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Sponsor: Sanofi
Conditions: End-stage Renal Disease
Interventions: Rabbit Anti-thymocyte Immunoglobulin, Tacrolimus, Methylprednisolone, Mycophenolate mofetil, Mycophenolate Na
Countries: China
Primary Objective: To investigate the efficacy of the standard dose of Thymoglobuline® induction therapy for preventing acute rejection (AR) after transplantation among recipients of Donated after Cardiac Death (DCD) kidney transplant. Secondary Objectives: * To evaluate delayed graft function (DGF), graft and patient survival after kidney transplant. * To evaluate adverse events of Thymoglobuline® throughout the study. * To explore possible risk factors of AR and DGF in patients with DCD kidney transplant. * To evaluate AR and DGF under different risk stratifications and explore an description optimal induction therapy regimen for recipients of DCD kidney transplant.
Sex: ALL
Age: 18 Years to 65 Years
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion criteria : * Male or female. * Patient is a Chinese recipient of kidney transplant for the first time. * Patient is a recipient of kidney allograft from Chinese donors donated after cardiac death (including kidney donated after brain death followed by circulatory death). * Recipient's age is between 18 to 65 years old (including 18 years). * Donor's age is more than 5 years old. * Recipient's weight is greater than or equal to 50 kg but less than or equal to 80 kg. * Patient fully understands the study and signs the informed consent form (ICF) prior to any study procedure. Exclusion criteria: * Patient is a multiple organ transplant recipient. * Recipient with previous kidney or other organ transplant history. * Recipient and donor have incompatible blood types. * Recipient and donor have 5 or 6 mismatched human leucocyte antigen (HLA). * Recipient is known to have an active infection or active chronic infection, or is seropositive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV Ab), or human immunodeficiency virus (HIV). (Serological test results within 12 months before transplantation are acceptable.) * Recipient with cytomegalovirus (CMV) immunoglobulin G (IgG) negative who receives an allograft from CMV IgG positive donor (CMV IgG \[D+/R-\]). * Any systemic infection requiring continuous treatment at enrolment, but prophylactic treatment of CMV and/or Pneumocystis carinii pneumonia (PCP) is allowed. * Recipient has severe thrombocytopenia or leucopenia before operation (platelet count \<75,000/ul, or the number of white blood cells \<3,000 cells/mm3). * Serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST) or gamma glutamine transferase (GGT) ≥3ULN (upper limit of normal) within 1 week before transplantation, and not normalized at time of transplantation. * Recipient has a history of malignancy within 5 years. * Recipient with history of allergy and anaphylaxes to rabbit proteins or to any excipients. * Recipient has known contraindications to the administration of Thymoglobuline®. * Recipient has taken other investigational drugs or prohibited therapy for this study within 1 month or 5 of half-lives from screening, whichever is longer. * Recipient has previously used Thymoglobuline®, or has participated in any clinical trial of any other medicine or device within 30 days before signing ICF. * Pregnant or lactating women. * Male and female patients do not agree to practice medically acceptable contraception (i.e., barrier or pharmacologic: male patient must use condoms or his female partner must take oral contraceptives; the male partner of a female patient must use condoms ) for at least 6 months following the study treatment. * Conditions/situations such as: * Recipient not suitable for participation, whatever the reason, as judged by the Investigator, including medical, clinical, or psychosocial conditions, or patient potentially at risk of noncompliance to study procedures. * Donor known or suspected to have active infection before donation (such as blood cultures positive, seropositive for hepatitis B surface antigen \[HBsAg\], or antibody against hepatitis C virus \[HCVAb\], or human immunodeficiency virus \[HIV\]) or hypersensitive recipients (eg, panel reactive antibody \[PRA\] positive) before transplantation, judged by the Investigator. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
- China, China