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Prospective, follow-up study of kidney transplant recipients treated with alemtuzumab anti-rejection therapy for severe or glucocorticoid-resistant kidney transplant rejection.
Study design: Prospective observational cohort study. Study population: Adult patients who are treated with alemtuzumab for severe or glucocorticoid-resistant kidney transplant rejection.
Intervention (if applicable): Not applicable. Main study parameters/endpoints: Lymphocyte (subtype) repopulation, serious infections, one-year graft survival, alemtuzumab plasma levels, intra-cellular signalling of repopulated T and B cells, cytokine-levels, donor-specificity of repopulated T cells, differences pre- and post-treatment of donor-derived cell-free DNA, plasma nucleosomes, urinary chemokines, urinary extracellular vesicles, breath-pattern analysis.
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients with lymphocyte repopulation | Outcome reporting of the proportion of patients that has repopulation of T and B lymphocytes, defined as cell counts of >200 10E6/L for T lymphocytes and > 100 10E6/L for B lymphocytes. | 6 months and 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence of graft loss | Cumulative incidence of graft loss at specified time-points with death as competing risk, computed by cumulative incidence functions. | 6 months, 1 year |
| Serious infections |
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Inclusion Criteria:
Exclusion Criteria:
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Kidney transplant recipients who experience severe or glucocorticoid-resistant rejection of their allograft.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lukas K van Vugt, Drs. | Contact | 0031 10 704 0704 | l.k.vanvugt@erasmusmc.nl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erasmus MC | Recruiting | Rotterdam | South Holland | 3015 GD | Netherlands |
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Urinary samples Whole-blood and serum samples
Necessitating hospital admission, or hospital-acquired
| 6 months, 1 year |
| Patient survival | Proportion of patients who survived at specified time-points, computed with kaplan-meier estimates at specified time-points. | 6 months, 1 year |