Study Results
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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TERMINATED
13 participants
OBSERVATIONAL
2021-02-26
2024-07-31
Brief Summary
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Detailed Description
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In kidney transplantation cell free donor derived DNA at of value of \>1% has emerged as an effective immune monitoring tool as a marker for renal allograft rejection and injury. Thus far, a discriminatory donor derived cell free DNA value for a stable and rejecting allografts has not been established for recipients of combined kidney-pancreas transplants.
Study aim will be to help establish a normal range of donor derived cell free DNA in stable kidney-pancreas graft function in combined kidney pancreas transplant recipients while determining changes in cell free DNA in kidney-pancreas recipients with biopsy proven allograft rejection.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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WU/Barnes cohort
SPK patients in this group will be recruited from WU/Barnes Transplant center. A total of 25 from this cohort will be recruited and asked to provide a blood sample to test for donor derived cell free DNA 3 times over the course of the first year of transplant. In addition, if any biopsies or rejections occur, additional samples will be requested at the time of biopsy and for an additional two follow-ups at least one month apart.
DD-cfDNA
We are obtaining samples for donor derived cell free DNA in an observational manner. There is no intervention in this study
UT Southwestern cohort
SPK patients in this group will be recruited from WU/Barnes Transplant center. A total of 25 from this cohort will be recruited and asked to provide a blood sample to test for donor derived cell free DNA 3 times over the course of the first year of transplant. In addition, if any biopsies or rejections occur, additional samples will be requested at the time of biopsy and for an additional two follow-ups at least one month apart.
DD-cfDNA
We are obtaining samples for donor derived cell free DNA in an observational manner. There is no intervention in this study
Interventions
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DD-cfDNA
We are obtaining samples for donor derived cell free DNA in an observational manner. There is no intervention in this study
Eligibility Criteria
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Inclusion Criteria
* Kidney-pancreas transplant recipients
* Patient must have stable creatine, lipase, amylase for at least a two month span after transplant OR patient must receive a biopsy within one year post transplant
Exclusion Criteria
* Patient is not enrolled within 1 year after transplant
18 Years
ALL
No
Sponsors
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CareDx
INDUSTRY
University of Texas
OTHER
Washington University School of Medicine
OTHER
Responsible Party
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Principal Investigators
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Rowena Delos Santos, MD
Role: PRINCIPAL_INVESTIGATOR
Washington University in Saint Louis School of Medicine
Locations
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Washington University
St Louis, Missouri, United States
Countries
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References
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Bloom RD, Bromberg JS, Poggio ED, Bunnapradist S, Langone AJ, Sood P, Matas AJ, Mehta S, Mannon RB, Sharfuddin A, Fischbach B, Narayanan M, Jordan SC, Cohen D, Weir MR, Hiller D, Prasad P, Woodward RN, Grskovic M, Sninsky JJ, Yee JP, Brennan DC; Circulating Donor-Derived Cell-Free DNA in Blood for Diagnosing Active Rejection in Kidney Transplant Recipients (DART) Study Investigators. Cell-Free DNA and Active Rejection in Kidney Allografts. J Am Soc Nephrol. 2017 Jul;28(7):2221-2232. doi: 10.1681/ASN.2016091034. Epub 2017 Mar 9.
Grskovic M, Hiller DJ, Eubank LA, Sninsky JJ, Christopherson C, Collins JP, Thompson K, Song M, Wang YS, Ross D, Nelles MJ, Yee JP, Wilber JC, Crespo-Leiro MG, Scott SL, Woodward RN. Validation of a Clinical-Grade Assay to Measure Donor-Derived Cell-Free DNA in Solid Organ Transplant Recipients. J Mol Diagn. 2016 Nov;18(6):890-902. doi: 10.1016/j.jmoldx.2016.07.003. Epub 2016 Oct 7.
Other Identifiers
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202011048
Identifier Type: -
Identifier Source: org_study_id
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