Clinical Study on Thymus-Kidney Transplantation From Neonatal Donors for the Induction of Immune Tolerance
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Thymus Transplantation.
- Who it may be relevant to
- Registry conditions: Kidney Transplant. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Thymus transplantation for the induction of immune tolerance in kidney transplantation: This study aims to understand how thymus transplantation can induce immune tolerance in recipients of allogeneic kidney transplants to achieve the discontinuation of immunosuppressive therapy. It will evaluate the safety of thymus transplantation, explore the functional output of thymus tissue, investigate the optimal timing for withdrawal of immunosuppressants, and identify key indicators for the reconstruction of immune suppression capacity.
Interventions
- Procedure Thymus Transplantation
Thymus Transplantation
Primary outcome measures
- Duration of immunosuppressive therapy after surgery [Time frame: 2 years]
Eligibility criteria
Inclusion criteria
- Recipients of both thymus and kidney transplants from the same donor.
- Age between 18 and 65 years.
- Non-solid organ combination transplant recipients (including heart-kidney or liver-kidney transplants, except thymus).
- ABO blood type compatibility with the donor.
- Negative donor-specific antibody (DSA).
- Negative lymphocyte crossmatch (CDC).
- Normal cardiac function (confirmed through ECG and echocardiograms).
- Normal liver function.
- Bodyweight between 40-100 kg (inclusive).
- Evidence of prior epstein-barr virus (EBV) infection with positive EBV-specific immunoglobulin G (IgG) and negative immunoglobulin M (IgM).
- Signed informed consent form.
- Ability to adhere to regular follow-ups.
- Normal hematopoietic function.
Exclusion criteria
- Clinically significant genital or urinary tract dysfunction.
- Underlying kidney diseases with a high risk of recurrence in the transplanted kidney, including:
- a. Focal segmental glomerulosclerosis (FSGS).
- b. Type I or II membranoproliferative glomerulonephritis.
- c. Hemolytic uremic syndrome/thrombotic thrombocytopenic purpura (HUS/TTP).
- Any genetic mutation-associated diseases.
- Presence of infectious diseases:
- Strongly positive panel reactive antibodies (PRA).
- History of receiving blood transfusion therapy.
- Any other conditions that, in the investigator's opinion, are incompatible with participation in the trial.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
China · 1 center
- Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine — Shanghai
Identifiers
NCT: NCT06715865 · LY2024-248-B