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 volunteersQualifiers
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
Cohort
Prospective
Treatments tested in this trial
Biomarker discovery and validation - with focus on genomic biomarkers
Diagnostic testBiomarker discovery and validation - with focus on genomic biomarkers
Treatment groups
Trial outcomes
Primary outcomes
Death censored graft loss (DCGL)
Loss of functioning kidney transplant (not counted if patient died with functioning graft)
Biopsy proven rejection (BPAR)
Rejection diagnosed on kidney transplant biopsy
Secondary outcomes
All cause graft loss
DCGL or death with functioning graft
Death
Death
Treatment resistant rejection
Persistent rejection despite additional glucocorticoids and/or upscaling of maintenance immunosuppression
Hospital admission or emergency attendance
Hospital admission or emergency department visit for any reason
Locations
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: