Thymoglobulin in Cadaver Donor

NCT ID: NCT01939171

Last Updated: 2013-09-11

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

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2012-02-29

Brief Summary

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To determine the efficacy and Security of Thymoglobuline in cadaveric donor Efficacy: To demonstrate that in cadaveric donor, Thymoglobuline diminished graft alloreactivity by decreasing expression of inflammatory markers in graft biopsies Security:To demonstrate that the administration of Thymoglobulin does not have side effects in renal recipients.

Detailed Description

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This is randomized controlled Multicenter phase II clinical trial promoted by members from IdiPAZ. At least two hospital (La Paz and Santa Maria from Lisbon, will be involved. A per nature pilot study will recruit 10 cadaver donors from each hospital, and randomized half-to-half per center, for study and control groups.

The RCT initiated in 2009 and finished in 2013.

Cadaver donor from the study group will receive 3 mg/kg iv. Thymoglobulin 3-6 hours prior to organ procurement. The randomization process recruits 1:1 study/control donors.

Kidney biopsies will be taken from each kidney before transplantation to examine the expression of pro-inflammatory and HLA molecules (anti-DR, VCAM, ICAM, E-selectin) at tubular cells by immunohistochemical techniques under blinded conditions.

Recipients will be managed as usual and expressly followed up for one year, recording the incidence of delayed graft function and rejection and graft survival at the first year.

A comparison between the results obtained in kidney biopsies and patients transplanted in each group will permit differentiate whether Thymoglobulin administered in cadaver modifies the expression of antigens by kidney tubular cells and the results obtained with transplantation, in terms of graft function, rejection and survival.

Conditions

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Prevention of Kidney Injury Associated With Brain Death

Keywords

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Thymoglobulin Cadaver donor Kidney injury brain death related

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Non treated

Cadaver donor is cared and treated as usual protocol

Group Type PLACEBO_COMPARATOR

No interventions assigned to this group

TREATED

Cadaver donor receives one dose of thymoglobulin of 3 mg/kg iv in 2 hours after ganglia extraction and 3- 6 hours prior to organ procurement.

Group Type EXPERIMENTAL

Thymoglobulin

Intervention Type DRUG

Interventions

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Thymoglobulin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Accepted adults cadaveric donors for renal transplant from University Hospital La Paz( Madrid) and from University Hospital Santa Maria (Lisbon)
* Informed consent from relatives for including in the study

Exclusion Criteria

* Known allergy to the rabbit proteins
* Non accepted grafts
* Family refusal to consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital de Santa Maria, Portugal

OTHER

Sponsor Role collaborator

Instituto de Investigación Hospital Universitario La Paz

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carlos Jimenez, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario La Paz

Maria Lopez-Oliva, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario La Paz

Rui Mayo, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Santa Maria, Portugal

Locations

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Hospital Santa Maria

Lisbon, Lisbon District, Portugal

Site Status

Hospital Universitario La Paz

Madrid, Madrid, Spain

Site Status

Countries

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Portugal Spain

Related Links

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http://www.idipaz.es/

Medical Research Institute

Other Identifiers

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2009-013398-16

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

HULP- Nefro 001

Identifier Type: -

Identifier Source: org_study_id