For researchers submitting trial data to ClinicalTrials.gov, the Adverse Events module is one of four mandatory results sections. It requires reporting in three primary categories: All-Cause Mortality: A table tracking all deaths that occurred during the study, regardless of cause. Serious Adverse Events (SAEs): A tabular summary of events resulting in death, life-threatening conditions, hospitalization, or significant disability. Other Adverse Events: A table for non-serious events that exceed a specific frequency threshold, such as 5% within any study arm.
Adverse Events Module path is as follows:
Study -> Results Section -> Adverse Events Module -> Event Groups
Study -> Results Section -> Adverse Events Module -> Serious Events
Study -> Results Section -> Adverse Events Module -> Other Events
| Title | Description | Deaths # Affected | Deaths # At Risk | Serious # Affected | Serious # At Risk | Other # Affected | Other # At Risk | View |
|---|---|---|---|---|---|---|---|---|
| Group A | Alemtuzumab + belatacept + mycophenolate mofetil /Enteric coated mycophenolate sodium + early cessation of steroids Alemtuzumab: Alemtuzumab will be dosed on day of transplant (Study Day 1) at dose of 30 mg given intravenously (IV) over a period of 2 hours after induction of anesthesia. Methylprednisolone IV will be administered 30-60 minutes prior to the administration of alemtuzumab. Belatacept: Belatacept will be administered via intravenous (IV) infusion according to the FDA approved dosage recommendations. Subjects randomized to belatacept arms will receive the first dose of IV belatacept (10 mg/kg) within 12-24 hours post reperfusion. The second dose will be given between post-transplant days 4 -6 (Study Days 5-7), and then study days 14, 28, 56, and 84 (12 weeks) and then subjects will receive belatacept at the maintenance dose of 5 mg/kg every 4 weeks until completion of the trial at 24 months (104 weeks). Study Day 1 is the day of transplant. | 2 | None | 58 | 107 | 91 | 107 | View |
| Group B | Rabbit antithymocyte globulin + belatacept + mycophenolate mofetil /Enteric coated (EC) mycophenolate sodium + early cessation of steroids rabbit antithymocyte globulin: Rabbit antithymocyte globulin will be dosed post-operatively at a total cumulative dose of 4.0-6.0mg/kg given by days 5-10 post-transplant. It will be administered by local standards of care with the following recommendations. The initial intravenous intra-operative dose will be administered approximately one hour after the methylprednisolone dose. The first dose will be administered so that approximately 25% of the dose is infused prior to revascularization of the graft. Subsequent doses will be administered over a minimum of 4 hours. Premedication with acetaminophen 650mg p.o. and diphenhydramine 25mg p.o. prior to rabbit antithymocyte globulin dose will be given to reduce the incidence of infusion reactions. Belatacept: Belatacept is administered via intravenous (IV) infusion according to the FDA label | 4 | None | 66 | 104 | 90 | 104 | View |
| Group C | Rabbit antithymocyte globulin + tacrolimus + mycophenolate mofetil /Enteric coated (EC) mycophenolate sodium + early cessation of steroids rabbit antithymocyte globulin: Rabbit antithymocyte globulin will be dosed post-operatively at a total cumulative dose of 4.0-6.0mg/kg given by days 5-10 post-transplant. It will be administered by local standards of care with the following recommendations. The initial intravenous intra-operative dose will be administered approximately one hour after the methylprednisolone dose. The first dose will be administered so that approximately 25% of the dose is infused prior to revascularization of the graft. Subsequent doses will be administered over a minimum of 4 hours. Premedication with acetaminophen 650mg p.o. and diphenhydramine 25mg p.o. prior to rabbit antithymocyte globulin dose will be given to reduce the incidence of infusion reactions. Tacrolimus: Tacrolimus will be administered orally twice daily (BID). | 1 | None | 62 | 105 | 92 | 105 | View |
| Term | Type | Organ System | Vocab | View |
|---|---|---|---|---|
| Renal dysfunction resulting in hospitalization | NON_SYSTEMATIC_ASSESSMENT | Renal and urinary disorders | None | View |
| Nausea/vomiting or GI requiring hospitalization | NON_SYSTEMATIC_ASSESSMENT | Gastrointestinal disorders | None | View |
| Cardiovascular event | NON_SYSTEMATIC_ASSESSMENT | Cardiac disorders | None | View |
| Infection Requiring Hospitalization | NON_SYSTEMATIC_ASSESSMENT | Infections and infestations | None | View |
| Malignancy | NON_SYSTEMATIC_ASSESSMENT | Immune system disorders | None | View |
| PTLD | NON_SYSTEMATIC_ASSESSMENT | Blood and lymphatic system disorders | None | View |
| Mental status changes or neurological AE's | NON_SYSTEMATIC_ASSESSMENT | Nervous system disorders | None | View |
| Term | Type | Organ System | Vocab | View |
|---|---|---|---|---|
| Hematologic events | NON_SYSTEMATIC_ASSESSMENT | Blood and lymphatic system disorders | None | View |
| Leukopenia WBC < 2000/mm3 | NON_SYSTEMATIC_ASSESSMENT | Blood and lymphatic system disorders | None | View |
| Anemia (Hg < 7gm/dL) | NON_SYSTEMATIC_ASSESSMENT | Blood and lymphatic system disorders | None | View |
| Thrombocytopenia (PLT < 50,000/mm3) | NON_SYSTEMATIC_ASSESSMENT | Blood and lymphatic system disorders | None | View |
| Gastrointestinal events | NON_SYSTEMATIC_ASSESSMENT | Gastrointestinal disorders | None | View |
| Nephrotoxicity events | NON_SYSTEMATIC_ASSESSMENT | Renal and urinary disorders | None | View |
| Neurologic events | NON_SYSTEMATIC_ASSESSMENT | Nervous system disorders | None | View |
| Electrolyte/metabolic events | NON_SYSTEMATIC_ASSESSMENT | Metabolism and nutrition disorders | None | View |
| Wound healing | NON_SYSTEMATIC_ASSESSMENT | Skin and subcutaneous tissue disorders | None | View |
| Musculoskeletal/Bone events | NON_SYSTEMATIC_ASSESSMENT | Musculoskeletal and connective tissue disorders | None | View |