GEnomic Medicine in Kidney Transplantation Study

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorWestern Sydney Local Health District

About this trial

Investigator led, prospective, observational cohort study to detect genomic features which can predict outcomes following kidney transplantation.

1. Determine non-HLA genomic mismatches between donor-recipient pairs which impact kidney allograft survival following transplantation 2. Derive polygenic risk scores on pre-transplant blood and/or kidney biopsy samples which predict kidney allograft dysfunction 3. Derive polygenic risk scores on post-transplant blood and/or kidney biopsy samples which predict kidney allograft dysfunction

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

able to provide informed consent (interpreter permitted) for enrolment

consenting to longitudinal follow up (can withdraw post enrolment)

consenting to provide samples for biobanking, including blood, urine, faecal and/or kidney biopsy tissue (collected prospectively, separate to routine care)

Disqualifiers

unable (or unwilling) to provide consent, or

have life-expectancy less than 6-months, or

have received a haematopoietic stem cell transplant in the past 5 years.

Trial population

Adult, kidney transplant (or kidney-pancreas transplant) recipients

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Biomarker discovery and validation - with focus on genomic biomarkers

    Diagnostic test

    Biomarker discovery and validation - with focus on genomic biomarkers

Treatment groups

1,000 Participants
are divided into 1 treatment group
Group A: Kidney Transplant Recipients1 intervention

Trial outcomes

Primary outcomes

1

Death censored graft loss (DCGL)

Loss of functioning kidney transplant (not counted if patient died with functioning graft)

Time frame
At biopsy or during study follow up after biopsy (expected average over 60-months)
2

Biopsy proven rejection (BPAR)

Rejection diagnosed on kidney transplant biopsy

Time frame
At biopsy or during study follow up after biopsy (expected average 12-months)

Secondary outcomes

1

All cause graft loss

DCGL or death with functioning graft

Time frame
At biopsy or during study follow up after biopsy (expected average over 60-months)
2

Death

Death

Time frame
Any time during or after biopsy (expected over 60-months)
3

Treatment resistant rejection

Persistent rejection despite additional glucocorticoids and/or upscaling of maintenance immunosuppression

Time frame
At biopsy or during study follow up after biopsy (expected average 12-months)
4

Hospital admission or emergency attendance

Hospital admission or emergency department visit for any reason

Time frame
At biopsy or during study follow up after biopsy (expected average 12-months)

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

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