The purpose of this study is to evaluate the efficacy and safety of ASKP1240, an anti-CD40 monoclonal antibody, for the prophylaxis of organ rejection after kidney transplantation. This study will compare the efficacy of basiliximab induction, ASKP1240, mycophenolate mofetil (MMF), and steroids \[calcineurin inhibitor (CNI) avoidance\] to the standard of care immunosuppressive regimen (basiliximab induction + tacrolimus + MMF + steroids). In addition, the study will compare the efficacy of basiliximab induction, ASKP1240, tacrolimus and steroids \[CNI minimization-MMF avoidance\] to the standard of care immunosuppressive regimen (basiliximab induction + tacrolimus + MMF + steroids).
Subjects will be followed for 6 months. Upon completion of the first 6 months of the study, subjects may participate in the Long Term Extension period of the study. Subjects will remain on their original treatment arm up to three years post-transplant (and / or Sponsor discontinues development or the subject no longer wishes to participate in the study).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
149
intravenous infusion
intravenous or oral
intravenous or oral
intravenous
Intravenous
Oral
Site US10006
Birmingham, Alabama, United States
Site US10024
Phoenix, Arizona, United States
Site US10008
Los Angeles, California, United States
Site US10021
Palo Alto, California, United States
Site US10030
San Diego, California, United States
Site US10004
Biopsy-proven acute (T or B cell) rejection (BPAR) (Banff 2007 Grade ≥ 1) by local review
Time frame: 6 months
Glomerular Filtration Rate (GFR)
GFR is based on Modification of Diet in Renal Disease (4 variable-MDRD) criteria
Time frame: 6 months
Patient Survival
Subject survival is defined as any subject who does not die during the study.
Time frame: 6 months
Graft Survival
Graft survival is defined as any subject who does not experience graft loss during the study. Graft loss is defined as subject death, retransplantation, transplant nephrectomy, or the permanent return to dialysis (greater than 30 days).
Time frame: 6 months
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San Francisco, California, United States
Site US10003
San Francisco, California, United States
Site US10013
Aurora, Colorado, United States
Site US10007
Atlanta, Georgia, United States
Site US10041
Augusta, Georgia, United States
...and 32 more locations