Clincosm LogoSign in Get a demo

CERTICOEUR: A Secondary Prevention Study of Skin Cancers in Heart Transplant Patients. Everolimus Versus Calcineurin Inhibitors Multicenter Trial

Sponsor
Hospices Civils de Lyon (Other)
Overall Status
Unknown status
CT.gov ID
NCT00799188
Collaborator
(none)
175
Enrollment
1
Location
2
Arms

Study Details

Study Description

Brief Summary

Heart transplant is a recognized therapeutic strategy in refractory heart failure. Its success is however hampered by severe cancer occurrence and recurrence. The new m-tor inhibiting drugs Sirolimus and Everolimus have shown potential for reducing the incidence of cancer in animal models. They are potent immunosuppressant, antiproliferative and antiangiogenic drugs. This open labelled randomized multicenter study aims at evaluating the beneficial antineoplastic effect of Everolimus in 159 heart transplant patients suffering of recurrent skin cancer. Primary objective is to demonstrate a reduction in the number of new skin cancers. Secondary end point will be time of recurrence, incidence of non skin cancer, graft function following switch (including death), renal function evolution following calcineurin inhibitors reduction or withdrawal, Everolimus tolerance profile, schemes of calcineurin inhibitors reduction management in centers.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

  • Open labelled randomized Everolimus vs reduction of calcineurin inhibitors trial. 2:1 randomization design

  • October 10, 2008

  • 159 patients (106 everolimus vs 53 calcineurin inhibitors reduction)

  • 175 patients (117 vs 58)

  • X Not yet recruiting 0 recruiting 0 no longer recruiting

  • Number of skin tumors per patients requiring surgery with histology control within 2 years

Within 2 years of Follow up:

  • New skin cancer

  • Number of patients with new skin cancers

  • Time of recurrence

  • Number and histology of other types of skin cancer

  • Graft function (including acute rejection, graft loss, death)

  • Renal function evolution as assessed using Cockcroft creatinine clearance and proteinuria

  • Adverse events and serious adverse events

  • Non skin cancer (Number and diagnostic)

  • Schemes of calcineurin inhibitors reduction/withdrawal

  • Immune response assessment through regulatory or effector function of blood and in situ T lymphocytes at baseline and following immunosuppression switch

Study Design

Study Type:
Interventional
Actual Enrollment :
175 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
CERTICOEUR a Secondary Prevention Study of Skin Cancers in Heart Transplant Patients. An Open Labelled Randomized Everolimus vs Calcineurin Inhibitors Multicenter Trial
Study Start Date :
Oct 1, 2008
Anticipated Primary Completion Date :
Sep 1, 2014

Arms and Interventions

Arm Intervention/Treatment
No Intervention: 1

reduction of immunosuppression
Experimental: 2

switch to Everolimus : 50% reduction of calcineurin inhibitors (ciclosporine or tacrolimus)

Drug: Everolimus
50% reduction of calcineurin inhibitors daily dose followed by further decrease or withdrawal. Everolimus will be introduced and tapered to a trough level of 6 to 10 microg/l.
Other Names:
  • Certican

    		•

    Outcome Measures

    Primary Outcome Measures

    1. Number of skin tumors per patients requiring surgery with histology control within 2 years [2 years]

    Secondary Outcome Measures

    1. New skin cancer [2 years]

    2. Number of patients with new skin cancers [2 years]

    3. Time of recurrence [2 years]

    4. Number and histology of other types of skin cancer [2 years]

    5. Graft function (including acute rejection, graft loss, death) [2 years]

    6. Renal function evolution as assessed using Cockcroft creatinine clearance and proteinuria [2 years]

    7. Adverse events and serious adverse events [2 years]

    8. Non skin cancer (Number and diagnostic) [2 years]

    9. Schemes of calcineurin inhibitors reduction/withdrawal [2 years]

    10. Immune response assessment through regulatory or effector function of blood and in situ T lymphocytes at baseline and following immunosuppression switch [2 years]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    • First orthotopic heart transplant after 1st year

    • No rejection within previous 6 Months

    • Occurrence of squamous cell carcinoma, basal cell carcinoma, in situ carcinoma, Bowen disease, premalignant keratosis

    • Recurrence of skin cancers leading to immunosuppressive regimen modifications

    • Removal of a skin lesion in the past three years

    • Above 18 yrs and under contraceptive drugs if applicable

    • Informed consent given

    • Health coverage ongoing

    Exclusion Criteria:

    • Other non simultaneously transplanted organ

    • recent biopsy proven acute rejection

    • Proteinuria > 1g/l

    • Ongoing infectious disease

    • HIV positivity, Chronic active Hepatitis B or C.

    • Abnormal blood tests: transaminases >= 3UNL, Bilirubin > 34 mmol.l, albumin<35 g/l, spontaneous INR >1,3

    • Hemoglobin >= 8 g/dl, White Blood Count<= 2 giga/l, platelet count <= 50 giga/l

    • Hypercholesterolemia>= 9 mmol/l, hypertriglyceridemia >= 8,5 mmol/l despite treatment

    • History of macrolid or mTor inhibitor intolerance

    • Previous cancer other than skin in the year prior to enrollment

    • Medical or surgical condition unsuitable for the trial

    • Breast feeding

    • Positive pregnancy test

    • Severe psychiatric disorder

    • Communication or language disability

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 HOSPICES CIVILS de LYON Lyon France

    Sponsors and Collaborators

    • Hospices Civils de Lyon

    Investigators

    • Principal Investigator: LAURENT SEBBAG, MD, Hospices Civils de Lyon

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Hospices Civils de Lyon
    ClinicalTrials.gov Identifier:
    NCT00799188
    Other Study ID Numbers:
    • 2007.489/32
    First Posted:
    Nov 27, 2008
    Last Update Posted:
    Dec 12, 2013
    Last Verified:
    Dec 1, 2013
    Keywords provided by Hospices Civils de Lyon
    Cardiac Transplantation
    Skin cancer
    Everolimus
    Additional relevant MeSH terms:
    Skin Neoplasms
    Everolimus

    Study Results

    No Results Posted as of Dec 12, 2013