About this trial
The purpose of the study is to determine how much a persons kidney function recovers after receiving a simultaneous liver kidney transplant. The investigators will be contacting patients with kidney dysfunction with estimated GFR between 25 and 40 (not on dialysis treatment) who are listed to receive a simultaneous liver kidney (SLK) transplant to look at this function recovery. The investigators hope to develop a criteria based on GFR measurement, kidney function calculations from native kidneys vs transplanted kidney and compare the contributions, and correlate with estimated GFR on basic metabolic panel (BMP: a blood test) to predict higher chances of recovery of native kidney function.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
> 18 years old
Listed for Liver Transplant for ESLD and Kidney Transplant (not on dialysis at time of transplant surgery)
Candidates with two native kidneys.
Willing to participate and sign informed consent form.
Disqualifiers
Unstable patients (e.g. in the ICU or those who are on Continuous Renal Replacement Therapy (CRRT) who cannot complete the nuclear medicine scan or those with AKI on Hemodialysis
Prior history of any solid organ transplant.
Those who are currently pregnant or breast feeding.
Patients who have Autosomal Dominant polycystic kidney disease
Trial population
Individuals who have end stage liver disease (ESLD) and kidney dysfunction, who are not on dialysis and have eGFR \>=25 and \<=40 ml/min for a duration of at least 6 weeks.
Trial design
Cohort
Prospective
Treatments tested in this trial
Nuclear Medicine Scan
RadiationMercaptoacetyltriglycine 3 (Mag 3) Nuclear Medicine Scan
Treatment groups
Trial outcomes
Primary outcomes
perform a nuclear medicine scan prior to SLK transplant
To determine split kidney function with a Mag3 (Mercaptoacetyltriglycine 3) nuclear medicine renal scan as part of the study procedures.
Secondary outcomes
To measure and correlate Clinical, laboratory and Radiographic data at the time of SLK transplant will be reviewed
This includes standard testing performed at our center prior to SLK transplant which are standard of care. This will include measurement of eGFR by Cystatin C.
Sponsors and contacts
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Indiana University
Lead sponsor
Jerome A. Josephs Fund for Transplant Innovation Fund
Collaborator