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Incidence and outcome of antibody-mediated rejection in immunological high-risk renal transplantation: An observational PROCARE 2.0 study

Conditions
humoral rejection
10038430
Registration Number
NL-OMON52238
Lead Sponsor
niversitair Medisch Centrum Groningen
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
300
Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet all
of the following criteria:
- >=18 years old
- About to receive a deceased donor or living donor renal transplant
- Provide informed consent
- Immunological high risk for rejection
a. Luminex positive DSAs (Immucor background corrected MFI >500)8;
and/or
b. Re-transplantation with repeated mismatch; and/or
c. Husband to wife donation (after fathering children); and/or
d. Offspring to mother donation

The healthy subjects are the living donors of aforementioned patients, they
have to meet the following criteria,
- >=18 years old
- About to donate a kidney as a living donor
- Provide informed consent

Exclusion Criteria

A potential subject who meets the following criterium will be excluded from
participation in this study:
- Regular follow-up after transplantation is not feasible
- AB0-incompatible or HLA-incompatible kidney transplantation

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The main study endpoints are the incidence of ABMR, the incidence of mixed<br /><br>ABMR/TCMR, and kidney function after at least one year of follow-up. </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>In addition, the immune system will be mapped with a focus on B cell function,<br /><br>the development of (non-)HLA antibodies, the interaction between B cells and T<br /><br>follicular helper cells, and complete immune phenotypic profiling. </p><br>
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