Can kidney transplants succeed without steroids?
NCT ID NCT00200551
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
This trial tests whether a steroid-free immunosuppression regimen can prevent rejection after a first kidney transplant. Participants receive rabbit anti-T-lymphocyte serum, mycophenolate mofetil, and cyclosporine, with one group also getting standard steroids for six months and the other getting only a single steroid dose. Researchers compare the number of acute rejection episodes in the first year to see if avoiding steroids is safe and effective.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A combination of rabbit anti-T-lymphocyte serum, mycophenolate mofetil, and cyclosporine, given without routine corticosteroids.
- What this could lead to
- If successful, this approach could reduce the need for long-term steroids after kidney transplant, potentially lowering the risk of heart disease and other steroid-related complications.
- What could go wrong
- Without steroids, patients may face a higher risk of acute rejection. The trial is open-label, so results could be influenced by expectations, and the findings may not apply to all transplant recipients.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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200 people
- Start date
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Jan 2001
- Finished
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Apr 2010
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient who is a candidate for a first cadaver renal transplantation and included on the national list of the Etablissement Français des Greffes * Man or woman aged between 18 and 65 years * Women of reproductive age must agree to use a reliable contraceptive method throughout the first year of the study * Donor aged between 18 and 65 years * Patient who has been given full information about the study and who has given his written informed consent to take part in it. Exclusion Criteria: * Women who are pregnant or breast-feeding * Patient with an immunological risk considered high and defined as a percentage of anti-HLA antibodies of ³20% (previous or recent determination of T lymphocytes) * Patient with a history of allergy to rabbit proteins * Cold ischaemia time of more than 36 hours * Patient allergic to macrolide antibiotics, to tacrolimus or to MMF * Patient on immunosuppressant treatment before transplantation * Patient suffering from a malignant neoplasm or with a history of malignant neoplasia, with the exception of treated baso- or spinocellular cancers * Patient waiting for another transplant in addition to the kidney * Patient who has already received an organ or tissue graft * Leukocyte count \<2000/mm3 and/or platelet count \<50 000/mm3 * Patient suffering from focal glomerulonephritis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Besançon Universitary Hospital
France, Besançon, 25030, France
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Montpellier Universitary Hospital
Montpellier, 34059, France
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Nantes University Hospital
Nantes, 44093, France
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Nice Universitary Hospital
Nice, 06202, France
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Strasbourg Universitary Hospital
Strasbourg, 67091, France
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