TransplantLines Food and Nutrition Biobank and Cohort Study (TxL-FN)
Study Details
Study Description
Brief Summary
Short-term (1-year) results of renal transplantation are now excellent (over 95%). Long-term (10-year and longer) results are, however, still disappointing. Where most research has focused on immunosuppression and infections, the investigators hypothesize that due to poor homeostatic capacity and necessary use of immunosuppressive and other drugs, renal transplant recipients are much more susceptible to poor dietary habits and exposure to potentially toxic contaminants than people of the general population, and that this contributes to accelerated function loss of the graft and excess risk of premature mortality, both contributing to poor long-term results. This study is a biobank and cohort study which investigates this hypothesis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Short-term (1-year) results of renal transplantation are now excellent (over 95%). Long-term (10-year and longer) results are, however, still disappointing. Where most research has focused on immunosuppression and infections, the investigators hypothesize that due to poor homeostatic capacity and necessary use of immunosuppressive and other drugs, renal transplant recipients are much more susceptible to poor dietary habits and exposure to potentially toxic contaminants than people of the general population, and that this contributes to accelerated function loss of the graft and excess risk of premature mortality, both contributing to poor long-term results.
To investigate one part of this overarching hypothesis, the investigators wrote a project on around the specific topic of the relation between dietary acid load, ammoniagenesis and its potential influence on blood pressure. The investigators used this project to build a biobank and cohort in which they can test additional hypotheses on the relation between diet, contaminants and development of graft failure and the occurrence of mortality.
The investigators also included 300 healthy controls to compare diet, contaminant exposure and biomarkers with the renal transplant recipients.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Renal Transplant Recipients Renal Transplant Recipients that were more than 1 year post-transplantation |
|
Healthy Controls Healthy subjects being evaluated as potential living kidney donors |
Outcome Measures
Primary Outcome Measures
- Graft failure [20 years]
Return to dialysis or re-transplantation
- All-cause mortality [20 years]
Death
Secondary Outcome Measures
- Cardiovascular mortality [20 years]
Cause specific mortality
- Cancer mortality [20 years]
Cause specific mortality
- Infectious disease mortality [20 years]
Cause specific mortality
Other Outcome Measures
- Change in renal function [20 years]
Change in renal function over time
- New Onset Diabetes After Transplantation [20 years]
New Onset Diabetes
Eligibility Criteria
Criteria
Inclusion Criteria: More than one year after transplantation, prognosis > 1 year, stable outpatients situation -
Exclusion Criteria: Acute illnesses, fever, current hospitalisation
-
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Medical Center Groningen
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- METc2008/186