NCT05073913

Brief Summary

Vascular evaluation of candidates to living kidney donation is important because there is an increased risk of end stage renal disease and cardiovascular disease after donation. The implication of vascular remodeling in the vascular morbidity observed in donors has not been established because the parameters of vascular remodeling in donors have so far been poorly described. The object of the present study is to study the evolution of vascular remodeling of small, medium and large vessels (until then not evaluable by standard techniques) before and one year after living kidney donation, by dedicated-, non invasive-examinations, which results are associated with cardiovascular risk in the general population. This approach will make it possible to precisely assess the impact of unilateral nephrectomy on vascular remodeling after living donation and to estimate the change in cardiovascular risk attributable to the donation. These results will also help refine the assessment of candidates for kidney donation and potentially open up new strategies to improve selection process of candidates to living kidney donation. Of note, we also plan to evaluate one year after the first exploration potentiel living kidney donors who did not give their kidney due to medical or non medical reasons, as a control group.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
44

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started May 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

May 10, 2021

Completed
5 months until next milestone

First Posted

Study publicly available on registry

October 12, 2021

Completed
7 months until next milestone

Study Start

First participant enrolled

May 10, 2022

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2026

Completed
Last Updated

April 19, 2023

Status Verified

April 1, 2023

Enrollment Period

2.8 years

First QC Date

May 10, 2021

Last Update Submit

April 14, 2023

Conditions

Keywords

living kidney donorsendothelial functionvascular remodelingpulse wave velocityglomerular filtration rate

Outcome Measures

Primary Outcomes (1)

  • Carotid artery rigidity

    Carotid stiffness, as measured by echotracking

    1 year after living kidney donation or after the first exploration for the non donors

Secondary Outcomes (4)

  • Measured glomerular filtration rate

    1 year after living kidney donation or after the first exploration for the non donors

  • Pulse wave velocity

    1 year after living kidney donation or after the first exploration for the non donors

  • Endothelial function

    1 year after living kidney donation or after the first exploration for the non donors

  • Small arteries remodeling

    1 year after living kidney donation or after the first exploration for the non donors

Study Arms (2)

Living kidney donors

ACTIVE COMPARATOR

complete vascular exploration before and one year after nephrectomy

Diagnostic Test: Vascular remodeling characterization

potential living kidney donors

SHAM COMPARATOR

complete vascular exploration before and one year after the first exploration (for patients with medical contraindication to donation or who have declined donation after the first exploration)

Diagnostic Test: Vascular remodeling characterization

Interventions

Pulse wave velocity measure High frequency ultrasonography for vascular imaging Endothelial function test Left ventricular mass by echocardiography Measurement of GFR (Glomerular Filtration Rate) with decrease in plasma of Iohexol

Living kidney donorspotential living kidney donors

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • candidate to living kidney donation
  • affiliated to national health insurance
  • capable of understanding the consequences of participating to the study
  • written informed consent

You may not qualify if:

  • pregnancy
  • breastfeeding
  • allergy to iodinated contrast agents
  • allergy to echographic gel, allergy to cutaneous dressings
  • cutaneous lesions preventing the ultrasonography probe to be applied on the skin
  • participation to a drug trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hôpital Necker

Paris, 75015, France

RECRUITING

MeSH Terms

Conditions

Vascular Remodeling

Condition Hierarchy (Ancestors)

Pathological Conditions, AnatomicalPathological Conditions, Signs and SymptomsPathologic Processes

Study Officials

  • Marie COURBEBAISSE, MD, PhD

    marie.courbebaisse@aphp.fr

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Marie COURBEBAISSE, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 10, 2021

First Posted

October 12, 2021

Study Start

May 10, 2022

Primary Completion

March 1, 2025

Study Completion

March 1, 2026

Last Updated

April 19, 2023

Record last verified: 2023-04

Data Sharing

IPD Sharing
Will share

Individual participant data (IPD) that underlie results in publication could be shared. IPD detailed in the protocol of a planned metaanalysis could be shared

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Two years after the last publication
Access Criteria
Data sharing must be accepted by the sponsor and the PI based on scientific project and scientific involvement of the PI team. Collaboration will be fostered. The founder could be involved in the decision. Data sharing must respect the agreements made with funders. Teams wishing obtain IPD must meet the sponsor and IP team to present scientific (and commercial) purpose, IPD needed, format of data transmission, and timeframe. Technical feasibility and financial support will be discussed before mandatory contractual agreement. contractualization. Processing of shared data must comply with European General Data Protection Regulation (GDPR).

Locations