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2025 ; 26
(1
): 432
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Statistical analysis plan for TTVguideIT-a multicentre, patient- and
assessor-blinded, non-inferiority, randomised and controlled phase II trial to
compare standard and Torque Teno virus-guided immunosuppression in kidney
transplant recipients in the first year after transplantation
#MMPMID41131560
Herkner F
; Haupenthal F
; Kapps S
; Doberer K
; Herkner H
; König F
; Bond G
Trials
2025[Oct]; 26
(1
): 432
PMID41131560
show ga
BACKGROUND: Non-interventional studies indicate an association between Torque
Teno Virus (TTV) load in peripheral blood and immunosuppression related outcomes
in kidney transplant recipients. This makes it a promising biomarker for guiding
immunosuppression after kidney transplantation. The primary objective of the
current trial is to demonstrate the safety, tolerability and preliminary efficacy
of TTV-guided immunosuppression. METHODS: For this purpose, a randomised,
controlled, interventional, two-arm, non-inferiority, patient- and
assessor-blinded, international multicentre investigator-driven phase II trial
was designed. A total of 260 stable, low-immunological-risk adult recipients of a
kidney graft with Tacrolimus-based immunosuppression and TTV infection after
month 3 post-transplant are recruited in 13 academic centres in six European
countries. Subjects are randomised in a 1:1 ratio stratified by centre
(allocation concealment) to receive Tacrolimus either guided by TTV load or
according to the local centre standard for 9 months. The primary composite
endpoint includes the occurrence of infections, biopsy-proven allograft
rejection, graft loss or death. Secondary outcomes include month 12 protocol
biopsies, development of de novo donor-specific antibodies, health-related
quality of life and drug adherence. DISCUSSION: Detailed descriptions of the
study design, planned statistical analysis and reporting of the results for the
TTVguideIT trial are provided. This statistical analysis plan was submitted to
the journal before the end of the trial and prior to data lock.