Multi-parametric MRI Evaluation of Renal Graft Performance After Living Donor Donation.
- Conditions
- Renal Insufficiency, Chronic
- Interventions
- Radiation: multiparametric MRIBiological: blood samplesProcedure: kidney graft biopsyBiological: urine specimens
- Registration Number
- NCT06047106
- Lead Sponsor
- Hospices Civils de Lyon
- Brief Summary
The selection of kidneys from living donors is based on strict glomerular filtration rate (GFR) values, in the setting of the increasing proportion of older donors. The 2017 KDIGO recommendations consider that approving kidney donation for a donor with a GFR between 60 and 89 mL/min/1.73 m² should be individually discussed, possibly using a calculator. A GFR \< 60 mL/min/1.73 m² should contraindicate donation without considering the donor's age.
GFR physiologically decreases with age, so older donors frequently have a GFR below 90 ml/min/1.73 m². However, the proportion of older donors continues to rise.
Kidney grafts from older living donors maintain better renal function than those from deceased donors, aiming to counteract the organ shortage.
Kidneys possess functional reserves, allowing an increase in GFR during stimulations and adaptation to reduced functional nephron count (as after nephrectomy). Assessing this adaptive capacity clinically is challenging. It might be dependent on vascularization and/or absence of fibrosis, but these parameters are poorly understood due to a lack of current in vivo exploration methods.
The development of functional renal MRI enables the evaluation of these parameters, allowing measurements on separate, regional, non-invasive, quantitative kidney segments coupled with morphological studies. BOLD-MRI can measure regional oxygen content, thus accessing more precise medullary data. The DWI sequence can estimate renal microstructure and study interstitial fibrosis.
Therefore, evaluating renal performance (by measuring GFR, renal perfusion, fibrosis, inflammation, and oxygen content) in donors, and studying the evolution of these parameters in recipients and donors, could optimize donor selection.
Hence, the aim of our study is to 1) investigate the evolution of renal functional parameters in the transplanted kidney up to 1 year post-transplant, and 2) study the evolution of these same parameters in the contralateral kidney of the donor.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60
For recipients:
- Patients with end-stage chronic kidney disease awaiting kidney transplant from a living donor.
- Adult patient
- Consent signed
- effective contraceptive method for women
- Patient affiliated to a social security or beneficiaries of a similar scheme
For donors:
- Individuals eligible for living kidney donation with GFR > 60 mL/min/1.73 m².
- Adult patient
- Consent signed
- effective contraceptive method for women
- Patient affiliated to a social security or beneficiaries of a similar scheme
For the two groups :
- MRI contraindications (claustrophobia, pacemaker, cardioverter defibrillators implantable, mechanical heart valve non MRI-compatible)
- Weight> 130 kg
- Pregnant, parturient or breastfeeding
- Persons deprived of their liberty by a judicial or administrative decision,
- Adults subject to a legal protection measure (safeguard measure, guardianship, curators)
- subject participating in another research including an exclusion period still in progress at inclusion
For recipients :
- Contraindication to renal graft biopsy (ongoing or uninterrupted anticoagulant or antiplatelet treatment, thrombocytopenia <100 x 10^9/L, anemia <7 g/dL).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Living kidney donor multiparametric MRI Patient eligible for living kidney donation with eGFR \> 60 ml/min/1.73m² Living kidney donor blood samples Patient eligible for living kidney donation with eGFR \> 60 ml/min/1.73m² Recipient of kidney transplant from living donor urine specimens Patient with end-stage chronic kidney failure awaiting kidney transplant from living donor Living kidney donor urine specimens Patient eligible for living kidney donation with eGFR \> 60 ml/min/1.73m² Recipient of kidney transplant from living donor multiparametric MRI Patient with end-stage chronic kidney failure awaiting kidney transplant from living donor Recipient of kidney transplant from living donor blood samples Patient with end-stage chronic kidney failure awaiting kidney transplant from living donor Recipient of kidney transplant from living donor kidney graft biopsy Patient with end-stage chronic kidney failure awaiting kidney transplant from living donor
- Primary Outcome Measures
Name Time Method Apparent diffusion coefficient (ADC) coefficient values measured in diffusion-weighted MRI sequence Baseline before transplantation, one month and 12 months after kidney transplantation
- Secondary Outcome Measures
Name Time Method In recipients, T2 Values measured by T2 mapping MRI Baseline before transplantation, one month and 12 months after kidney transplantation In recipients, R2* values measured by BOLD MRI Baseline before transplantation, one month and 12 months after kidney transplantation In recipients, T1 Values measured by T1 mapping MRI Baseline before transplantation, one month and 12 months after kidney transplantation
Trial Locations
- Locations (1)
Hôpital Edouard Herriot, Hospices Civils de Lyon
🇫🇷Lyon, France