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Kinetic Study of CD8+ CMV-specific Cellular Immunity in Renal Transplant Patients After Receiving Thymoglobulin

Completed
Conditions
Renal Transplant Infection
Interventions
Registration Number
NCT03147183
Lead Sponsor
Maimónides Biomedical Research Institute of Córdoba
Brief Summary

Renal transplant candidates who have CMV-specific, CD8+ T-cells, are CMV-seropositive and carry HLA-A1 and/ or HLA- A2 alleles have a high probability to maintain this type of immunity during the three first months after the transplant, despite induction immunosuppressive therapy (thymoglobulin).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  1. Renal transplant recipients with CMV-positive serology.
  2. Patients with pre-transplant, CMV-specific CD8+ T cell-mediated immunity, i.e. IFNγ levels ≥0.2 UI/mL (QF-CMV Reactive).
  3. Adults over 18 years of age.
  4. Patients receiving induction therapy with thymoglobulin (at least a cumulative dosage of 1mg/kg).
  5. Patients receiving prophylaxis with valganciclovir (900 mg/day, adjusted to kidney function) until day 90 after transplant.
  6. Patients who signed an informed consent
Exclusion Criteria
  1. Multivisceral transplantation, including pancreas-kidney transplantation.
  2. HIV infected patients.
  3. Patients who cannot comply with the monitoring protocol.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
candidates for renal transplantThymoglobulin-
Primary Outcome Measures
NameTimeMethod
CMV-specific, CD8+ T-cell immunity18 months

Percentage of patients with CMV-specific, CD8+ T-cell immunity at any of the established time points for monitorization. "CMV-specific, CD8+ T-cell immunity" will be defined as production of IFNγ ≥0.2 UI/mL (QF-CMV Reactive).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hosìtal Universitario Reina Sofia

🇪🇸

Córdoba, Spain

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