TruGraf® Testing in High-Risk Kidney Transplant Recipients
Study Details
Study Description
Brief Summary
This is an observational study to evaluate TruGraf® testing in high immune risk kidney transplant recipients. TruGraf is the first and only non-invasive test approved by Medicare to rule out silent rejection in stable kidney transplant recipients.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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All Subjects Enrolled High immune risk transplant recipients who are undergoing routine management under current standard of care |
Diagnostic Test: TruGraf® Testing
5 mL collection PAXgene blood sample
Other Names:
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Outcome Measures
Primary Outcome Measures
- Clinical Utility of TruGraf Results [1 year]
Percent of total number of TruGraf results that the PI identified as having clinical utility
- Correlation of TruGraf Results [1 year]
Percent of total number of TruGraf results that the PI identified as being correlated to other clinical results obtained through the standard of care
Eligibility Criteria
Criteria
Inclusion Criteria:
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High immune risk kidney transplant recipients defined by one of the following criteria: either a positive pretransplant donor specific anti-human leukocyte antigen (HLA) antibody, or a pre-transplant panel reactive antibody >75%.
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Recipient of a primary or subsequent deceased-donor or living donor kidney transplantation.
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Stable serum creatinine (current serum creatinine <2.3 mg/dl, <20% increase compared to the average of the previous 3 serum creatinine levels).
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Kidney transplant patients who are at least 30 days post-transplant.
Exclusion Criteria:
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Need for combined organ transplantation with an extra-renal organ and/or islet cell transplant.
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Recipients who do not meet criteria of high-immune risk.
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Recipients of previous non-renal solid organ and/or islet cell transplantation.
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Infection with HIV.
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Infection with BK.
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Patients that have nephrotic proteinuria (urine protein >3 gm/day).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Houston Methodist Research Institute | Houston | Texas | United States | 77210 |
Sponsors and Collaborators
- Transplant Genomics, Inc.
- The Methodist Hospital Research Institute
Investigators
- Study Director: John Holman, MD, Transplant Genomics, Inc.
Study Documents (Full-Text)
None provided.More Information
Publications
- First MR, Peddi VR, Mannon R, Knight R, Marsh CL, Kurian SM, Rice JC, Maluf D, Mandelbrot D, Patel A, David J, Schieve C, Lee D, Lewis P, Friedewald JJ, Abecassis MM, Rose S. Investigator Assessment of the Utility of the TruGraf Molecular Diagnostic Test in Clinical Practice. Transplant Proc. 2019 Apr;51(3):729-733. doi: 10.1016/j.transproceed.2018.10.024. Epub 2018 Dec 11.
- Marsh CL, Kurian SM, Rice JC, Whisenant TC, David J, Rose S, Schieve C, Lee D, Case J, Barrick B, Peddi VR, Mannon RB, Knight R, Maluf D, Mandelbrot D, Patel A, Friedewald JJ, Abecassis MM, First MR. Application of TruGraf v1: A Novel Molecular Biomarker for Managing Kidney Transplant Recipients With Stable Renal Function. Transplant Proc. 2019 Apr;51(3):722-728. doi: 10.1016/j.transproceed.2019.01.054. Epub 2019 Jan 26.
- TGRP03-US003