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Paired Marrow Aspirations to Assess Assays in Sensitized Renal Allograft Recipients

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ClinicalTrials.gov Identifier: NCT01150487
Recruitment Status : Recruiting
First Posted : June 25, 2010
Last Update Posted : March 14, 2019
Sponsor:
Information provided by (Responsible Party):
Mark Stegall, Mayo Clinic

Brief Summary:
The aim of this study is to determine the validity of two tests on bone marrow of sensitized kidney transplant recipients in order to better understand why these patients with antibodies against their donors are at a greater risk of rejection of their transplanted organs.

Condition or disease Intervention/treatment Phase
Sensitized Post Kidney Transplant Recipients Procedure: bone marrow aspirations Not Applicable

Detailed Description:

The aim of this risk protocol is to determine the variability of the AlloElispot and Allospecificities assay.

Our group has developed two novel assays to determine: 1) the number of donor-specific alloantibody (DSA) secreting bone marrow derived plasma cells (AlloELISPOT assay); and 2) the function of DSA-secreting Plasma cells (Allospecificities assay).

These assays were developed over the past 3 years and already have provided an important means of testing new therapeutic protocols aimed at controlling DSA production. It is important to note that repeated attempts to isolate PCs from peripheral blood have been unsuccessful (PCs are extremely rare in peripheral blood) and the bone marrow is the only accessible source of PCs.

It is now clear to that we have reached a point that we must validate these assays (coefficient of variation, etc), in order to appropriately evaluate data derived from these assays. Inter-assay variability can be assessed by performing two paired assays in the same patient. This could be done in two ways—paired bone marrow aspirations separated by time or two bone marrow aspirations performed at the same time. We have decided to pursue the latter approach. We will do both marrows either at the time of transplantation when the subjects are under general anesthesia or in the Clinical Research Unit (CRU) using conscious sedation.. We believe that this is safe and will be well-tolerated and will provide the data that we need to validate the assays.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 80 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Paired Bone Marrow Aspirations to Assess the Variability of Allo-ELISPOT and Allo-Specificities Assays in Sensitized Renal Allograft Recipients
Study Start Date : June 2010
Estimated Primary Completion Date : April 2020
Estimated Study Completion Date : October 2020

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Sensitized Renal Allograft Recipients
Patients who have antibodies against their donors in their blood.
Procedure: bone marrow aspirations
A bone marrow aspiration from each hip bone of the patients.




Primary Outcome Measures :
  1. To determine the variability of the AlloElispot and Allospecificities assay. [ Time Frame: Post bone marrow collection ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 99 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria.

  • Pre or post renal transplant recipients who are "sensitized", having allo antibodies as evidenced by single antigen bead analysis).
  • Renal transplant donors.
  • Those who give voluntary written informed consent before performance of any study-related procedures, which are not part of normal medical care, with the understanding that consent may be withdrawn by the subject at any time without prejudice to future medical care.

Exclusion criteria.

  • Any patient currently receiving systemic anticoagulation therapy with heparin or coumadin.
  • Patient has a platelet count of <30 x 10(9)/L within 14 days before enrollment.
  • Patient has an absolute neutrophil count of ANC<1.0 x 10(9)/L within 14 days before enrollment.
  • Patient has received other investigational drugs within14 days before enrollment.
  • Serious medical or psychiatric illness likely to interfere with participation in this clinical study.
  • Diagnosed or treated for malignancy within 5 years of enrollment, with the exception of complete resection of basal cell carcinoma or squamous cell carcinoma of the skin, an in situ malignancy, or low-risk prostate cancer after curative therapy.
  • Contraindication to kidney transplantation or donation—active infection, comorbid medical conditions, etc

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01150487


Contacts
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Contact: Nong Yowe Braaten 507-538-9617

Locations
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United States, Minnesota
Mayo Clinic Recruiting
Rochester, Minnesota, United States, 55905
Contact: Nong Yowe Braaten    507-538-9617      
Principal Investigator: Mark Stegall, MD         
Sponsors and Collaborators
Mark Stegall
Investigators
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Principal Investigator: Mark Stegall, MD Mayo Clinic

Additional Information:
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Responsible Party: Mark Stegall, Consultant, Mayo Clinic
ClinicalTrials.gov Identifier: NCT01150487     History of Changes
Other Study ID Numbers: 10-002572
First Posted: June 25, 2010    Key Record Dates
Last Update Posted: March 14, 2019
Last Verified: March 2019

Keywords provided by Mark Stegall, Mayo Clinic:
kidney transplant