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Kidney Transplant RejectionNCT04491552

TruGraf® Long-term Clinical Outcomes Study

An observational study of Kidney Transplant Rejection, run by Transplant Genomics, Inc. at 36 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a prospective, multi-center, observational study. Subjects will have OmniGraf™ (TruGraf® and TRAC™) testing at study enrollment and thereafter every 3 months. In addition subjects will have OmniGraf™ (TruGraf® and TRAC™) testing at any time there is a clinical suspicion of acute rejection. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Kidney Transplant Rejection
What is being tested?
Patients monitored with TruGraf and TRAC testing
How many people
2,000 participants
Where
36 sitesUnited States
Study dates
9 Sep 2020to Nov 2023
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This study is an observational study in adult (age ≥ 18 years), kidney transplant patients who are at least one year from the time of transplant. Approximately 2000 subjects will be enrolled.

Who may be able to join

  • Written informed consent and HIPAA authorization;
  • At least 18 years of age;
  • Recipient of a primary or subsequent deceased-donor or living-donor kidney transplant;
  • At least 3-months post-transplant;
  • Stable serum creatinine (per Principal Investigator);
  • Treated with any immunosuppressive regimen, and;
  • Selected by provider to undergo OmniGraf™ (TruGraf® and TRAC™) testing as part of post-transplant care; and

Who cannot join

  • Recipient of a combined organ transplant with an extra-renal organ and/or islet cell transplant;
  • Recipient of a previous non-renal solid organ and/or islet cell transplant;
  • Known to be pregnant;
  • Known to be infected with HIV;
  • Known to have Active BK nephropathy;
  • Known to have nephrotic proteinuria (Per Principal Investigator);
  • Participation in other biomarker studies testing clinical utility.

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

United States36 sites, 36 recruiting
  • University of New Mexico Health Sciences Center

    Albuquerque, New Mexico, 87106

    Primary Coordinator, dlsedillo@salud.unm.edu

    Recruiting
  • Universtiy of Maryland Medical Center

    Baltimore, Maryland, 21201

    Primary Coordinator, maheen.khan@som.umaryland.edu

    Recruiting
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

    Primary Coordinator, ADUROCHER2@mgh.harvard.edu

    Recruiting
  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215

    Primary Coordinator, smcderm2@bidmc.harvard.edu

    Recruiting
  • Erie County Medical Center

    Buffalo, New York, 14215

    Primary Coordinator, msacilowsk@ecmc.edu

    Recruiting
  • Medical University of South Carolina

    Charleston, South Carolina, 29425

    Primary Coordinator, saundert@musc.edu

    Recruiting
  • Northwestern University

    Chicago, Illinois, 60208

    Study Coordinator, a-daud@northwestern.edu

    Recruiting
  • University of Illinois-Chicago Medical Center

    Chicago, Illinois, 60612

    Primary Coordinator, kbruno@uic.edu

    Recruiting
  • Cleveland Clinic

    Cleveland, Ohio, 44195

    Primary Coordinator, grimml@ccf.org

    Recruiting
  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

    Primary Coordinator, Morgan.Marsh@UTSouthwestern.edu

    Recruiting
  • Inova Fairfax Hospital

    Falls Church, Virginia, 22042

    Study Coordinator, lori.schlegel@inova.org

    Recruiting
  • Fresno Nephrology Medical Group

    Fresno, California, 93720

    Primary Coordinator, ngill@themedicalresearchgroup.com

    Recruiting
  • Vidant Medical Center

    Greenville, North Carolina, 27834

    Study Coordinator, apontet21@ecu.edu

    Recruiting
  • Clinical Research Strategies

    Houston, Texas, 77030

    Primary Coordinator, sonny@kidneydocs.org

    Recruiting
  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

    Primary Coordinator, edelaney2@kumc.edu

    Recruiting
  • Scripps Memorial Hospital La Jolla

    La Jolla, California, 92037

    Primary Coordinator, barrick.bethany@scrippshealth.org

    Recruiting
  • Keck Hospital of USC

    Los Angeles, California, 90033

    Primary Coordinator, esther.park@med.usc.edu

    Recruiting
  • Tulane University Hospital and Clinic

    New Orleans, Louisiana, 70112

    Primary Coordinator, dbartho@tulane.edu

    Recruiting
  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

    Primary Coordinator, katie.ostlund@unmc.edu

    Recruiting
  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Primary Coordinator, jarrod.goodarz@pennmedicine.upenn.edu

    Recruiting
  • Temple University Hospital

    Philadelphia, Pennsylvania, 19140

    Primary Coordinator, sally.quinn@tuhs.temple.edu

    Recruiting
  • Virginia Commonwealth University

    Richmond, Virginia, 23298

    Primary Coordinator, joyce.ruddley@vcuhealth.org

    Recruiting
  • House of Transplant and Cancer- Riverside Community Hospital

    Riverside, California, 92501

    Primary Coordinator, payam.javaherizadeh@hcahealthcare.com

    Recruiting
  • University of Rochester Medical Center

    Rochester, New York, 14618

    Study Coordinator, Allison_Stewart@URMC.Rochester.edu

    Recruiting
  • UR Medicine Strong Memorial Hospital

    Rochester, New York, 14642

    Primary Coordinator, allison_stewart@urmc.rochester.edu

    Recruiting
  • University of California Davis

    Sacramento, California, 95817

    Primary Coordinator, khowes@ucdavis.edu

    Recruiting
  • Utah Kidney Research Institute

    Salt Lake City, Utah, 84115

    Clinical Research Manager, ukrinephrology@gmail.com

    Recruiting
  • University of Utah Hospital

    Salt Lake City, Utah, 84132

    Primary Coordinator, Amber.lamph@hsc.utah.edu

    Recruiting
  • California Pacific Medical Center

    San Francisco, California, 94109

    Primary Coordinator, razavirf@sutterhealth.org

    Recruiting
  • Primary Coordinator

    Seattle, Washington, 98195

    Primary Coordinator, nidhim3@Nephrology.washington.edu

    Recruiting
  • Willis-Knighton Medical Center

    Shreveport, Louisiana, 71103

    Primary Coordinator, sstephens2@wkhs.com

    Recruiting
  • Renal and Transplant Associates of New England

    Springfield, Massachusetts, 01107

    Primary Coordinator, JWhitbeck@rtane.org

    Recruiting
  • Primary Coordinator Coordinator

    St Louis, Missouri, 63110

    Primary Coordinator Coordinator, devinwall@wustl.edu

    Primary Coordinator, aomar@wustl.edu

    Recruiting
  • Montefiore Medical Center

    The Bronx, New York, 10467

    Primary Coordinator, OMOHAMME@montefiore.org

    Recruiting
  • Banner University Medical Center Tucson

    Tucson, Arizona, 85724

    Primary Coordinator, stephm1@arizona.edu

    Recruiting
  • MedStar Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

    Primary Coordinator, ALYSSA.STUCKE@georgetown.edu

    Recruiting

Other trials in United States

About this study

This is a prospective, multi-center, observational study. Subjects will have OmniGraf™ (TruGraf® and TRAC™) testing at study enrollment and thereafter every 3 months. In addition subjects will have OmniGraf™ (TruGraf® and TRAC™) testing at any time there is a clinical suspicion of acute rejection. Data collection for the primary objective extends over a 2-year period.

Read the detailed description

Several studies have validated TruGraf® in stable renal transplant patients to rule out subclinical acute rejection. These studies generally evaluated the diagnostic value of TruGraf® at single timepoints. Thus the value of serial monitoring and changes over time has not been previously investigated. In addition, no study has assessed TruGraf® and TRAC™in a serial and longitudinal fashion.

Therefore the aim of this study is to evaluate the impact of serial monitoring renal transplant patients with both TruGraf® and TRAC™ on long term outcomes.

Being tested
Patients monitored with TruGraf and TRAC testing
Keywords
Biomarkers, Subclinical Rejection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Patients monitored with TruGraf and TRAC testingDiagnostic test

    This is an observational study there are no protocol mandated interventions. TruGraf and TRAC results will be utilized in conjunction with standard of care assessments to determine patient management.

Study groups in NCT04491552
Study groupRoleWhat they receive
Patients monitored with TruGraf and TRAC testingSubjects will have TruGraf and TRAC testing at study enrollment (Baseline) and thereafter every 3 months. In addition subjects will have TRAC testing at any time there is a suspicion of acute rejection.
Receives: Diagnostic Test: Patients monitored with TruGraf and TRAC testing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. occurrence of either biopsy proven acute rejection (BPAR) on a for cause biopsy or graft loss, or a decrease from baseline in eGFR > 10 mL/min.

    Measured: Baseline to month 24

Secondary outcomes (13)
  1. First occurrence of biopsy proven acute rejection (on a for cause biopsy)

    Measured: Baseline to month 24

  2. First occurrence of clinically treated acute rejection

    Measured: Baseline to month 24

  3. Proteinuria

    defined by a spot urine protein-creatinine ratio > 0.5

    Measured: Baseline to month 24

  4. TruGraf results

    The proportion of TruGraf not-TX results

    Measured: Baseline to month 24

  5. TRAC results

    The proportion of TRAC results > 0.69

    Measured: Baseline to month 24

  6. Clinical Utility of TruGraf and TRAC in clinical decision making

    Percent of total number of TruGraf results that the PI identified as having clinical utility

    Measured: Baseline to month 24

  7. Proportion of subjects who develop de novo donor-specific HLA antibodies class I and class II (dnDSA)

    Proportion of subjects who develop de novo donor-specific HLA antibodies class I and class II (dnDSA)

    Measured: Baseline to month 24

  8. Proportion of subjects with graft loss

    defined as permanent return to dialysis, retransplantation or patient death at any time during the 2-year primary follow-up study period

    Measured: Baseline to month 24

  9. Graft survival

    calculated from the date of kidney transplantation until data of graft loss

    Measured: Baseline to month 24

  10. Proportion of subjects with death-censored graft loss

    defined as permanent return to dialysis or retransplantation at any time during the 2-year primary follow-up study period. Patients who die with a functioning graft will be right censored

    Measured: Baseline to month 24

  11. Percent subject death period

    Subject death from any cause at any time

    Measured: Baseline to month 24

  12. Subject survival

    calculated from date of kidney transplantation until date of patient death

    Measured: Baseline to month 24

  13. Estimated GFR

    calculated using the MDRD 4-variable equation

    Measured: Baseline to month 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jul 2020
  2. Study start9 Sep 2020
  3. Primary completionSep 2023 (estimated)
  4. Study completionNov 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
2,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04491552
Sponsor's protocol ID
TGRP06
Status last verified
Nov 2022
First submitted
23 Jul 2020
Last updated
14 Nov 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Tonelli M, Wiebe N, Knoll G, Bello A, Browne S, Jadhav D, Klarenbach S, Gill J. Systematic review: kidney transplantation compared with dialysis in clinically relevant outcomes. Am J Transplant. 2011 Oct;11(10):2093-109. doi: 10.1111/j.1600-6143.2011.03686.x. Epub 2011 Aug 30.

    PubMed 21883901
  • Hart A, Smith JM, Skeans MA, Gustafson SK, Stewart DE, Cherikh WS, Wainright JL, Boyle G, Snyder JJ, Kasiske BL, Israni AK. Kidney. Am J Transplant. 2016 Jan;16 Suppl 2(Suppl 2):11-46. doi: 10.1111/ajt.13666.

    PubMed 26755262
  • Meier-Kriesche HU, Schold JD, Srinivas TR, Kaplan B. Lack of improvement in renal allograft survival despite a marked decrease in acute rejection rates over the most recent era. Am J Transplant. 2004 Mar;4(3):378-83. doi: 10.1111/j.1600-6143.2004.00332.x.

    PubMed 14961990
  • Rush D, Nickerson P, Gough J, McKenna R, Grimm P, Cheang M, Trpkov K, Solez K, Jeffery J. Beneficial effects of treatment of early subclinical rejection: a randomized study. J Am Soc Nephrol. 1998 Nov;9(11):2129-34. doi: 10.1681/ASN.V9112129.

    PubMed 9808101
  • El Ters M, Grande JP, Keddis MT, Rodrigo E, Chopra B, Dean PG, Stegall MD, Cosio FG. Kidney allograft survival after acute rejection, the value of follow-up biopsies. Am J Transplant. 2013 Sep;13(9):2334-41. doi: 10.1111/ajt.12370. Epub 2013 Jul 19.

    PubMed 23865852
  • Loupy A, Vernerey D, Tinel C, Aubert O, Duong van Huyen JP, Rabant M, Verine J, Nochy D, Empana JP, Martinez F, Glotz D, Jouven X, Legendre C, Lefaucheur C. Subclinical Rejection Phenotypes at 1 Year Post-Transplant and Outcome of Kidney Allografts. J Am Soc Nephrol. 2015 Jul;26(7):1721-31. doi: 10.1681/ASN.2014040399. Epub 2015 Jan 2.

    PubMed 25556173
  • First MR, Pierry, D, McNultuy, M et al. Analytical and clinical validation of a molecular diagnostic signature in kidney transplant recipients. J Transplant. Technol. Res. 2017; 7(3).

  • US Renal Data System. 2016 USRDS annual data report: Epidemiology of kidney disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2016.

  • Marsh CL, Kurian SM, Rice JC, Whisenant TC, David J, Rose S, Schieve C, Lee D, Case J, Barrick B, Peddi VR, Mannon RB, Knight R, Maluf D, Mandelbrot D, Patel A, Friedewald JJ, Abecassis MM, First MR. Application of TruGraf v1: A Novel Molecular Biomarker for Managing Kidney Transplant Recipients With Stable Renal Function. Transplant Proc. 2019 Apr;51(3):722-728. doi: 10.1016/j.transproceed.2019.01.054. Epub 2019 Jan 26.

    PubMed 30979456
  • Snyder TM, Khush KK, Valantine HA, Quake SR. Universal noninvasive detection of solid organ transplant rejection. Proc Natl Acad Sci U S A. 2011 Apr 12;108(15):6229-34. doi: 10.1073/pnas.1013924108. Epub 2011 Mar 28.

    PubMed 21444804
  • De Vlaminck I, Martin L, Kertesz M, Patel K, Kowarsky M, Strehl C, Cohen G, Luikart H, Neff NF, Okamoto J, Nicolls MR, Cornfield D, Weill D, Valantine H, Khush KK, Quake SR. Noninvasive monitoring of infection and rejection after lung transplantation. Proc Natl Acad Sci U S A. 2015 Oct 27;112(43):13336-41. doi: 10.1073/pnas.1517494112. Epub 2015 Oct 12.

    PubMed 26460048
  • Gielis EM, Ledeganck KJ, De Winter BY, Del Favero J, Bosmans JL, Claas FH, Abramowicz D, Eikmans M. Cell-Free DNA: An Upcoming Biomarker in Transplantation. Am J Transplant. 2015 Oct;15(10):2541-51. doi: 10.1111/ajt.13387. Epub 2015 Jul 16.

    PubMed 26184824
  • Sharon E, Shi H, Kharbanda S, Koh W, Martin LR, Khush KK, Valantine H, Pritchard JK, De Vlaminck I. Quantification of transplant-derived circulating cell-free DNA in absence of a donor genotype. PLoS Comput Biol. 2017 Aug 3;13(8):e1005629. doi: 10.1371/journal.pcbi.1005629. eCollection 2017 Aug.

    PubMed 28771616

Questions about this trial

What is this clinical trial studying?

An observational study of Kidney Transplant Rejection, run by Transplant Genomics, Inc. at 36 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 14 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Isioma Agboli, MD (510-767-8609, isiomaagboli@eurofins-tgi.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

occurrence of either biopsy proven acute rejection (BPAR) on a for cause biopsy or graft loss, or a decrease from baseline in eGFR > 10 mL/min. (time frame: Baseline to month 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04491552, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Nov 2022.

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