Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 75Years
All Genders
NCT04005469

Safety and Efficacy of Treprostinil (Remodulin®) In Reducing Ischemia-Reperfusion Injury During Kidney Transplantation

Led by Rhode Island Hospital · Updated on 2026-04-23

20

Participants Needed

1

Research Sites

398 weeks

Total Duration

On this page

Sponsors

R

Rhode Island Hospital

Lead Sponsor

U

University of Rhode Island

Collaborating Sponsor

AI-Summary

What this Trial Is About

The objectives of this study are to test the preliminary safety and efficacy of a two-day peri-operative course of treprostinil in reducing ischemia-reperfusion injury in adult patients receiving a deceased donor kidney transplantation. Treprostinil, a prostacyclin analog, is expected to facilitate the restoration of blood supply to the revascularized kidney graft via its vasodilatory actions, well characterized protective effects, and longer elimination half-life. These properties and actions of treprostinil make it a strong drug candidate to reduce kidney graft dysfunction during kidney transplantation. An anticipated 20 participants undergoing deceased donor kidney transplant will be hospitalized and intensively monitored during an entire two-day Treatment Phase. An IV infusion using a dedicated central venous line will be used to administer treprostinil commencing approximately 2-3 hours before transplantation of the kidney graft and will continue for approximately 48 hours after completion of the transplant surgery. The primary endpoints include the safety and efficacy of treprostinil, with secondary endpoints including the evaluation of both biochemical and clinical endpoints post-transplantation.

CONDITIONS

Official Title

Safety and Efficacy of Treprostinil (Remodulin®) In Reducing Ischemia-Reperfusion Injury During Kidney Transplantation

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male and female patients aged 18 to 65 years who will receive a deceased donor kidney and are on the active transplant list at RIH
  • Documentation of a diabetes diagnosis or consistent clinical features
  • Written informed consent obtained and ability to comply with study requirements
Not Eligible

You will not qualify if you...

  • Under 18 years of age
  • Difficult venous access
  • Body mass index over 40 kg/m2
  • Severe clinical gastroparesis with repeated vomiting
  • Prior gastrointestinal surgery except cholecystectomy, appendectomy, or Nissen fundoplication
  • Known or history of inflammatory bowel disease or bezoars
  • History of diverticulitis, diverticular stricture, or other intestinal strictures
  • Receiving any investigational drug other than treprostinil or participating in another investigational study
  • Receiving prostanoid therapy for portopulmonary hypertension
  • Known hypersensitivity to prostaglandins, prostacyclin, or treprostinil
  • Failed kidney transplant within the previous 180 days
  • Receiving non-standard immunosuppression or treatment affecting study interpretation
  • Significant cardiovascular disease including treatment with inotropes
  • Female who is pregnant or nursing
  • Any condition or abnormality that compromises patient safety or data quality as judged by investigators

AI-Screening

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Trial Site Locations

Total: 1 location

1

Rhode Island Hospital

Providence, Rhode Island, United States, 02903

Actively Recruiting

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Research Team

G

George Bayliss, MD

CONTACT

N

Nisanne Ghonem, PharmD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

PREVENTION

Number of Arms

1

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