Attenuating Ischemia Reperfusion Injury After Living Donor Renal Transplantation

Sponsor
Georgetown University (Other)
Overall Status
Withdrawn
CT.gov ID
NCT01149993
Collaborator
Novartis (Industry)
0
3
24

Study Details

Study Description

Brief Summary

Patients undergoing living donor renal transplant will be asked to participate to determine whether pre-operative dosing of immunosuppressive medication, and the donor organ receiving an additional dose of antibody induction therapy helps to alleviate potential damage to the transplanted organ post-transplant. A number of lab tests will be done post-transplant to determine how well the kidney is functioning.

Condition or Disease Intervention/Treatment Phase
  • Drug: Myfortic (mycophenolic acid)
  • Drug: Myfortic (mycophenolic acid)
  • Drug: Thymoglobulin (anti-thymocyte globulin)
  • Drug: Thymoglobulin (anti-thymocyte globulin)
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
0 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Attenuating Ischemia Reperfusion Injury After Living Donor Renal Transplantation
Study Start Date :
Jun 1, 2010
Actual Primary Completion Date :
Jun 1, 2012
Actual Study Completion Date :
Jun 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: pre-transplant immunosuppression

subjects in this arm will receive Myfortic 720mg twice daily for 7 days prior to transplantation. Intra-operatively, the donor kidney will receive an infusion of Thymoglobulin, prior to the transplantation.

Drug: Myfortic (mycophenolic acid)
720mg twice a day for 7 days prior to transplantation

Drug: Myfortic (mycophenolic acid)
720mg twice a day after transplant

Drug: Thymoglobulin (anti-thymocyte globulin)
up to 25 mg will be infused into the renal artery of a donor kidney prior to transplantation into the recipient.

Drug: Thymoglobulin (anti-thymocyte globulin)
standard of care for Georgetown University Hospital: 1.5 mg/kg/day infused over 6 hours.

Experimental: pre-transplant induction

subjects in this arm will not receive any pre-transplant immunosuppression. However, the donor kidney will receive an infusion of Thymoglobulin prior to transplantation.

Drug: Myfortic (mycophenolic acid)
720mg twice a day after transplant

Drug: Thymoglobulin (anti-thymocyte globulin)
up to 25 mg will be infused into the renal artery of a donor kidney prior to transplantation into the recipient.

Drug: Thymoglobulin (anti-thymocyte globulin)
standard of care for Georgetown University Hospital: 1.5 mg/kg/day infused over 6 hours.

Active Comparator: standard of care

subjects in this arm will not receive any pre-transplant immunosuppression, and the donor kidney will not receive an additional dose of Thymoglobulin prior to transplantation. This is the standard of care protocol for Georgetown University Hospital

Drug: Myfortic (mycophenolic acid)
720mg twice a day after transplant

Drug: Thymoglobulin (anti-thymocyte globulin)
standard of care for Georgetown University Hospital: 1.5 mg/kg/day infused over 6 hours.

Outcome Measures

Primary Outcome Measures

  1. reduction in ischemia reperfusion injury [one year]

    Monitor immediate graft functioning, mitochodrial membrane potential, serum creatinine, and cylex immunomonitoring to determine if pre-transplant immunosuppression, and an additional intra-operative dose of induction agent helps to reduce ischemic reperfusion injury.

Secondary Outcome Measures

  1. secondary outcomes [one year]

    incidence of acute rejection, graft survival, patient survival, change in cylex values

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Must be able to provide written informed consent.

  2. All recipients of a kidney from a living donor only, either a de novo transplant, or re-transplant

  3. All patients evaluated and listed with the United Network for Organ Sharing (UNOS) who are eligible to receive a kidney transplant under GUH's standard protocol.

  4. Patients between 18-80 years of age

Exclusion Criteria:
  1. Recipients of multi-organ transplant

  2. Patients with known allergies of hypersensitivities to any of the drugs used in this protocol

  3. Recipients of kidneys from a deceased donor

  4. Recipients who are co-infected with Hepatitis B, Hepatitis C or HIV

  5. Women who are pregnant

  6. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle or sexual orientation precludes intercourse with a male partner unless they agree to avoid pregnancy throughout the duration of the trial and for 3 months following the trial.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Georgetown University
  • Novartis

Investigators

  • Principal Investigator: Joseph K Melancon, MD, Georgetown University Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Keith Melancon,MD, Director of kidney and pancreas transplantation, Georgetown University
ClinicalTrials.gov Identifier:
NCT01149993
Other Study ID Numbers:
  • 2009-496
First Posted:
Jun 24, 2010
Last Update Posted:
Jun 9, 2014
Last Verified:
Jun 1, 2014
Keywords provided by Keith Melancon,MD, Director of kidney and pancreas transplantation, Georgetown University
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 9, 2014