NCT03916822

Brief Summary

Goal: The goal of this study is to validate blood tests, which can detect antibody-mediated rejection (ABMR) after renal transplantation. These cell based assays measure CD154-expressing alloantigen-specific B-cells and their subsets in peripheral blood of adult renal transplant recipients. Thirty recipients will be enrolled at two transplant centers, 10 each with ABMR, T-cell mediated rejection (TCMR), and no rejection. Each subject will be sample twice, before and after rejection. Donor-specific anti-HLA antibodies will also be measured with single antigen beads.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Apr 2019

Typical duration for all trials

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 12, 2019

Completed
3 days until next milestone

Study Start

First participant enrolled

April 15, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 16, 2019

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 14, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 14, 2021

Completed
Last Updated

September 23, 2020

Status Verified

September 1, 2020

Enrollment Period

2.2 years

First QC Date

April 12, 2019

Last Update Submit

September 21, 2020

Conditions

Keywords

Antibody mediated RejectionRenal TransplantationAdultsCD154B-cellsB-cell subsetsalloantigen-specific

Outcome Measures

Primary Outcomes (1)

  • Antibody-mediated rejection

    Biopsy-proven antibody-mediated rejection after primary renal transplantation

    up to 90 days per subject

Secondary Outcomes (1)

  • T-cell mediated rejection (TCMR)

    up to 90 days per subject

Study Arms (3)

ABMR

Biopsy-proven ABMR-Banff criteria, with or without Complement binding donor-specific anti-HLA antibodies

Diagnostic Test: Alloantigen-specific B-cells

TCMR

Biopsy-proven TCMR-Banff 1A, 1B, 2 and 3

Diagnostic Test: Alloantigen-specific B-cells

No Rejection

Biopsy-proven, or clinical criteria

Diagnostic Test: Alloantigen-specific B-cells

Interventions

Alloantigen-specific B-cells which express CD154 and their subsets which also co-express cytokines, memory and naive markers, and additional derivatives of these markers will be measured with flow cytometry

ABMRNo RejectionTCMR

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adults who have received primary renal transplants

You may qualify if:

  • IRB-approved informed consent.
  • Adults (\>18 yr to 70 years)
  • Primary renal transplant recipients with biopsy-proven ABMR, TCMR or recipients with no rejection

You may not qualify if:

  • Lack of informed consent
  • Concomitant BK virus infection
  • Vulnerable populations including children \<18 yr, pregnant women, and prisoners

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Erie County Medical Center

Buffalo, New York, 14215, United States

NOT YET RECRUITING

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

RECRUITING

Biospecimen

Retention: SAMPLES WITHOUT DNA

Peripheral blood leukocytes extracted from whole blood samples will be retained in liquid nitrogen for repeat testing or quality assessment until study results are public

Study Officials

  • Rakesh Sindhi, MD

    Plexision

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 12, 2019

First Posted

April 16, 2019

Study Start

April 15, 2019

Primary Completion

June 14, 2021

Study Completion

August 14, 2021

Last Updated

September 23, 2020

Record last verified: 2020-09

Data Sharing

IPD Sharing
Will not share

IPD will be retained at enrollment sites, Results of testing samples, and related de-identified data of the subject will be summarized and shared with all investigators of this study, and reported in publications

Locations