BK Virus Post-Kidney Transplant: New Practice Versus Traditional Approach
NCT ID: NCT02758288
Last Updated: 2020-10-05
Study Results
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Basic Information
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WITHDRAWN
OBSERVATIONAL
2015-09-30
2022-07-31
Brief Summary
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Detailed Description
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All kidney transplant recipients are routinely assessed for BK virus nephropathy and viremia post transplant as part of their standard care. Patients with BK viremia or BK virus nephropathy will have adjustments in their immunosuppressive medication based on current guidelines and recommendations which include reduction in immunosuppression, treatment with medications with antiviral activity (Cidofovir, Ciprofloxacin, Leflunomide, IVIG) or switching from a Tacrolimus (Prograf)-based regimen to a Cyclosporine-based regimen. Retrospectively, the investigator will collect data on patients who have been diagnosed with BK viremia or BK virus nephropathy and have had such a management in past 66 months (from 1/1/2010 till 06/30/2015). Prospectively, the investigator will enroll and collect data on patients who will be treated for BK viremia or BK virus nephropathy.
As standard of care, all kidney transplant recipients will be seen routinely on weekly-biweekly basis in post-transplant clinic for up to 3 months then every 3 months for up to a year and yearly thereafter. All kidney transplant recipients will be monitored for BK viremia by having blood PCR tested on a monthly basis at 1, 2, 3, 6, and 12 months after transplant. Also, all patients post-kidney transplant will be tested for BK viremia if there is an acute rise in their creatinine.
Conditions
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Study Design
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OTHER
PROSPECTIVE
Study Groups
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New Protocol to treat BK viremia or BKVAN
Adult kidney recipients who are determined to have BK viremia with a BK PCR viral load over 500 copy post-transplant treated with a new treatment protocol, prospective data collection approach
New Protocol - BK viremia or BK virus nephropathy
Data collected prospectively that will follow new clinical practice guidelines that were developed by Loma Linda Nephrology group with collaboration with Transplant surgeons to improve care of patients complicated with BK viremia or BK virus nephropathy.
Standard Protocol to treat BK viremia or BKVAN
Adult kidney recipients who are determined to have BK viremia with a BK PCR viral load over 500 copy post-transplant treated with a traditional standard of care protocol, retrospective data collection approach
Standard Protocol - BK viremia or BK virus nephropathy
Data collected retrospectively that followed standard clinical practice guidelines that were developed by Loma Linda Nephrology group with collaboration with Transplant surgeons to improve care of patients complicated with BK viremia or BK virus nephropathy.
Interventions
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New Protocol - BK viremia or BK virus nephropathy
Data collected prospectively that will follow new clinical practice guidelines that were developed by Loma Linda Nephrology group with collaboration with Transplant surgeons to improve care of patients complicated with BK viremia or BK virus nephropathy.
Standard Protocol - BK viremia or BK virus nephropathy
Data collected retrospectively that followed standard clinical practice guidelines that were developed by Loma Linda Nephrology group with collaboration with Transplant surgeons to improve care of patients complicated with BK viremia or BK virus nephropathy.
Eligibility Criteria
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Inclusion Criteria
* Recipient of kidney or combined kidney and pancreas
* BK viremia confirmed with blood PCR test with viral load over 500
* BK virus nephropathy confirmed by kidney biopsy
Exclusion Criteria
* Patient age \< 18 years
* If patient does not consent for kidney biopsy
* Currently on treatment for acute rejection
* Patients with HIV, Hep C or Hep B infection
* Patients who are on other immunosuppression beside our standard regimen which includes Prograf, cellcept / Myfortic and prednisone
18 Years
ALL
No
Sponsors
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Loma Linda University
OTHER
Responsible Party
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Amir Abdipour, MD
Assistant Professor of Medicine
Principal Investigators
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Amir Abdipour, MD
Role: PRINCIPAL_INVESTIGATOR
Loma Linda University Health
Locations
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Loma Linda University Medical Center
Loma Linda, California, United States
Countries
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References
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Other Identifiers
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5150278
Identifier Type: -
Identifier Source: org_study_id
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