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临床试验/NCT04882254
NCT04882254进行中(未招募)2 期

Normothermic Machine Perfusion as Additional Value to Hypothermic Machine Perfusion for Kidney Transplant Outcomes. A Single-centre, Open-label, Randomised, Controlled Trial.

Erasmus Medical Center2 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2021年5月1日最近更新:
适应症

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
80
试验地点
2
主要终点
Number of patients with immediate graft function

研究概览

简要总结

This study is a randomised, controlled, phase II trial to assess the efficacy of 2 hours normothermic machine perfusion (NMP) of extended criteria(EC)-DBD (donation after brain death) and DCD (donation after circulatory death) donor kidneys compared to standard care, which is hypothermic machine perfusion (HMP) only in the Netherlands.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • kidney-only transplant
  • renal replacement therapy at time of transplant
  • receiving standard immunosuppression regimen post-transplant.
  • Donation after circulatory death (DCD) Maastricht type III, IV, or V or extended criteria donation after brain death (DBD) donor kidneys.

排除标准

  • pre-emptive at time of transplant
  • receive a multi-organ or dual kidney transplant
  • age donor or recipient below 18 years
  • Maastricht type I and II DCD
  • donor kidneys preserved on static cold storage (SCS)
  • kidneys retrieved after normothermic regional perfusion (NRP)
  • Recipient virtual panel reactive antibodies ≥85%
  • Recipient for who it is agreed in advance that dialysis after transplant is required, such as in the context of hyperoxaluria

结局指标

主要结局

Number of patients with immediate graft function

时间窗: 3 months

Immediate graft function, which is defined as no delayed graft function and/or no primary non-function of the kidney graft.

次要结局

  • Duration of delayed graft function(3 months)
  • all-cause and death-censored graft survival up to 5 years(5 years)
  • patient survival up to 5 years(5 years)
  • Number of patients with biopsy-proven acute rejection (BPAR) within the first year post-transplant(1 year)
  • estimated glomerular filtration rate (eGFR) trajectory in the first year post-transplant(1 year)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Robert Minnee

Transplant surgeon

Erasmus Medical Center

研究点 (2)

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