Noninvasive Methods to Monitor Graft Survival in Kidney Transplant Patients

NCT ID: NCT00308802

Last Updated: 2013-09-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

280 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-03-31

Study Completion Date

2011-07-31

Brief Summary

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The purpose of this study is to test noninvasive methods to monitor the health and condition of new kidneys in people who have received kidney transplants.

Detailed Description

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Innovations in kidney transplantation have improved short-term outcomes for transplant patients. However, organ rejection remains as an important threat to the long-term survival of the transplanted organ. If clinicians could better monitor the condition of the organ after transplantation, they may be able to improve the chance of graft survival. Noninvasive ways to monitor the condition of the transplanted organ need to be developed and tested. This observational study will investigate whether certain blood and urine tests are useful in monitoring the health of transplanted kidneys.

This trial will involve 14 post-transplant study visits over the course of 2 years. A physical exam, medication history, adverse events assessment, and blood and urine collection will occur at all visits. Kidney biopsies will occur at study entry prior to transplantation and at Month 6, in adult participants only. Protocol biopsies are optional in the pediatric substudy group. Additional visits may be required if organ rejection is suspected.

Conditions

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Kidney Transplantation

Keywords

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Kidney Transplant Rejection Kidney Disease Kidney Failure End Stage Renal Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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Kidney transplantation

Participants in this study will have had a kidney transplant

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Candidate for deceased donor or living donor kidney transplant
* Negative Crossmatch
* Parent or guardian willing to provide informed consent, if applicable

Exclusion Criteria

* Clinically significant liver disease
* Other illnesses that, in the opinion of the investigator, may interfere with the study
* Recipient of multiple organ transplants
* Inability or unwillingness to comply with the study protocol
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter S. Heeger, MD

Role: STUDY_DIRECTOR

Icahn School of Medicine at Mount Sinai

Donald Hricik, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center

David Rush, MD

Role: PRINCIPAL_INVESTIGATOR

University of Manitoba at Winnipeg

Kenneth Newell, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University

Richard Formica, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Emilio Poggio, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Barry Warshaw, MD

Role: PRINCIPAL_INVESTIGATOR

Emory-Children's Center

Enver Akalin, MD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Patricia Birk, M.D.

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Winnipeg

Locations

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Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Emory Children's Center

Atlanta, Georgia, United States

Site Status

Emory University Hospital

Atlanta, Georgia, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

University Hospitals of Cleveland

Cleveland, Ohio, United States

Site Status

Children's Hospital of Winnipeg

Winnipeg, Manitoba, Canada

Site Status

University of Manitoba

Winnipeg, Manitoba, Canada

Site Status

Countries

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United States Canada

References

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Kaplan B, Srinivas TR, Meier-Kriesche HU. Factors associated with long-term renal allograft survival. Ther Drug Monit. 2002 Feb;24(1):36-9. doi: 10.1097/00007691-200202000-00007.

Reference Type BACKGROUND
PMID: 11805720 (View on PubMed)

Meier-Kriesche HU, Schold JD, Kaplan B. Long-term renal allograft survival: have we made significant progress or is it time to rethink our analytic and therapeutic strategies? Am J Transplant. 2004 Aug;4(8):1289-95. doi: 10.1111/j.1600-6143.2004.00515.x.

Reference Type BACKGROUND
PMID: 15268730 (View on PubMed)

Meier-Kriesche HU, Schold JD, Srinivas TR, Kaplan B. Lack of improvement in renal allograft survival despite a marked decrease in acute rejection rates over the most recent era. Am J Transplant. 2004 Mar;4(3):378-83. doi: 10.1111/j.1600-6143.2004.00332.x.

Reference Type BACKGROUND
PMID: 14961990 (View on PubMed)

Hricik DE, Nickerson P, Formica RN, Poggio ED, Rush D, Newell KA, Goebel J, Gibson IW, Fairchild RL, Riggs M, Spain K, Ikle D, Bridges ND, Heeger PS; CTOT-01 consortium. Multicenter validation of urinary CXCL9 as a risk-stratifying biomarker for kidney transplant injury. Am J Transplant. 2013 Oct;13(10):2634-44. doi: 10.1111/ajt.12426. Epub 2013 Aug 22.

Reference Type RESULT
PMID: 23968332 (View on PubMed)

Related Links

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http://www.ctotstudies.org

Click here for the Clinical Trials in Organ Transplantation (CTOT) public Web site

Other Identifiers

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DAIT CTOT-01

Identifier Type: -

Identifier Source: org_study_id