Evaluation of a Marine OXYgen Carrier for Organ Preservation

NCT ID: NCT04181710

Last Updated: 2023-11-29

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

NA

Total Enrollment

490 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-04

Study Completion Date

2023-09-11

Brief Summary

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Preventing ischemia/reperfusion injuries (IRIs) is a major issue in kidney transplantation, particularly for transplant recipients receiving a kidney from extended criteria donors (ECD). The main consequence of IRIs is delayed graft function (DGF).

The medical device HEMO2life®, an oxygen carrier developed by the Hemarina French Company, is a natural extracellular hemoglobin (Hb) isolated from the marine lugworm Arenicola marina. This biopolymer of high molecular weight (\~3,600 kDa) has a large oxygen binding capacity, carrying up to 156 oxygen molecules when saturated (4 for human Hb). It releases oxygen according to a simple gradient and exhibits an intrinsic superoxide dismutase-like activity preventing both the occurrence of potentially harmful heme-protein-associated free radical species and the release of Hb degradation products.

Recently a safety study in 60 renal grafts using HEMO2life® as additive to organ preservation solution (Oxyop study, NCT02652520) was completed, that confirmed that the use of HEMO2life® is safe for patients and grafts.

In the Oxyop study, even if the protocol was not designed to show a benefit of the use of HEMO2life®, significantly less delayed graft function (DGF) and a shorter renal function recovery was observed.

The present research focuses on the efficacy of HEMO2life®, which is an oxygen carrier added in preservation solution in kidney transplantation.

Detailed Description

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Conditions

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End Stage Renal Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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HEMO2life

HEMO2life® will be used for ex vivo graft preservation at the dose of 1g per liter of preservation solution.

Group Type EXPERIMENTAL

Kidney transplant

Intervention Type PROCEDURE

Organ preserved in preservation solution

Control

Organ preserved in preservation solution routinely used according to the local practice

Group Type OTHER

Kidney transplant

Intervention Type PROCEDURE

Organ preserved in preservation solution

Interventions

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Kidney transplant

Organ preserved in preservation solution

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* For Kidney graft:
* Any pair of kidneys retrieved in an adult donor in one of first line participating centers.
* Any pair of kidneys from a deceased donor after brain or cardiac death
* For Patient:
* Male or female renal allograft recipients at least 18 years old
* Patient who signed an inform consent form
* Patient receiving one graft from an included pair of kidneys

Exclusion Criteria

* For kidney :
* Graft from a living donor
* Graft dedicated to a multi-organ transplantation or dual kidney transplantation,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Brest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yannick LE MEUR

Role: PRINCIPAL_INVESTIGATOR

Principal Investigator and Nephrology coordinator

Benoit BARROU

Role: PRINCIPAL_INVESTIGATOR

Urology coordinator

Locations

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Amiens

Amiens, , France

Site Status

Angers

Angers, , France

Site Status

Besançon

Besançon, , France

Site Status

Bordeaux

Bordeaux, , France

Site Status

CHRU de Brest

Brest, , France

Site Status

Caen

Caen, , France

Site Status

Clermont-Ferrand

Clermont-Ferrand, , France

Site Status

Dijon

Dijon, , France

Site Status

Grenoble

Grenoble, , France

Site Status

Lille

Lille, , France

Site Status

Limoges

Limoges, , France

Site Status

Lyon

Lyon, , France

Site Status

Marseille

Marseille, , France

Site Status

Montpellier

Montpellier, , France

Site Status

Nancy

Nancy, , France

Site Status

Nantes

Nantes, , France

Site Status

Nice

Nice, , France

Site Status

APHP Bicêtre

Paris, , France

Site Status

APHP Henri Mondor

Paris, , France

Site Status

APHP Necker

Paris, , France

Site Status

APHP Saint-Louis

Paris, , France

Site Status

Association Hopital Foch

Paris, , France

Site Status

Paris La Salpétrière

Paris, , France

Site Status

Poitiers

Poitiers, , France

Site Status

Reims

Reims, , France

Site Status

Rennes

Rennes, , France

Site Status

Rouen

Rouen, , France

Site Status

La Réunion

Saint-Denis, , France

Site Status

Saint-Etienne

Saint-Etienne, , France

Site Status

Strasbourg

Strasbourg, , France

Site Status

Toulouse

Toulouse, , France

Site Status

Tours

Tours, , France

Site Status

Countries

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France

References

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Tingle SJ, Thompson ER, Figueiredo RS, Moir JA, Goodfellow M, Talbot D, Wilson CH. Normothermic and hypothermic machine perfusion preservation versus static cold storage for deceased donor kidney transplantation. Cochrane Database Syst Rev. 2024 Jul 9;7(7):CD011671. doi: 10.1002/14651858.CD011671.pub3.

Reference Type DERIVED
PMID: 38979743 (View on PubMed)

Le Meur Y, Nowak E, Barrou B, Thierry A, Badet L, Buchler M, Rerolle JP, Golbin L, Duveau A, Dantal J, Merville P, Kamar N, Demini L, Zal F. Evaluation of the efficacy of HEMO2life(R), a marine OXYgen carrier for Organ Preservation (OxyOp2) in renal transplantation: study protocol for a multicenter randomized trial. Trials. 2023 May 1;24(1):302. doi: 10.1186/s13063-023-07302-3.

Reference Type DERIVED
PMID: 37127632 (View on PubMed)

Other Identifiers

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OXYOP 2 (29BRC19.0048)

Identifier Type: -

Identifier Source: org_study_id