Normothermic Machine Perfusion: an Additional Value for Kidney Transplant Outcomes?

NCT ID: NCT04882254

Last Updated: 2024-05-07

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

PHASE2

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-01

Study Completion Date

2025-05-31

Brief Summary

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This study is a randomised, controlled, phase II trial to assess the efficacy of 2 hours normothermic machine perfusion (NMP) of extended criteria(EC)-DBD (donation after brain death) and DCD (donation after circulatory death) donor kidneys compared to standard care, which is hypothermic machine perfusion (HMP) only in the Netherlands.

Detailed Description

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Conditions

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Kidney Transplant Failure Chronic Kidney Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

1:1 randomised to either intervention arm (normothermic machine perfusion, NMP) or standard-of-care (hypothermic machine perfusion, HMP)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Normothermic machine perfusion

Additional 2 hours of normothermic machine perfusion of donor kidney with a red cell based perfusate.

Group Type EXPERIMENTAL

Normothermic machine perfusion

Intervention Type PROCEDURE

Additional 2h of normothermic machine perfusion of the donor kidney with a red cell based perfusate.

Standard-of-care

Standard-of-care, which is hypothermic kidney machine perfusion in the Netherlands.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Normothermic machine perfusion

Additional 2h of normothermic machine perfusion of the donor kidney with a red cell based perfusate.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* kidney-only transplant
* renal replacement therapy at time of transplant
* receiving standard immunosuppression regimen post-transplant.
* Donation after circulatory death (DCD) Maastricht type III, IV, or V or extended criteria donation after brain death (DBD) donor kidneys.

Exclusion Criteria

* pre-emptive at time of transplant
* receive a multi-organ or dual kidney transplant
* age donor or recipient below 18 years
* Maastricht type I and II DCD
* donor kidneys preserved on static cold storage (SCS)
* kidneys retrieved after normothermic regional perfusion (NRP)
* Recipient virtual panel reactive antibodies ≥85%
* Recipient for who it is agreed in advance that dialysis after transplant is required, such as in the context of hyperoxaluria
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Robert Minnee

Transplant surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Erasmus MC Transplant Institute

Rotterdam, , Netherlands

Site Status

Countries

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Netherlands

References

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Lin H, Bousnina K, Slagter JS, Fang Y, Cristoferi I, Garrelds IM, Danser AHJ, Reinders MEJ, Minnee RC, Hoogduijn MJ. (Pro)renin, Erythropoietin, Vitamin D and Urodilatin Release From Human Donor Kidneys During Normothermic Machine Perfusion: Predictors of Early Post-Transplant Outcome? Clin Transplant. 2025 May;39(5):e70163. doi: 10.1111/ctr.70163.

Reference Type DERIVED
PMID: 40278798 (View on PubMed)

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)

Rijkse E, Bouari S, Kimenai HJAN, de Jonge J, de Bruin RWF, Slagter JS, van den Hoogen MWF, IJzermans JNM, Hoogduijn MJ, Minnee RC. Additional Normothermic Machine Perfusion Versus Hypothermic Machine Perfusion in Suboptimal Donor Kidney Transplantation: Protocol of a Randomized, Controlled, Open-Label Trial. Int J Surg Protoc. 2021 Oct 6;25(1):227-237. doi: 10.29337/ijsp.165. eCollection 2021.

Reference Type DERIVED
PMID: 34708171 (View on PubMed)

Other Identifiers

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APOLLO

Identifier Type: -

Identifier Source: org_study_id

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