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Samenstelling van lymfklieren en het risico op afstoting na niertransplantatie.

Recruiting
Conditions
niertransplantatie, kidney transplantationlymfklieren, lymph nodesalemtuzumaballoreactiviteit, alloreactivityveroudering immuunsysteem, ageing of the immune systemT-folliculaire helper cellen, T-follicular helper cells
Registration Number
NL-OMON22565
Lead Sponsor
Erasmus Medical Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet the following criteria:

-Adult patients receiving a deceased or living kidney transplant in the Erasmus Medical Center Rotterdam, The Netherlands and:

Exclusion Criteria

A potential subject who meets any of the following criteria will be excluded from participation in this study:

-ABO-compatible HLA identical living-related transplant recipients.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary objective of this study is to determine the prognostic characteristics for BPAR in the first three months after kidney transplantation, as assessed in the lymphocyte composition of the lymph node in immunologically high-risk kidney transplantation.
Secondary Outcome Measures
NameTimeMethod
-to capture global composition of lymph node versus blood leukocyte subsets in renal insufficiency.<br /><br>-to compare the immunological ageing profile of T cells in the peripheral blood to the T cells derived from the lymph node.<br /><br>-to assess whether pre-transplant frequencies of lymph node derived TFH, T and B cells predict BPAR.<br /><br>-to assess differences in lymphocyte composition of lymph nodes in alemtuzumab treated versus untreated patients both in single cell suspension and within the tissue. (ABO-incompatible kidney transplant recipients receive alemtuzumab induction therapy three weeks before transplantation).<br>
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