Status:

COMPLETED

Belatacept Pilot Study in Lung Transplantation Immunosuppression in Lung Transplantation

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Bristol-Myers Squibb

Conditions:

Lung Transplant Rejection

Antibody-mediated Rejection

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

This is a pilot randomized controlled trial examining the feasibility of conducting a large scale randomized controlled trial of belatacept-based immunosuppression in lung transplantation. This pilot ...

Detailed Description

Lung transplantation is the ultimate treatment for patients with advanced lung disease. However, long-term outcomes remain disappointing and the median survival after transplantation is approximately ...

Eligibility Criteria

Inclusion

  • Provided written informed consent for study participation
  • Underwent single or bilateral lung transplantation
  • Negative urine pregnancy test for women of child bearing potential and willingness to use highly-effective contraception

Exclusion

  • Requiring invasive mechanical ventilation immediately before transplantation
  • Requiring extracorporeal life support (ECLS) (i.e., ECMO) immediately before transplantation
  • Received treatment to deplete HLA antibodies before transplantation to improve the possibility of transplantation
  • Having DSA immediately before transplantation (i.e., positive virtual crossmatch)
  • Listed for multi-organ transplant (e.g., heart-lung, liver-lung, kidney-lung)
  • Pregnant or breast-feeding
  • Active infection with Hepatitis B or C virus
  • Active infection with human immunodeficiency virus (HIV)
  • Chronic infection with Burkholderia cepacia complex before transplantation
  • Epstein Barr Virus (EBV) seronegative status
  • Participation in another interventional clinical trial
  • Allograft dysfunction requiring ECMO support after transplantation
  • Delayed chest closure after transplantation
  • Severe coagulopathy and significant bleeding in the opinion of the PI
  • Any condition that in the opinion of the site PI introduces undue risk by participating in this study

Key Trial Info

Start Date :

December 17 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 31 2022

Estimated Enrollment :

27 Patients enrolled

Trial Details

Trial ID

NCT03388008

Start Date

December 17 2019

End Date

August 31 2022

Last Update

November 25 2022

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Washington University School of Medicine

St Louis, Missouri, United States, 63110

2

Houston Methodist Hospital

Houston, Texas, United States, 77030