Recruiting PHASE1 Living Donor Kidney Transplantation

New treatment option for Living Donor Kidney Transplantation

Official title TLI, TBI, ATG & Hematopoietic Stem Cell Transplantation and Recipient T Regs Therapy in Living Donor Kidney Transplantation

ClinicalTrials.gov ID: NCT03943238

What this study is testing

What is Infusion of Donor Hematopoetic Stem Cells and Recipient Tregs?

Infusion of Donor Hematopoetic Stem Cells and Recipient Tregs is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for living donor kidney transplantation.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
This study will determine whether a preparatory regimen including total lymphoid irradiation (TLI), total body irradiation (TBI), anti-thymocyte globulin (ATG) and infusion of the donor hematopoietic stem cells when given along with recipient regulatory T cells (Tregs) will allow for eventual discontinuation of anti-rejection drugs after living donor kidney transplantation.
  • Phase 1: an early, usually small safety study

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 65

You may be able to join if

  • All consenting adults who are 18 to 65 years, living donor renal transplant recipients at Stanford University Medical Center or Northwestern Medicine...
  • Patients who agree to participate in the study and sign an Informed Consent.
  • Patients who have no known contraindication to administration of rabbit ATG or radiation.
  • Males and females of reproductive potential who agree to practice a reliable form of contraception for at least 1 year posttransplant

You likely can't join if

  • Previous treatment with rabbit ATG or a known allergy to rabbit proteins.
  • History of malignancy with the exception of non-melanoma skin malignancies.
  • Pregnant women or nursing mothers.
  • Serological evidence of HIV, Hepatitis B surface antigen positive (HBsAg+), or Hepatitis C infection. Epstein Barr Virus (EBV) positive to EBV...
  • Leukopenia (with a white blood cell count \< 3000/mm3) or thrombocytopenia (with a platelet count \< 100,000/mm3).
  • Panel Reactive Antibody (PRA) greater than 80% or demonstration of historic and/or current donor specific antibody (DSA)
See the full eligibility criteria
Who can join
  • All consenting adults who are 18 to 65 years, living donor renal transplant recipients at Stanford University Medical Center or Northwestern Medicine who have a haplotype matched (minimum single Human Leukocyte Antigen...
  • Patients who agree to participate in the study and sign an Informed Consent.
  • Patients who have no known contraindication to administration of rabbit ATG or radiation.
  • Males and females of reproductive potential who agree to practice a reliable form of contraception for at least 1 year posttransplant
What rules you out
  • Previous treatment with rabbit ATG or a known allergy to rabbit proteins.
  • History of malignancy with the exception of non-melanoma skin malignancies.
  • Pregnant women or nursing mothers.
  • Serological evidence of HIV, Hepatitis B surface antigen positive (HBsAg+), or Hepatitis C infection. Epstein Barr Virus (EBV) positive to EBV negative.
  • Leukopenia (with a white blood cell count \< 3000/mm3) or thrombocytopenia (with a platelet count \< 100,000/mm3).
  • Panel Reactive Antibody (PRA) greater than 80% or demonstration of historic and/or current donor specific antibody (DSA)
  • Prior organ transplantation
  • High risk of primary kidney disease recurrence
  • Advanced coronary or vascular disease.

The study team makes the final eligibility decision.

Where it's taking place

  • Palo Alto, California, United States
  • Chicago, Illinois, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 65 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Palo Alto, California, United States; Chicago, Illinois, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.