Cell Therapy for Immunomodulation in Kidney Transplantation

NCT ID: NCT03867617

Last Updated: 2024-12-02

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2028-06-30

Brief Summary

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This study investigates treatment with recipient regulatory T cells and donor bone marrow together with tocilizumab for immunomodulation in living donor kidney transplant recipients.

Detailed Description

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Conditions

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Kidney Transplantation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Study group

Treatment with regulatory T cells, donor bone marrow and tocilizumab in addition to immunosuppressive drug therapy in kidney transplant recipients

Group Type EXPERIMENTAL

Regulatory T cells

Intervention Type OTHER

Single infusion of expanded regulatory T cells.

Tocilizumab

Intervention Type DRUG

Treatment during first month post-transplant.

Bone marrow

Intervention Type OTHER

Infusion of donor bone marrow cells.

Kidney transplant

Intervention Type PROCEDURE

Living donor kidney transplantation.

Immunosuppressive drug therapy

Intervention Type OTHER

Immunosuppressive drug therapy.

Control group

Immunosuppressive drug therapy without treatment with regulatory T cells, donor bone marrow and tocilizumab in kidney transplant recipients

Group Type ACTIVE_COMPARATOR

Kidney transplant

Intervention Type PROCEDURE

Living donor kidney transplantation.

Immunosuppressive drug therapy

Intervention Type OTHER

Immunosuppressive drug therapy.

Interventions

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Regulatory T cells

Single infusion of expanded regulatory T cells.

Intervention Type OTHER

Tocilizumab

Treatment during first month post-transplant.

Intervention Type DRUG

Bone marrow

Infusion of donor bone marrow cells.

Intervention Type OTHER

Kidney transplant

Living donor kidney transplantation.

Intervention Type PROCEDURE

Immunosuppressive drug therapy

Immunosuppressive drug therapy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient has provided written informed consent.
* Patient is 18 years or older.
* Patient is a planned recipient of a living donor kidney transplant.
* Patient is a planned recipient of an ABO blood group-compatible kidney graft.
* Patient is a planned recipient of a kidney graft from a donor that is not HLA (human leukocyte antigen)-identical.
* Patient is negative for DSA (donor-specific antibodies).
* WOCBP (women of child-bearing potential) must have a negative pregnancy test at inclusion.
* WOCBP must be using an adequate method of contraception to avoid pregnancy throughout the study and for up to 12 weeks after the study in such a manner that the risk of pregnancy is minimized.

Exclusion Criteria

* Patient is EBV (epstein barr virus)-negative on serology.
* Patient is HIV-positive or suffering from chronic viral hepatitis.
* Patient is CMV (cytomegalo virus)-negative and receiving a kidney from a CMV-positive donor.
* Positive T-cell lymphocytotoxic cross match.
* Patient with prior kidney transplant or non-renal solid organ transplant.
* Patient has a known contraindication to any of the protocol-specified treatments.
* Patient had been diagnosed with a malignancy within 5 years prior to study entry, excluding non-metastatic basal or squamous cell carcinoma of the skin.
* Female patients who are breast-feeding.
* Female patients with a positive pregnancy test.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Regensburg

OTHER

Sponsor Role collaborator

Thomas Wekerle

OTHER

Sponsor Role lead

Responsible Party

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Thomas Wekerle

Professor of Transplantation Immunology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Thomas Wekerle, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University of Vienna

Locations

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Medical University of Vienna/Vienna General Hospital

Vienna, , Austria

Site Status

Countries

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Austria

References

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Oberbauer R, Edinger M, Berlakovich G, Kalhs P, Worel N, Heinze G, Wolzt M, Lion T, Wekerle T. A Prospective Controlled Trial to Evaluate Safety and Efficacy of in vitro Expanded Recipient Regulatory T Cell Therapy and Tocilizumab Together With Donor Bone Marrow Infusion in HLA-Mismatched Living Donor Kidney Transplant Recipients (Trex001). Front Med (Lausanne). 2021 Jan 27;7:634260. doi: 10.3389/fmed.2020.634260. eCollection 2020.

Reference Type DERIVED
PMID: 33585521 (View on PubMed)

Other Identifiers

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Trex001

Identifier Type: -

Identifier Source: org_study_id