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This is a prospective, multi-center, observational study to determine if a combination of desensitization and enrollment in a regional kidney paired donor (KPD) exchange program improves the overall rate of kidney transplantation in sensitized patients.
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| Measure | Description | Time Frame |
|---|---|---|
| The rate of kidney transplant in sensitized patients following desensitization and enrollment in a regional kidney paired donor exchange program | The rate of kidney transplant in sensitized patients following desensitization and enrollment in a regional kidney paired donor exchange program will be summarized. | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall number of kidney transplants per center/region | To determine the overall number of kidney transplants per center/region. | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| The overall number of KPD matches in the region | 24 months | |
| Donor types (direct, paired exchange, altruistic) | 24 months | |
| The overall number of KPD exchange recipients transplanted in the region |
Inclusion Criteria:
A. Potential Recipients must meet the following inclusion criteria:
Group 1: have one or more medically suitable donors who are ABO incompatible or HLA incompatible (defined as positive serologic cross-match); or
Group 2: have a medically suitable donor that is otherwise deemed incompatible due to age, size, or other mismatch by their respective transplant center; or
Group 3: be listed on the deceased donor waiting list for ≥ one year without an identifiable living donor and have a PRA% ≥ 60%
B. Potential Living Donors must meet the following inclusion criteria:
Exclusion Criteria:
C. Recipients
D. Donors
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Approximately 250 renal transplant candidates at 6 transplantation centers in the United States (northwest) will participate.
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| Name | Affiliation | Role |
|---|---|---|
| Lisa Florence, MD | Swedish Medical Center | Principal Investigator |
| Andrew Weiss, MD | Virginia Mason Medical Center | Principal Investigator |
| Douglas Norman, MD | Oregon Health and Science University | Principal Investigator |
| Richard Carson, MD | Sacred Heart Medical Center (Spokane) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Virginia Mason Medical Center | Recruiting | Seattle | Washington | 98101 | United States |
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| 24 months |
| Swedish Medical Center | Recruiting | Seattle | Washington | 98104 | United States |
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