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Heart TransplantPhase 4OPTIMIZE-HTxNCT06942156

Optimize Immunosuppressive Therapy Using Everolimus and Low-dose Calcineurin Inhibitors in Heart Transplant Patients in Korea

A Phase 4 study testing Everolimus and Mycophenolate mofetil Tablet/Capsule in people with Heart Transplant, run by Chong Kun Dang Pharmaceutical at 1 site in South Korea.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of lower dose calcineurin inhibitors (CNI) in combination with Everolimus in Korean heart transplant recipients. Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Heart Transplant
What is being tested?
Everolimus and Mycophenolate mofetil Tablet/Capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
1 siteSouth Korea
Study dates
14 Aug 2025to Dec 2030
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Over 19 years old
  • Patients with stable heart transplant graft function at least 28~100 days post transplant.
  • Patients who are appropriate for combination therapy with Everolimus and Calcineurin inhibitor (CNI) at the investigator's discretion

Who cannot join

  • Recipients who have had a prior organ transplant, or who underwent a heart transplant with the simultaneous transplantation of another organ.
  • Recipients of heart from ABO-incompatible donor
  • Recipients of heart from the donor aged 70 or older

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Jin-O Choi, MD, PhD contact

02-3410-3419

choijean5@gmail.com

South Korea1 site
  • Samsung Medical Center

    Seoul, Seoul, 06351

    Jin-O Choi, MD, PhD, choijean5@gmail.com

    Seyoung Jung, 82-2-6373-0791, seyoung.jung@ckdpharm.com

Other trials in South Korea

About this study

Official title: A Prospective, Multicenter, Open-Label, Randomized, Comparative, Phase 4 Trial to Optimize Immunosuppressive Therapy Using Everolimus and Low-dose Calcineurin Inhibitors in Heart Transplant Patients in Korea

The purpose of this study is to evaluate the efficacy and safety of lower dose calcineurin inhibitors (CNI) in combination with Everolimus in Korean heart transplant recipients.

Read the detailed description

This study is a prospective, multicenter, open-label, randomized, comparative, phase 4 trial to optimize immunosuppressive therapy using everolimus and low-dose calcineurin inhibitors in heart transplant patients in Korea.

Being tested
Everolimus, Mycophenolate mofetil Tablet/Capsule
Keywords
Heart transplant, Everolimus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EverolimusDrug

    Also called Certirobell Tablet

    Up to 1.5g BID(total 3g daily), PO - Check the blood concentration of Everolimus at each visit

  • Mycophenolate mofetil Tablet/CapsuleDrug

    Also called Myrept® Cap./Tab.

    Up to 1.5g BID(total 3g daily), PO

Study groups in NCT06942156
Study groupRoleWhat they receive
Certirobell TabletExperimentalEverolimus
Receives: Drug: Everolimus
Myrept Tablet/CapsuleActive comparatorMycophenolate mofetil
Receives: Drug: Mycophenolate mofetil Tablet/Capsule

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. hierarchical composite assessed using the win-ratio

    hierarchical composite assessed using the win-ratio, including graft survival, treated rejection episodes, change in percent atheroma volume, and change in eGFR.

    Measured: baseline, 12 months

Secondary outcomes (4)
  1. Graft rejection

    Time to onset of Graft rejection

    Measured: Baseline and 6, 12 months after drug administrations

  2. Newly developed Graft dysfunction

    Frequency of incidence

    Measured: Baseline and 6, 12 months after drug administrations

  3. Change in renal function

    Change in eGFR

    Measured: Baseline and 6, 12 months after drug administrations

  4. CAV ISHLT grade

    Coronary Arterial Vasculopathy(CAV) assessed by ISHLT grade for CAV (ISHLT: International Society for Heart and Lung Transplantation)

    • CAV0 (Not significant): No detectable angiographic lesion
    • CAV1 (Mild): Angiographic LM<50% or Primary vessel with maximum lesion<70% or Branch stenosis<70%
    • CAV2 (Moderate): Angiographic LM<50%, Single primary vessel≥70% or Isolated branch stenosis in 2 system≥70%
    • CAV3 (Severe): Angiographic LM≥50% or ≥2 primary vessels ≥70% or Isolated branch stenosis in all 3 system≥70% or CAV1 or CAV2 with allograft dysfunction (LVEF≤45%) or evidence of significant restrictive physiology

    Measured: Until 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2025
  2. Study start14 Aug 2025 (estimated)
  3. Primary completionDec 2030 (estimated)
  4. Study completionDec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06942156
Sponsor's protocol ID
B95_05HTx2501
Acronym
OPTIMIZE-HTx
Status last verified
Apr 2025
First submitted
11 Apr 2025
Last updated
24 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Everolimus and Mycophenolate mofetil Tablet/Capsule in people with Heart Transplant, run by Chong Kun Dang Pharmaceutical at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 24 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jin-O Choi, MD, PhD (02-3410-3419, choijean5@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

hierarchical composite assessed using the win-ratio (time frame: baseline, 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2025.

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