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. 2020 Mar 12;2020(3):CD003965. doi: 10.1002/14651858.CD003965.pub3

PIRAT 2015.

Trial name or title Prevention in recipients with Primary IgA Nephropathy of Recurrence After Kidney Transplantation: ATG‐F versus basiliximab as induction immunosuppressive treatment (PIRAT)
Methods Parallel RCT
Participants
  • Setting: multicentre

  • Country: France

  • Patients 18 to 75 years with diagnosis of native kidney primary IgA GN biopsy‐proven; first kidney transplantation (one kidney)

  • Number: 115 participants planned

  • Mean age ± SD (years): not yet available

  • Sex (M/F): not yet available

  • Exclusion criteria: PRA (PRA global or class I or class II PRA) over 50% on a serum before transplantation; multi‐organ graft; transplants using donor limits or sub‐optimal: donor age ≥ 70 years, donors in the study BIGRAS or taken heart beating donors (tested on computer infusion) or other restriction factors; IgA GN secondary to HSP or SLE or alcoholic cirrhosis; history of cancer older than 5 years or with advanced cancer, but except for non‐recurrent skin cancers; infectious diseases scalable: TB, HIV, Hepatitis B virus or Hepatitis C virus infection with viral replication and/or chronic hepatitis; allergy to rabbit proteins; severe thrombocytopenia (< 50,000 platelets/μL); bacterial infection, viral and fungal uncontrolled therapeutically; pregnancy or lactation

Interventions Treatment group 1
  • Rabbit immunoglobulin antilymphocyte human T (ATG‐Fresenius®): administered by slow infusion over 4 hours after antihistamine (2 bulbs Polaramine® IV) and IV methylprednisolone (minimum 30 mg); it is started on day 0 prior to surgery at doses of 4 mg/kg, and then continued to day 1, day 2 to 4 mg/kg, then day 3, day 4 at the dose of 3 mg/kg


Treatment group 2
  • The anti CD25 (basiliximab, Simulect®): IV administered before surgery of kidney transplantation (day 0 and day + 4) (1 ampoule of 20 mg x 2 times)

Outcomes
  • Clinical recurrence

  • Histological recurrence defined by the presence of mesangial deposits of IgA (at least 1+) by immunofluorescence on a biopsy of the graft

Starting date January 2011
Contact information Principal Investigator: Francois Berthoux
Notes Estimated study completion date: December 2019
No study results available
Sponsor: Centre Hospitalier Universitaire de Saint Etienne