About this trial
The purpose of this study was to explore the accuracy of sentinel skin grafts from the same donor source in diagnosing renal allograft rejection, and to provide new ideas and options for the later clinical diagnosis of renal allograft rejection. Further, try to provide timing guidance for early immunization intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with end-stage renal disease undergoing renal transplantation;
18-60 years old;
Postoperative follow-up points are complete (visit the hospital every week in the first month after surgery, every two weeks in 2-3 months, every four to six months, and every three months in 7-12 months. Follow up at any time when skin rejection is observed. The follow-up time may be adjusted when the condition changes);
The participants had good compliance, volunteered to participate in the test and signed the informed consent form.
Disqualifiers
Untreated or disseminated malignant tumor;
Active period of infectious diseases;
Serious cardiovascular disease occurred recently;
Combined with other important organ failure;
Trial population
This study is an exploratory study. In the early stage, there is no relevant study on the accuracy of sentinel skin flap monitoring renal rejection, and there is a lack of corresponding sensitivity and specificity indicators. Considering that the incidence of acute rejection in the first year after transplantation is 15-30%, it is estimated that 20 cases will be included. Because the experimental data may be lost, or the participants may withdraw from the trial or lose the interview, the sample size will be increased by 20%, and finally 24 cases will be included in the trial.
Trial design
Other
Prospective
Treatments tested in this trial
Skin allotransplantation
Procedure/SurgerySentinel skin grafts from the same donor source will be carried on in the meantime of kidney transplantation for assisting to detect acute renal rejection.
Treatment groups
Trial outcomes
Primary outcomes
2017 Banff Kidney Transplantation Rejection Rating
A rating evaluation on kidney rejection
2007-edition Banff skin containing allogeneic composite histopathological diagnosis grading
Skin histopathological diagnosis
Renal function testing
Blood Cr and Bun testing
Secondary outcomes
Renal ultrasound diagnosis
Renal ultrasound diagnosis
Complications
Complications assessment
Sponsors and contacts
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Second Affiliated Hospital, School of Medicine, Zhejiang University
Lead sponsor
Zhejiang University
Collaborator
Sir Run Run Shaw Hospital
Collaborator
The First Affiliated Hospital of Air Force Medicial University
Collaborator