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TerminatedNCT00986947Updated Jun 1, 2017Results posted

Desensitization of Highly Sensitized Deceased Donor Renal Transplantation Candidates

A Phase 2 interventional study of IVIg and rituximab in Kidney Failure, sponsored by Johns Hopkins University. Terminated at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-06-01.

Sponsored by Johns Hopkins University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Some patients who need kidney transplants have high levels of antibodies that make them incompatible with most potential deceased donor kidney offers. These patients are considered highly-sensitized and are very difficult to transplant because the likelihood that they will receive a compatible organ is very low. There are some medications and procedures that can decrease the antibody levels and this can increase the chance of finding a compatible donor for these patients. In this study the investigators will give two medications (IVIg and Rituximab) to highly-sensitized patients who are on the waiting list for a deceased donor kidney transplant. After the investigators administer these medications, the investigators will continue to check for compatibility as organ offers are received. If a compatible organ offer is received, the investigators will perform the transplant using that organ. The investigators hypothesize that these medications will lower antibody levels and increase the chance that a these patients are able to receive a compatible kidney transplant.

02

Conditions studied

  • Kidney Failure

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03

In context

Renal Insufficiency

2,030 studies on the registry are indexed under Renal Insufficiency; 168 are open to participants now.

This study's enrollment of 20 is below the median of 43 across 1,534 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Johns Hopkins University is the lead sponsor of 1,809 studies on the registry; 314 are open to participants now.

Of its 208 completed or terminated interventional studies of FDA-regulated products, 144 (69%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Ages 18-75
  • End-stage renal disease on dialysis
  • Panel Reactive Antibody (PRA) > 60%
  • Have been evaluated for and are currently listed for deceased donor renal transplantation

Exclusion criteria

Exclusion Criteria:

  • Have contraindication to transplantation
  • Have contraindication to receiving IVIG
  • Have allergy to IVIG
  • Have received IVIG for desensitization previously without effect
  • Pregnant women or those intending to become pregnant
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    IvIg with Rituximab

    Drug: IVIg and rituximab

Interventions

  • DrugIVIg and rituximab

    Drug pages: Immunoglobulins, Intravenous · Rituximab

    A maximum of four doses (each single dose being 2gm/kg) of IVIg will be administered over a four-month period, with one dose administered each month. Each single dose of 2gm/kg will be administered in two half-doses (1gm/kg each) to be given one day apart, with one day of hemodialysis on the intervening day between the two half-doses. If a compatible kidney transplant organ offer is received, upon admission to the hospital and immediately prior to the transplant operation, patients will receive a single infusion of Rituximab (375 mg/m2 BSA).

    Also known as: Gamunex and Rituxan

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What researchers measure

Primary outcomes

  1. Time to Kidney Transplantation

    Time frame: 4 months

Secondary outcomes

  1. Decrease in Panel Reactive Antibody

    Time frame: 4 months

07

Results

Posted Jun 1, 2017

Participant flow

20 participants were enrolled.

Participant flow — Overall Study
MilestoneIvIg With Rituximab
Started20
Completed0
Not completed20

Outcome measures

PrimaryTime to Kidney Transplantation
Time frame:
4 months

No measurements were reported for this outcome.

SecondaryDecrease in Panel Reactive Antibody
Time frame:
4 months

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
IvIg With Rituximab———

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)IvIg With Rituximab
<=18 years0
Between 18 and 65 years20
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)IvIg With Rituximab
Female13
Male7
Region of Enrollment
Region of Enrollment(participants)IvIg With Rituximab
United States20
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Study locations

1 site
  • Johns Hopkins Medical Institutions
    Baltimore, Maryland 21205, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00986947
Responsible party
Sponsor
First posted
Sep 30, 2009
Start date
Sep 2009
Primary completion
Jul 2011
Completion
Jul 2011
Results posted
Jun 1, 2017
Last update
Jun 1, 2017

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Immunoglobulins, Intravenous · Rituximab

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