Attenuating Ischemia Reperfusion Injury After Living Donor Renal Transplantation
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 |
---|---|---|
|
Phase 4 |
Study Design
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
- 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
- secondary outcomes [one year]
incidence of acute rejection, graft survival, patient survival, change in cylex values
Eligibility Criteria
Criteria
Inclusion Criteria:
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Must be able to provide written informed consent.
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All recipients of a kidney from a living donor only, either a de novo transplant, or re-transplant
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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.
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Patients between 18-80 years of age
Exclusion Criteria:
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Recipients of multi-organ transplant
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Patients with known allergies of hypersensitivities to any of the drugs used in this protocol
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Recipients of kidneys from a deceased donor
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Recipients who are co-infected with Hepatitis B, Hepatitis C or HIV
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Women who are pregnant
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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.- 2009-496