Haufen Diagnostic Biomarkers of BK Renal Disease
Polyomavirus Aggregates, Haufen, in Voided Urine Samples as Diagnostic Biomarkers of Intra Renal BK-virus Disease: a Prospective Proof-of-concept Study
1 other identifier
interventional
50
1 country
1
Brief Summary
To prospectively test whether the detection of three-dimensional, cast-like polyomavirus aggregates, termed Haufen, in voided urine samples can serve as an accurate biomarker of intra-renal disease, i.e. polyoma-BK-virus nephropathy (PVN). We want to correlate the detection of 'Haufen' with histologic findings made in renal biopsies as well as signs of polyomavirus activation, i.e. viremia and viruria. The prospective study is designed to further validate our retrospective findings (manuscript in press, J Am Soc Nephrology) and more specifically to correlate 'Haufen' shedding with the histologically confirmed course of PVN.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Nov 2008
Longer than P75 for not_applicable
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
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
March 25, 2010
CompletedFirst Posted
Study publicly available on registry
March 29, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2019
CompletedJune 12, 2023
June 1, 2023
10.7 years
March 25, 2010
June 8, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Correlate Haufen, urine and plasma data with the clinical presentation and - in selected cases - with renal biopsy findings.
The biopsy will be performed when urine is determined to be Haufen negative
Study Arms (1)
Renal Allograft Biopsy
EXPERIMENTALUrine left over from clinic visits is analyzed for 'Haufen' by negative staining electron microscopy as a marker of intra-renal polyomavirus nephropathy. Correlate Haufen, urine, and plasma data with the clinical presentation and with renal biopsy findings. Patients with PVN will be approached for study participation in which their routine samples will be monitored until urine is negative for 'Haufen', and a study protocol biopsy will be obtained for confirmation.
Interventions
A renal allograft biopsy will be performed when the urine is determined to be Haufen negative.
Eligibility Criteria
You may qualify if:
- Age 18 or older
- Recipient of renal transplant
- Positive for polyoma virus
- Haufen cells present in urine
- Positive for polyoma virus nephropathy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of North Carolina-CH Dept of Pathology
Chapel Hill, North Carolina, 27599, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Volker Nickeleit, MD
University of North Carolina, Chapel Hill
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 25, 2010
First Posted
March 29, 2010
Study Start
November 1, 2008
Primary Completion
July 1, 2019
Study Completion
July 1, 2019
Last Updated
June 12, 2023
Record last verified: 2023-06