Vascularized Composite Allotransplantation of the Hand
HandCTA
2 other identifiers
interventional
20
1 country
1
Brief Summary
This is a clinical trial of unilateral and bilateral hand transplantation. This will be done by the surgical transfer of a hand from a non-living donor to restore function of non-functioning or amputated hand. Recipients must currently take the same type of drugs as a kidney transplant patient to prevent rejection of the hand.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Jun 1998
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 1998
CompletedFirst Submitted
Initial submission to the registry
July 7, 2008
CompletedFirst Posted
Study publicly available on registry
July 8, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2019
CompletedJanuary 25, 2018
January 1, 2018
21 years
July 7, 2008
January 23, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
functioning allograft
Subjects will be monitored in Louisville for three months. After that subject will be monitored for function of the allograft on an annual basis or as clinical course indicates. We are requesting that subjects allow function to be evaluated on an annual basis for the life of the graft.
Monthly functional analysis for first three months and then on an annual basis for the life of the graft
Secondary Outcomes (1)
document and manage complications associated with Composite Tissue allotransplantation
monthly labs for the first year, then bi-monthly for the first five years, or as clincial course indicates
Study Arms (1)
Unilateral and Bilateral Amputees
EXPERIMENTALInterventions
Surgical reconstruction of part or all of the hands and/or hands and forearm using tissue from a non-living donor
Eligibility Criteria
You may qualify if:
- Candidates may be male or female patients between the ages of 18 and 65 who are missing all or part of a hand and forearm
- No serious co-existing medical or psycho-social problems
- Must be HIV negative at the time of transplant
- Crossmatch is negative between donor and recipient
- Women who are of child bearing potential must have a negative pregnancy test (urine test is acceptable) within 48 hours of transplant and agree to use reliable contraception for one year following transplant
- Subjects must give written informed consent
You may not qualify if:
- Uncontrolled infection or severe concomitant diseases which would exclude the recipient from transplantation
- Alcoholism not currently under control
- Malignancy
- Excessive proximal level of amputation: some presence of proximal muscles is required to motor a functioning hand
- Congenital Abnormalities: co-existent absence/atrophy/agenesis of any tissue may affect post transplant results
- History of amputation of less than six months: subject must be allowed to attempt prosthetic use prior to hand transplantation
- Blindness: blind amputees may be poor candidates because sensory return in the hand may not provide sufficient protective sensation
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Christina L. Kaufman PhDlead
- Jewish Hospital and St. Mary's Healthcarecollaborator
- Kleinert, Kutz and Associatescollaborator
- University of Louisvillecollaborator
- U.S. Army Medical Research and Development Commandcollaborator
- United States Department of Defensecollaborator
Study Sites (1)
Kleinert Kutz and Associates/Jewish Hospital and St. Mary's Healthcare
Louisville, Kentucky, 40202, United States
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Chris Jones, MD
Jewish Hospital Transplant Center
- PRINCIPAL INVESTIGATOR
Tuna Ozyurekoglu, MD
Christine M. Kleinert Institute
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Exec. Director
Study Record Dates
First Submitted
July 7, 2008
First Posted
July 8, 2008
Study Start
June 1, 1998
Primary Completion
June 1, 2019
Study Completion
June 1, 2019
Last Updated
January 25, 2018
Record last verified: 2018-01
Data Sharing
- IPD Sharing
- Will not share