Context - Remote Ischemic Conditioning in Renal Transplantation - Effect on Immediate and Extended Kidney Graft Function

NCT ID: NCT01395719

Last Updated: 2015-08-19

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2016-06-30

Brief Summary

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The purpose of this study is to determine whether remote ischemic conditioning can improve the outcome after renal transplantation with deceased donor. Remote ischemic conditioning is performed on the patient receiving a kidney from a deceased donor. Remote ischemic conditioning is done during the operation by inflating a tourniquet on the patients leg before opening the blood circulation to the kidney. The study focus on both the immediate kidney function after the transplantation, but also on the extended kidney function one year after the transplantation.

Detailed Description

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Conditions

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Kidney Transplantation Delayed Graft Function Acute Kidney Injury Glomerular Filtration Rate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Non remote ischemic conditionin(non-rIC)

Patients receiving kidney transplantation from a deceased donor. This group does not receive remote ischemic conditioning, but has a tourniquet on the leg (not inflated).

Group Type NO_INTERVENTION

No interventions assigned to this group

Remote ischemic conditioning (rIC)

Patients receiving kidney transplantation from a deceased donor. This group receives remote ischemic conditioning by inflating a tourniquet on the leg during surgery, before reperfusion of the kidney.

Group Type EXPERIMENTAL

Remote ischemic conditioning

Intervention Type OTHER

Patients receiving kidney transplantation from a deceased donor. Remote ischemic conditioning (rIC) is done by inflating a tourniquet (250mmHg) on the patients leg before reperfusion of the kidney. The tourniquet stays on the leg on the opposite site of were the kidney is placed. rIC is done 4 x 5 min with 5 min intervals between with free blood flow.

Interventions

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Remote ischemic conditioning

Patients receiving kidney transplantation from a deceased donor. Remote ischemic conditioning (rIC) is done by inflating a tourniquet (250mmHg) on the patients leg before reperfusion of the kidney. The tourniquet stays on the leg on the opposite site of were the kidney is placed. rIC is done 4 x 5 min with 5 min intervals between with free blood flow.

Intervention Type OTHER

Other Intervention Names

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Remote ischemic preconditioning Ischemic conditioning

Eligibility Criteria

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Inclusion Criteria

* Age 18 and above
* Received information, signed consent
* Candidate for kidney transplantation from deceased donor

Exclusion Criteria

* Can't give informed consent
* AV-fistula in the leg opposite the site where the graft will be placed
* Threatening ischemia in the leg
* If donor is a small child
* If the patient receives a double transplant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sahlgrenska University Hospital

OTHER

Sponsor Role collaborator

Lundbeck Foundation

OTHER

Sponsor Role collaborator

Novo Nordisk A/S

INDUSTRY

Sponsor Role collaborator

AP Moeller Foundation

OTHER

Sponsor Role collaborator

Danish Society of Nephrology

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role collaborator

University Medical Center Groningen

OTHER

Sponsor Role collaborator

Danish Council for Independent Research

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicoline V Krogstrup, MD

Role: PRINCIPAL_INVESTIGATOR

Klinisk Institut, Aarhus University

Bente Jespersen, Professor, DMSc, MD

Role: STUDY_CHAIR

Klinisk Institut, Aarhus University

Henrik Birn, DMSc, MD

Role: STUDY_CHAIR

University of Aarhus

Mihai Oltean, MD, PhD

Role: STUDY_CHAIR

Sahlgrenska University Hospital

Gertrude J. Nieuwenhuijs-Moeke, MD

Role: STUDY_CHAIR

University Medical Center Groningen

Frank J. M. F. Dor, MD, PhD

Role: STUDY_CHAIR

Erasmus Medical Center

Locations

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Dept. of Renal Medicine, Aarhus University Hospital, Skejby

Aarhus N, , Denmark

Site Status

University Medical Center Groningen

Groningen, Provincie Groningen, Netherlands

Site Status

Division of Transplant Surgery, Erasmus MC, University Medical Center

Rotterdam, Rotterdam, Netherlands

Site Status

Sahlgrenska Transplant Institute, Sahlgrenska Academy at the University of Gothenborg

Gothenburg, , Sweden

Site Status

Countries

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Denmark Netherlands Sweden

References

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Nielsen MB, Ravlo K, Eijken M, Krogstrup NV, Bue Svendsen M, Abdel-Halim C, Steen Petersen M, Birn H, Oltean M, Jespersen B, Moller BK. Dynamics of circulating dendritic cells and cytokines after kidney transplantation-No effect of remote ischaemic conditioning. Clin Exp Immunol. 2021 Nov;206(2):226-236. doi: 10.1111/cei.13658. Epub 2021 Sep 29.

Reference Type DERIVED
PMID: 34473350 (View on PubMed)

Nielsen MB, Jespersen B, Birn H, Krogstrup NV, Bourgonje AR, Leuvenink HGD, van Goor H, Norregaard R. Elevated plasma free thiols are associated with early and one-year graft function in renal transplant recipients. PLoS One. 2021 Aug 11;16(8):e0255930. doi: 10.1371/journal.pone.0255930. eCollection 2021.

Reference Type DERIVED
PMID: 34379701 (View on PubMed)

Nielsen MB, Krogstrup NV, Oltean M, Nieuwenhuijs-Moeke GJ, Dor FJMF, Birn H, Jespersen B. Remote ischaemic conditioning and early changes in plasma creatinine as markers of one year kidney graft function-A follow-up of the CONTEXT study. PLoS One. 2019 Dec 30;14(12):e0226882. doi: 10.1371/journal.pone.0226882. eCollection 2019.

Reference Type DERIVED
PMID: 31887168 (View on PubMed)

Nielsen MB, Krogstrup NV, Nieuwenhuijs-Moeke GJ, Oltean M, Dor FJMF, Jespersen B, Birn H. P-NGAL Day 1 predicts early but not one year graft function following deceased donor kidney transplantation - The CONTEXT study. PLoS One. 2019 Feb 28;14(2):e0212676. doi: 10.1371/journal.pone.0212676. eCollection 2019.

Reference Type DERIVED
PMID: 30817778 (View on PubMed)

Krogstrup NV, Oltean M, Nieuwenhuijs-Moeke GJ, Dor FJ, Moldrup U, Krag SP, Bibby BM, Birn H, Jespersen B. Remote Ischemic Conditioning on Recipients of Deceased Renal Transplants Does Not Improve Early Graft Function: A Multicenter Randomized, Controlled Clinical Trial. Am J Transplant. 2017 Apr;17(4):1042-1049. doi: 10.1111/ajt.14075. Epub 2016 Nov 9.

Reference Type DERIVED
PMID: 27696662 (View on PubMed)

Krogstrup NV, Oltean M, Bibby BM, Nieuwenhuijs-Moeke GJ, Dor FJ, Birn H, Jespersen B. Remote ischaemic conditioning on recipients of deceased renal transplants, effect on immediate and extended kidney graft function: a multicentre, randomised controlled trial protocol (CONTEXT). BMJ Open. 2015 Aug 20;5(8):e007941. doi: 10.1136/bmjopen-2015-007941.

Reference Type DERIVED
PMID: 26297360 (View on PubMed)

Other Identifiers

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121369

Identifier Type: -

Identifier Source: org_study_id

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