About this trial
A multicenter, prospective and open-label clinical investigation to evaluate the viability, performance and safety of ex vivo normothermic perfusion in kidney transplantation from DCD and DBD donors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 18 years and older
Patients undergoing renal replacement therapy by means of dialysis and included in the waiting list for renal transplantation in their respective site.
Candidates to receive a first or second renal transplant from (i) a Maastricht type III (Maastricht classification) controlled DCD donor or (ii) a DBD donor aged 70 years or older.
Patients that have given informed consent in written form before their inclusion in the study. In case of compromised mental capacity, the approval and signature of a legal guardian will be required.
Disqualifiers
Two or more previous kidney transplantations
Dual kidney transplantation or multivisceral transplantation (e.g. a pancreas-kidney transplantation)
Expected cold ischemia time before EVNP > 20 hours
Organ from hepatitis B surface antigen-positive or hepatitis C viremic donor
Trial design
Parallel
Treatments tested in this trial
Ex vivo normothermic perfusion
DeviceEx vivo normothermic perfusion (EVNP) of the renal graft with the Ark Kidney System
Cold preservation
DeviceStatic cold storage (SCS) or hypothermic machine perfusion (HMP) of the renal graft
Treatment groups
Trial outcomes
Primary outcomes
Safety of EVNP in kidney transplantation from DCD and DBD donors as evaluated by assessment of adverse events
The rate of adverse events will be compared in intervention arm and control arm
Secondary outcomes
Delayed graft function (DGF)
Delayed graft function (DGF), defined as the need for dialysis during the first week after transplantation
Duration (in days) of delayed graft function (DGF)
Duration (in days) of delayed graft function (DGF)
Proportion of patients with functional delayed graft function (fDGF)
Proportion of patients with functional delayed graft function (fDGF), defined as the failure of serum creatinine to decrease by at least 10% daily on 3 consecutive days during the first week post-transplant, without need for dialysis in that time.
Primary non-function (PNF)
Primary non-function (PNF)
Sponsors and contacts
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