Actively Recruiting

Age: 18Years +
All Genders
NCT07134491

Peripheral and Intrarenal B Cell Study in Antibody Mediated Transplant Rejection : Phenotypic and Transcriptional Study, Study of Reactivity

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2026-03-18

45

Participants Needed

2

Research Sites

156 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Humoral rejection of kidney transplants is responsible for a large number of kidney graft losses in a context of increasing shortage. Although it has been established that it is largely mediated by the alloreactive B lymphocyte, anti-B therapies are only partially effective. The mechanisms behind the loss of tolerance are also poorly understood, and the triggers of rejection remain to be elucidated. During this study, patients admitted for kidney graft biopsy for suspicion of rejection will be included ; patients presenting non inflammatory biopsies will be studied as controls. B cells will be extracted and cultured. Their antibodies will be studied along with reactivity towards HLA, non HLA targets and the gut microbiome. The same study will be led for late rejections needing graft removal : B cells extraction, culture, antibodies reactivity testing. Controls will be graft removal for non inflammatory causes. In both cases hight throughput sequencing the immunoglobulin genes will be performed.

CONDITIONS

Official Title

Peripheral and Intrarenal B Cell Study in Antibody Mediated Transplant Rejection : Phenotypic and Transcriptional Study, Study of Reactivity

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult kidney transplant recipients admitted for biopsy or graft removal in the participating nephrology departments.
  • Patient participation agreement and signed consent form
  • Affiliation to a health insurance system
Not Eligible

You will not qualify if you...

  • Confounding factor of renal inflammation: acute or recurrent pyelonephritis, BK virus nephropathy
  • Pregnant or breast-feeding women
  • Persons under legal protection

AI-Screening

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Trial Site Locations

Total: 2 locations

1

Nephrology department, Hôpital Pitié Salpêtière

Paris, France, 75013

Actively Recruiting

2

Nephrology department, Tenon hospital

Paris, France, 75020

Not Yet Recruiting

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Research Team

Y

Yanis TAMZALI, MD, MsC

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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