drugset / Trial / NCT03805178

Lung Transplant Plasmapheresis/Belatacept/Carfilzomib for Antibody Mediated Rejection and Desensitization

NCT03805178

Non-randomizedParallel-groupOpen-labelTreatment

Summary

Antibody mediated rejection (AMR) post transplant contributes to poor long term outcomes after lung transplantation. Additionally, high antibodies detected pre transplant in candidates limit donor availability for lung transplant. This proposal would include belatacept in a multi-therapy regimen. Open label study with two patient cohorts for safety and efficacy of belatacept in a multi-modal protocol. The two patient cohorts are an AMR post-transplant cohort and pre-transplant desensitization cohort. A total of 10 patients will be enrolled.The primary objection is drug tolerability and secondary objectives are antibody measurements and allograft function.

Timeline

Start
2019-05-01
Primary completion
2020-08-01
Completion
2020-10-30

Drugs

EvaluationDrugModalityDoseRoute
Subject Belatacept Protein / enzyme biologic 10 mg/kg
Background Carfilzomib Other / unclassified 20 mg/m2

Indications