Status:

RECRUITING

Expanding the Scope of Post-transplant HLA-specific Antibody Detection and Monitoring in Renal Transplant Recipients

Lead Sponsor:

Liverpool University Hospitals NHS Foundation Trust

Collaborating Sponsors:

Kidney Research United Kingdom

Conditions:

Kidney Transplant

Renal Transplant Failure

Eligibility:

All Genders

18+ years

Brief Summary

The purpose of this study is to assess a new test to detect antibodies which may form following kidney transplant. These antibodies can be difficult to detect as they do not cause any symptoms but can...

Detailed Description

Donor-derived cell-free DNA (dd-cfDNA) Post-transplant monitoring for acute rejection in most centres, focuses on identification of a deterioration in graft function which may be totally asymptomatic...

Eligibility Criteria

Inclusion

  • cf-DNA arm:
  • Adult patients transplanted within 6-12 months (retrospective recruitment)
  • Patients admitted for renal transplant or within the first 6 months following transplant (prospective recruitment)
  • Patients must have capacity to provide informed consent
  • Patients must have received a high-risk transplant defined as level 4 mismatch, cRF \>20, second or subsequent transplant, ABO or HLA incompatible
  • Older Age Immunological Events:
  • \- Any adult patient with capacity undergoing, or within 72 hours of, a renal transplant
  • Predictive models:
  • Any adult patient with capacity undergoing, or within 72 hours of, a renal transplant
  • Unsensitized pre-transplant

Exclusion

  • cf-DNA arm:
  • Transplanted for longer than 12 months;
  • Low risk transplants;
  • Patients lacking capacity;
  • Older Age Immunological Events:
  • Patients lacking capacity
  • Patients transplanted longer than 2 weeks
  • Predictive models:
  • Sensitised patients
  • Patients lacking capacity
  • Patients transplanted longer than 2 weeks

Key Trial Info

Start Date :

October 13 2023

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

October 13 2026

Estimated Enrollment :

282 Patients enrolled

Trial Details

Trial ID

NCT06025240

Start Date

October 13 2023

End Date

October 13 2026

Last Update

August 30 2024

Active Locations (1)

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Liverpool University Hospitals NHS Foundation Trust

Liverpool, Merseyside, United Kingdom, L7 8YE