Use of DNA Testing and Gene Expression Profiling to Help Transition Kidney Transplant Recipients to Belatacept-only Immunosuppression

NCT ID: NCT06336863

Last Updated: 2025-07-14

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-14

Study Completion Date

2026-12-31

Brief Summary

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The purpose of the study is to provide immunosuppression weaning and/or monitoring for an additional 12-months to evaluate the safety and efficacy of belatacept monotherapy in patients previously enrolled in the clinical trial: "Use of donor derived-cell free DNA (AlloSure) and gene expression profiling (AlloMap Kidney) to facilitate Belatacept monotherapy in kidney transplant patients."

Detailed Description

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Conditions

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Kidney Transplant Immunosuppression

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Immunosuppression Taper

Eligible patients who are deemed immune quiescent will undergo sequential withdrawal of immunosuppression medications over a 12-month period from a multi-drug regimen to a Belatacept monotherapy using precision medicine.

Group Type EXPERIMENTAL

Allosure and TruGraf

Intervention Type DIAGNOSTIC_TEST

Precision medicine will be employed to withdraw immunosuppression in kidney transplant recipients.

Immunosuppression Taper

Intervention Type OTHER

An immunosuppression taper will be employed over a 12-month period for those that are deemed immune quiescent.

Multi-Drug Regimen

Eligible patients who are not deemed immune quiescent will continue on a multi-drug regimen.

Group Type OTHER

Allosure and TruGraf

Intervention Type DIAGNOSTIC_TEST

Precision medicine will be employed to withdraw immunosuppression in kidney transplant recipients.

Interventions

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Allosure and TruGraf

Precision medicine will be employed to withdraw immunosuppression in kidney transplant recipients.

Intervention Type DIAGNOSTIC_TEST

Immunosuppression Taper

An immunosuppression taper will be employed over a 12-month period for those that are deemed immune quiescent.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Completion of the parent study (STU-2020-1339)
* Able to provide informed consent
* Absence of donor specific antibodies
* Stable renal function (eGFR\>40mL/min for 3 months prior to enrollment)

Exclusion Criteria

* Female participant who is pregnant, lactating or planning pregnancy during the course of the trial
* Significant hepatic impairment
* Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial
* Proteinuria \> 0.5 g/g creatinine on spot urine sample within 3 months of enrollment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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David Wojciechowski

Associate Professor, Internal Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Wojciechowski, DO

Role: PRINCIPAL_INVESTIGATOR

University of Texas Southwestern Medical Center

Locations

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University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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STU-2023-1151

Identifier Type: -

Identifier Source: org_study_id

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