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CompletedNCT00805571Updated Mar 12, 2010

Urinary Kidney Injury Molecule-1 (KIM-1) Excretion As Biomarker for Injury in Kidney Transplant Recipients

An observational study in Kidney Transplant Dysfunction, sponsored by Northwell Health. Completed at 1 site in United States. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2010-03-12.

Sponsored by Northwell Health · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Ages
3 Years to 18 Years
Sex
All
01

Study summary

The purpose of this study is to determine if measuring the level of a protein called Kidney Injury Molecule-1 (KIM-1) in the urine will help healthcare providers detect any problems with the transplanted kidney before the laboratory investigations that are used on a routine basis do. This approach may allow the doctor to intervene at an earlier point of a rejection episode and may thereby prolong survival of the transplant kidney.

Read the detailed description

SPECIFIC AIMS:

  1. To investigate the role of urinary Kim-1 excretion as a marker of delayed graft function, acute kidney allograft rejection and/or virus-induced allograft nephropathy and/or calcineurin-inhibitor nephrotoxicity.
  2. To determine the role of urinary Kim-1 excretion in predicting long term outcome after kidney transplantation compared to standard diagnostic tests.
  3. To determine the role of reduction in urinary Kim-1 excretion after a rejection episode and/or viral infection as a marker of repair of renal tubules.

HYPOTHESIS:

Monitoring of urinary KIM-1 in kidney transplant recipients will facilitate the detection of delayed graft function, acute allograft rejection or infectious causes of proximal tubular injury, allowing earlier intervention with better long-term graft survival. Detection of urinary KIM-1 will precede increases in serum creatinine to detect acute graft injury and urinary KIM-1 will decrease faster than serum creatinine and will predict responsiveness (or lack thereof) to intervention more accurately.

02

Conditions studied

  • Kidney Transplant Dysfunction

Keywords

  • Rejection
  • Infection
  • Side effect of immunosuppressive drug (nephrotoxicity)
03

In context

Rejection, Psychology

56 studies on the registry are indexed under Rejection, Psychology; 29 are open to participants now.

This study's planned enrollment of 120 is below the median of 184 across 27 observational studies indexed under Rejection, Psychology.

Browse Rejection, Psychology studies →

Lead sponsor

Northwell Health is the lead sponsor of 473 studies on the registry; 106 are open to participants now.

Of its 43 completed or terminated interventional studies of FDA-regulated products, 22 (51%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult and pediatric patients with chronic renal failure who are listed at Mount Sinai Hospital for a deceased donor kidney transplant and/or who are in the process of having a living donor evaluation are eligible to participate. One urine sample will be sent for KIM-1 measurement before transplantation, once the patient or the caregiver of the patient consents to participation in the study. The next specimen of urine will only be collected status post kidney transplant in the immediate post-operative phase and on routine visits thereafter. The study does not require obtaining any extra blood or urine specimens, but uses urine that would otherwise be discarded.

Eligibility criteria

Inclusion Criteria:

Children and adults from the age of 3 years who are eligible transplant candidates listed for deceased donor kidney or who are scheduled for a living related or unrelated donor kidney transplant at Mount Sinai Hospital will be eligible for inclusion in this project. Patients will be recruited from the population awaiting kidney transplant treated at the Schneider Children's Hospital and Mount Sinai Hospital.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (estimated)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Adult

    Adult patients with end-stage kidney disease awaiting kidney transplantation.

  • Pediatric

    Children with end-stage kidney disease awaiting kidney transplantation.

06

Study locations

1 site
  • Schneider Children's Hospital
    New Hyde Park, New York 11040, United States
07

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2008 and a primary completion of Feb 2010. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 5, 2008
First posted
Dec 9, 2008
Start
Oct 2008
Primary completionActual
Feb 2010
Last update
Mar 12, 2010
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 12, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00805571
Lead sponsor
Northwell Health
Collaborators
Astellas Pharma US, Inc.
First posted
Dec 9, 2008
Start date
Oct 2008
Primary completion
Feb 2010
Last update
Mar 12, 2010

Study contacts

Beatrice Goilav, MD
principal investigator · Northwell Health

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2010. You cannot join it, but the record below documents what was studied.

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