MIC Cell Therapy for Individualized Immunosuppression in Living Donor Kidney Transplant Recipients

NCT ID: NCT02560220

Last Updated: 2018-07-26

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

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-05

Study Completion Date

2017-04-18

Brief Summary

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A phase- I clinical trial to determine safety and feasibilty of intravenous administration of mitomycin C-treated donor peripheral blood mononuclear cells in patients with chronic kidney disease stage KDIGO 4 or 5 (i.e. GFR 15-30 mL/min or \< 15 mL/min) who receive a kidney transplant from a living donor.

Detailed Description

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Conditions

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Kidney Failure, Chronic

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention arm

Patients receive MIC cell therapy together with standard immunosuppressive therapy

Group Type EXPERIMENTAL

Mitomycin C-induced peripheral blood mononuclear cells (MICs)

Intervention Type BIOLOGICAL

MICs are given intravenously 2 or 7 days before kidney transplantation from a living donor

Interventions

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Mitomycin C-induced peripheral blood mononuclear cells (MICs)

MICs are given intravenously 2 or 7 days before kidney transplantation from a living donor

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Chronic kidney disease stage KDIGO 4 or 5
* First kidney transplant from a living donor
* Age ≥ 18 years
* ABO compatible
* CDC-PRA \< 20%
* No donor-specific antibodies
* Negative CDC and ELISA crossmatch
* Immunosuppression with cyclosporin A, EC-MPS and methylprednisolone
* Informed consent
* Adequate contraception (women with child bearing potential)

Exclusion Criteria

* Psychiatric disorder
* Heart failure (NYHA III or IV)
* Severe liver disease
* Active hepatitis B or C or HIV infection
* Active bacterial, fungal or viral disease
* Malignancy or malignancy in the last 5 years before screening
* Preexisting immunosuppression
* Vaccination with a live vaccine in the last 3 months before screening
* S/p splenectomy
* Substance abuse
* Pregnancy or lactation
* Women: Child/pregnancy with the intended donor
* Allergy against the investigational drug or part of it
* Other diseases that prohibit participation in the study (in the opinion of the investigator)
* Participation in an other interventional study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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WiSP GmbH

OTHER

Sponsor Role collaborator

German Federal Ministry of Economics and Technology

OTHER_GOV

Sponsor Role collaborator

Heidelberg University

OTHER

Sponsor Role lead

Responsible Party

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Christian Morath, M.D.

Martin Zeier, M. D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Martin Zeier, MD

Role: PRINCIPAL_INVESTIGATOR

Heidelberg University

Locations

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University of Heidelberg

Heidelberg, Baden-Wurttemberg, Germany

Site Status

Countries

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Germany

References

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Morath C, Schmitt A, Zeier M, Schmitt M, Sandra-Petrescu F, Opelz G, Terness P, Schaier M, Kleist C. Cell therapy for immunosuppression after kidney transplantation. Langenbecks Arch Surg. 2015 Jul;400(5):541-50. doi: 10.1007/s00423-015-1313-z. Epub 2015 Jun 17.

Reference Type BACKGROUND
PMID: 26077202 (View on PubMed)

Kleist C, Sandra-Petrescu F, Jiga L, Dittmar L, Mohr E, Greil J, Mier W, Becker LE, Lang P, Opelz G, Terness P. Generation of suppressive blood cells for control of allograft rejection. Clin Sci (Lond). 2015 May;128(9):593-607. doi: 10.1042/CS20140258.

Reference Type BACKGROUND
PMID: 25495457 (View on PubMed)

Dittmar L, Mohr E, Kleist C, Ehser S, Demirdizen H, Sandra-Petrescu F, Hundemer M, Opelz G, Terness P. Immunosuppressive properties of mitomycin C-incubated human myeloid blood cells (MIC) in vitro. Hum Immunol. 2015 Jul;76(7):480-7. doi: 10.1016/j.humimm.2015.06.008. Epub 2015 Jun 11.

Reference Type BACKGROUND
PMID: 26074415 (View on PubMed)

Terness P, Oelert T, Ehser S, Chuang JJ, Lahdou I, Kleist C, Velten F, Hammerling GJ, Arnold B, Opelz G. Mitomycin C-treated dendritic cells inactivate autoreactive T cells: toward the development of a tolerogenic vaccine in autoimmune diseases. Proc Natl Acad Sci U S A. 2008 Nov 25;105(47):18442-7. doi: 10.1073/pnas.0807185105. Epub 2008 Nov 18.

Reference Type BACKGROUND
PMID: 19017789 (View on PubMed)

Schaier M, Morath C, Wang L, Kleist C, Opelz G, Tran TH, Scherer S, Pham L, Ekpoom N, Susal C, Ponath G, Kalble F, Speer C, Benning L, Nusshag C, Mahler CF, Pego da Silva L, Sommerer C, Huckelhoven-Krauss A, Czock D, Mehrabi A, Schwab C, Waldherr R, Schnitzler P, Merle U, Schwenger V, Krautter M, Kemmner S, Fischereder M, Stangl M, Hauser IA, Kalsch AI, Kramer BK, Bohmig GA, Muller-Tidow C, Reiser J, Zeier M, Schmitt M, Terness P, Schmitt A, Daniel V. Five-year follow-up of a phase I trial of donor-derived modified immune cell infusion in kidney transplantation. Front Immunol. 2023 Jul 11;14:1089664. doi: 10.3389/fimmu.2023.1089664. eCollection 2023.

Reference Type DERIVED
PMID: 37483623 (View on PubMed)

Morath C, Schaier M, Ibrahim E, Wang L, Kleist C, Opelz G, Susal C, Ponath G, Aly M, Alvarez CM, Kalble F, Speer C, Benning L, Nusshag C, Pego da Silva L, Sommerer C, Huckelhoven-Krauss A, Czock D, Mehrabi A, Schwab C, Waldherr R, Schnitzler P, Merle U, Tran TH, Scherer S, Bohmig GA, Muller-Tidow C, Reiser J, Zeier M, Schmitt M, Terness P, Schmitt A, Daniel V. Induction of Long-Lasting Regulatory B Lymphocytes by Modified Immune Cells in Kidney Transplant Recipients. J Am Soc Nephrol. 2023 Jan 1;34(1):160-174. doi: 10.1681/ASN.2022020210. Epub 2022 Sep 22.

Reference Type DERIVED
PMID: 36137752 (View on PubMed)

Morath C, Schmitt A, Kleist C, Daniel V, Opelz G, Susal C, Ibrahim E, Kalble F, Speer C, Nusshag C, Pego da Silva L, Sommerer C, Wang L, Ni M, Huckelhoven-Krauss A, Czock D, Merle U, Mehrabi A, Sander A, Hackbusch M, Eckert C, Waldherr R, Schnitzler P, Muller-Tidow C, Hoheisel JD, Mustafa SA, Alhamdani MS, Bauer AS, Reiser J, Zeier M, Schmitt M, Schaier M, Terness P. Phase I trial of donor-derived modified immune cell infusion in kidney transplantation. J Clin Invest. 2020 May 1;130(5):2364-2376. doi: 10.1172/JCI133595.

Reference Type DERIVED
PMID: 31990685 (View on PubMed)

Other Identifiers

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TOL-1

Identifier Type: -

Identifier Source: org_study_id

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