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临床试验/NCT06715865
NCT06715865尚未招募不适用

Clinical Study on Thymus-Kidney Transplantation From Neonatal Donors for the Induction of Immune Tolerance

RenJi Hospital1 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2025年1月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
10
试验地点
1
主要终点
Duration of immunosuppressive therapy after surgery

研究概览

简要总结

Thymus transplantation for the induction of immune tolerance in kidney transplantation: This study aims to understand how thymus transplantation can induce immune tolerance in recipients of allogeneic kidney transplants to achieve the discontinuation of immunosuppressive therapy. It will evaluate the safety of thymus transplantation, explore the functional output of thymus tissue, investigate the optimal timing for withdrawal of immunosuppressants, and identify key indicators for the reconstruction of immune suppression capacity.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Recipients of both thymus and kidney transplants from the same donor.
  • •Age between 18 and 65 years.
  • •Non-solid organ combination transplant recipients (including heart-kidney or liver-kidney transplants, except thymus).
  • •ABO blood type compatibility with the donor.
  • •Negative donor-specific antibody (DSA).
  • •Negative lymphocyte crossmatch (CDC).
  • •Normal cardiac function (confirmed through ECG and echocardiograms).
  • •Normal liver function.
  • •Bodyweight between 40-100 kg (inclusive).
  • •Evidence of prior epstein-barr virus (EBV) infection with positive EBV-specific immunoglobulin G (IgG) and negative immunoglobulin M (IgM).
  • •Signed informed consent form.
  • •Ability to adhere to regular follow-ups.
  • •Normal hematopoietic function.

排除标准

  • •Clinically significant genital or urinary tract dysfunction.
  • •Underlying kidney diseases with a high risk of recurrence in the transplanted kidney, including:
  • •a. Focal segmental glomerulosclerosis (FSGS).
  • •b. Type I or II membranoproliferative glomerulonephritis.
  • •c. Hemolytic uremic syndrome/thrombotic thrombocytopenic purpura (HUS/TTP).
  • •Any genetic mutation-associated diseases.
  • •Presence of infectious diseases:
  • •Strongly positive panel reactive antibodies (PRA).
  • •History of receiving blood transfusion therapy.
  • •Any other conditions that, in the investigator's opinion, are incompatible with participation in the trial.

研究组 & 干预措施

Thymus Transplantation Group

Experimental

干预措施: Thymus Transplantation (Procedure)

结局指标

主要结局

Duration of immunosuppressive therapy after surgery

时间窗: 2 years

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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