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ADOLESCE-NT: More rapid deterioration of renal function after renal transplantation in adolescence: effect of the endocrine system on immunological and pharmacokinetic factors

Recruiting
Conditions
kidney disease
nephropathy
10029149
Registration Number
NL-OMON43848
Lead Sponsor
Erasmus MC, Universitair Medisch Centrum Rotterdam
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
190
Inclusion Criteria

planned renal transplantation, or status after renal transplantation
age 8 - 30 years

Exclusion Criteria

No informed consent
treatment with rituximab or chemotherapy
pubertas precox

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Primary objective: the relationship of the endocrine and immunological status,<br /><br>measured as:<br /><br>1 T-cell flow cytometry<br /><br>2 Cytokine production capacity in Tnaive, Tmem and Treg subsets<br /><br>a Analysis of the cytokine production capacity of CD4 and CD8 naïve,<br /><br>and memory T cell subsets<br /><br>b Establishing the number and the origin of the CD4+CD25+CD127-FoxP3+<br /><br>T cells<br /><br>c STAT5 activation by GH and IL-2<br /><br>3 TREC levels, including normalization for DNA input </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>The secondary objectives are the relationship of the endocrine status and<br /><br>pharmacokinetic parameters:<br /><br>1. Trough levels of CNI and MMF at every outdepartment consultation, and<br /><br>calculation of variability<br /><br>2. Ratio trough level / relative daily dose of CNI and MMF<br /><br>both in relation to polymorphisms of Cyp3a4 and 5, and ABCB1</p><br>
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