Use of Blood Gene Expression Profile and Donor-derived Cell-free DNA to Monitor Response to Treatment After Biopsy-proven Acute Rejection in Pediatric Kidney Transplant Recipients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rejection of Kidney Allograft
- Sponsor
- University of Minnesota
- Enrollment
- 27
- Locations
- 1
- Primary Endpoint
- Biopsy-proven acute rejection
- Status
- Active, not recruiting
- Last Updated
- 4 months ago
Overview
Brief Summary
The objective of the proposed study is to assess whether a blood biomarker can be used to monitor the response to rejection treatment in pediatric kidney transplant recipients with biopsy-proven acute cellular or antibody mediated rejection. The study hypothesizes that blood gene expression profile and donor-derived cell-free DNA biomarkers (omnigraf) can be used to predict acute rejection and monitor its response to treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Kidney transplant recipients
- •Participants undergoing a for-cause kidney biopsy to rule out graft rejection
- •Ages 21 years and less
Exclusion Criteria
- •Participants who have opted out of research
- •Patients, less than 18 years of age, whose parents or legal guardians are illiterate and cannot read.
- •Participants, 18 years and older, who are illiterate and cannot read.
- •Participants, less than 18 years of age, whose parents or legal guardians do not speak English.
- •Participants, 18 years and older, who do not speak English
- •Participants who are pregnant as confirmed by medical records
Outcomes
Primary Outcomes
Biopsy-proven acute rejection
Time Frame: 7 days from baseline
Yes or No assessment
Clinical resolution of rejection
Time Frame: 8 weeks from baseline
Yes or No assessment; defined as improvement in serum creatinine to a value that is within 25% of baseline serum creatinine