-age) × body weight in kg)∕(72 x serum creatinine in mg/dl), ), last observation carried forward (LOCF) was used for imputation of missing values, ANCOVA model

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYGFR Via Nankivell Method at Month 12 - CNI-Free vs Standard RegimenFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Participants analyzed differs due to different input values requested by the different formulas (Nankivell, MDRD and Cockcroft-Gault). ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization.
ml/min/1.73m²LEAST_SQUARES_MEAN
SECONDARYGFR Via Nankivell Formula at Month 12 - All RegimensFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Participants analyzed differs due to different input values requested by the different formulas (Nankivell, MDRD and Cockcroft-Gault). ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization.
ml/min/1.73m²LEAST_SQUARES_MEAN
SECONDARYGFR at Month 12 Utilizing Modification of Diet in Renal Disease (MDRD) MethodFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Participants analyzed differs due to different input values requested by the different formulas (Nankivell, MDRD and Cockcroft-Gault). ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization.
ml/min/1.73m²LEAST_SQUARES_MEAN
SECONDARYGFR at Month 12 Utilizing Cockcroft-Gault FormulaFrom randomization at BL2 (Month 3) to Month 12 post-transplant
Participants analyzed differs due to different input values requested by the different formulas (Nankivell, MDRD and Cockcroft-Gault). ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization.
ml/min/1.73m²LEAST_SQUARES_MEAN
SECONDARYMean Change in Serum Creatinine From Month 3 to Month 12From randomization at BL2 (Month 3) to Month 12 post-transplant
Participants analyzed required at least one post randomization value. ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization
mg/dlLEAST_SQUARES_MEAN
SECONDARYEfficacy Event Data From Baseline 2 (Month 3) to Month 6From Baseline 2 (Month 3) to Month 6
The Intention-to-treat (ITT) Population consisted of all patients who were randomized at BL2 (Month 3), and who received at least one dose of randomized treatment. Patients were analyzed according to their assigned treatment. The ITT population might have included patients without any data after randomization.
ParticipantsNUMBER
SECONDARYEfficacy Event Data Baseline 2 (Month 3) to Month 12From Baseline 2 (Month 3) to Month 12
The Intention-to-treat (ITT) Population consisted of all patients who were randomized at BL2 (Month 3), and who received at least one dose of randomized treatment. Patients were analyzed according to their assigned treatment. The ITT population might have included patients without any data after randomization.
ParticipantsNUMBER
SECONDARYChange From BL2 (Month 3) to Month 12 in Cardiovascular Risk (Framingham Score; 10-year Cardiovascular Risk)From Baseline 2 (Month 3) to Month 12
The Intention-to-treat (ITT) Population consisted of all patients who were randomized at BL2 (Month 3), and who received at least one dose of randomized treatment. Patients were analyzed according to their assigned treatment. The ITT population might have included patients without any data after randomization.
Percent riskMEAN
SECONDARYGFR Calculated Via Nankivell Formula at Month 60From randomization at BL2 (Month 3) to Month 60
Participants analyzed differs due to different input values requested by the different formulas (Nankivell, MDRD and Cockcroft-Gault). ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization
ml/min/1.73m²LEAST_SQUARES_MEAN
SECONDARYGFR at Month 60 Utilizing Cockcroft-Gault FormulaFrom randomization at BL2 (Month 3) to Month 60 post-transplant
Participants analyzed differs due to different input values requested by the different formulas (Nankivell, MDRD and Cockcroft-Gault). ITT Population consisted of all patients who were randomized at Month 3 who received at least one dose of randomized treatment. The ITT population might have included patients without any data after randomization
ml/min/1.73m²LEAST_SQUARES_MEAN

Results by group99

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

OutcomeGroupCategoryValueSpreadUnits
GFR Via Nankivell Method at Month 12 - CNI-Free vs Standard RegimenStandard Regimen63.0395% Confidence Interval 60.57 to 65.49ml/min/1.73m²
GFR Via Nankivell Method at Month 12 - CNI-Free vs Standard RegimenCNI Free Regimen68.5995% Confidence Interval 66.10 to 71.08ml/min/1.73m²
GFR Via Nankivell Method at Month 12 - CNI-Free vs Standard RegimenCNI Low Regimen63.0895% Confidence Interval 60.62 to 65.55ml/min/1.73m²
GFR Via Nankivell Formula at Month 12 - All RegimensStandard Regimen63.0395% Confidence Interval 60.57 to 65.49ml/min/1.73m²
GFR Via Nankivell Formula at Month 12 - All RegimensCNI Free Regimen68.5995% Confidence Interval 66.10 to 71.08ml/min/1.73m²
GFR Via Nankivell Formula at Month 12 - All RegimensCNI Low Regimen63.0895% Confidence Interval 60.62 to 65.55ml/min/1.73m²
GFR at Month 12 Utilizing Modification of Diet in Renal Disease (MDRD) MethodStandard Regimen50.2395% Confidence Interval 47.66 to 52.80ml/min/1.73m²
GFR at Month 12 Utilizing Modification of Diet in Renal Disease (MDRD) MethodCNI Free Regimen56.3695% Confidence Interval 53.77 to 58.94ml/min/1.73m²
GFR at Month 12 Utilizing Modification of Diet in Renal Disease (MDRD) MethodCNI Low Regimen50.2495% Confidence Interval 47.70 to 52.77ml/min/1.73m²
GFR at Month 12 Utilizing Cockcroft-Gault FormulaStandard Regimen60.1895% Confidence Interval 57.33 to 63.03ml/min/1.73m²

Participant flow33

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

PeriodMilestoneGroupParticipantsUnits counted
Pre-phaseSTARTEDStandard Regimen802
Pre-phaseSTARTEDCNI Free Regimen0
Pre-phaseSTARTEDCNI Low Regimen0
Pre-phaseCOMPLETEDStandard Regimen499
Pre-phaseCOMPLETEDCNI Free Regimen0
Pre-phaseCOMPLETEDCNI Low Regimen0
Pre-phaseNOT COMPLETEDStandard Regimen303
Pre-phaseNOT COMPLETEDCNI Free Regimen0
Pre-phaseNOT COMPLETEDCNI Low Regimen0
Randomized - 9 MonthSTARTEDStandard Regimen166

Adverse events732

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherANAEMIABlood and lymphatic system disordersStandard Regimen5165
otherANAEMIABlood and lymphatic system disordersCNI-free14171
otherANAEMIABlood and lymphatic system disordersCNI-low2161
otherLEUKOPENIABlood and lymphatic system disordersStandard Regimen22165
otherLEUKOPENIABlood and lymphatic system disordersCNI-free26171
otherLEUKOPENIABlood and lymphatic system disordersCNI-low18161
otherAPHTHOUS STOMATITISGastrointestinal disordersStandard Regimen1165
otherAPHTHOUS STOMATITISGastrointestinal disordersCNI-free33171
otherAPHTHOUS STOMATITISGastrointestinal disordersCNI-low14161
otherDIARRHOEAGastrointestinal disordersStandard Regimen17165

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityStandard Regimen
Total, all-cause mortalityCNI-free
Total, all-cause mortalityCNI-low
Total, other adverse eventsStandard Regimen121165
Total, other adverse eventsCNI-free134171
Total, other adverse eventsCNI-low133161
Total, serious adverse eventsStandard Regimen87165
Total, serious adverse eventsCNI-free91171
Total, serious adverse eventsCNI-low85161

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
28605781DERIVEDPubMed
30231851DERIVEDPubMed

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.

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