Extension Study to Evaluate the Long-term Efficacy and Safety of Everolimus in Liver Transplant Recipients

PHASE3CompletedINTERVENTIONAL
Enrollment

284

Participants

Timeline

Start Date

March 31, 2010

Primary Completion Date

May 3, 2013

Study Completion Date

May 3, 2013

Conditions
Liver Transplant Recipient
Interventions
DRUG

Tacrolimus (reduced tacrolimus)

After everolimus whole blood trough levels were confirmed to be in the target range of 3-8 ng/mL, tacrolimus tapering began, achieving a target tacrolimus whole blood trough level of 3-5 ng/mL by 3 weeks after randomization, a level which was maintained for the duration of the study.

DRUG

Everolimus (reduced tacrolimus)

Everolimus was started within 24 hours of randomization at a dose of 1.0 mg twice a day (bid, 2 mg daily dose). The dose was adjusted to maintain everolimus trough blood levels between 3-8 ng/mL for the duration of the study.

DRUG

Tacrolimus (tacrolimus elimination)

After everolimus whole blood trough levels were confirmed to be in the target range of 3-8 ng/mL, tacrolimus tapering began, achieving a target tacrolimus whole blood trough level of 3-5 ng/mL by 3 weeks after randomization. Tacrolimus elimination was started beginning at Month 4. Tacrolimus was tapered after everolimus whole blood trough levels were within the target range of 6-10 ng/mL. Tacrolimus was completely eliminated by the end of Month 4.

DRUG

Everolimus (tacrolimus elimination)

Everolimus was started within 24 hours of randomization at a dose of 1.0 mg twice a day (bid, 2 mg daily dose). The dose was adjusted to maintain everolimus trough blood levels between 3-8 ng/mL until Month 4; beginning with Month 4, the dose was adjusted to maintain everolimus trough blood levels between 6-10 ng/mL.

DRUG

Tacrolimus (tacrolimus control)

Tacrolimus trough levels were targeted to be maintained at 8-12 ng/mL until Month 4. At Month 4, tacrolimus whole blood trough levels were decreased to a target trough level of 6-10 ng/mL for the remainder of the study.

DRUG

Corticosteroids

For patients in all groups, corticosteroids were initiated at or prior to the time of transplantation according to local practice. Corticosteroids could be used for the duration of the study but could not be eliminated before Month 6. The corticosteroids were not specified in the protocol because they were adminsitered to the participants according to local practice as part of standard of care.

Trial Locations (57)

2050

Novartis Investigative Site, Camperdown

3000

Novartis Investigative Site, Leuven

3084

Novartis Investigative Site, Heidelberg

4000

Novartis Investigative Site, Liège

5041

Novartis Investigative Site, Bedford Park

9000

Novartis Investigative Site, Ghent

10016

Novartis Investigative Site, New York

10032

Novartis Investigative Site, New York

10126

Novartis Investigative Site, Torino

13353

Novartis Investigative Site, Berlin

13385

Novartis Investigative Site, Marseille

20162

Novartis Investigative Site, Milan

20246

Novartis Investigative Site, Hamburg

27599

Novartis Investigative Site, Chapel Hill

27710

Novartis Investigative Site, Durham

29425

Novartis Investigative Site, Charleston

33076

Novartis Investigative Site, Bordeaux

33606

Novartis Investigative Site, Tampa

34295

Novartis Investigative Site, Montpellier

40536

Novartis Investigative Site, Lexington

41124

Novartis Investigative Site, Modena

45147

Novartis Investigative Site, Essen

46026

Novartis Investigative Site, Valencia

48202

Novartis Investigative Site, Detroit

48903

Novartis Investigative Site, Barakaldo

55131

Novartis Investigative Site, Mainz

55905

Novartis Investigative Site, Rochester

56124

Novartis Investigative Site, Pisa

63110

Novartis Investigative Site, St Louis

69120

Novartis Investigative Site, Heidelberg

73112

Novartis Investigative Site, Oklahoma City

77030

Novartis Investigative Site, Houston

92110

Novartis Investigative Site, Clichy

93053

Novartis Investigative Site, Regensburg

94010

Novartis Investigative Site, Créteil

94805

Novartis Investigative Site, Villejuif

123182

Novartis Investigative Site, Moscow

129010

Novartis Investigative Site, Moscow

20007-2197

Novartis Investigative Site, Washington D.C.

07101

Novartis Investigative Site, Newark

77030-2400

Novartis Investigative Site, Houston

C1118AAT

Novartis Investigative Site, CABA

C1107BEA

Novartis Investigative Site, San Martín

21041-030

Novartis Investigative Site, Rio de Janeiro

90020-090

Novartis Investigative Site, Porto Alegre

Unknown

Novartis Investigative Site, Santiago de Cali

Novartis Investigative Site, Bogotá

Novartis Investigative Site, Dublin

140 21

Novartis Investigative Site, Prague

04103

Novartis Investigative Site, Leipzig

00161

Novartis Investigative Site, Roma

3015 CE

Novartis Investigative Site, Rotterdam

08907

Novartis Investigative Site, L'Hospitalet de Llobregat

08035

Novartis Investigative Site, Barcelona

08036

Novartis Investigative Site, Barcelona

141 86

Novartis Investigative Site, Stockholm

EH16 4SA

Novartis Investigative Site, Edinburgh

Sponsors
All Listed Sponsors
lead

Novartis Pharmaceuticals

INDUSTRY