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Active, not recruitingNCT02843867ORLY-EstUpdated Aug 3, 2022

Orientation of the Lymphocyte Response to the Occurrence of Atherosclerotic Complications After Kidney Transplantation

An observational study in Disorder Related to Renal Transplantation, sponsored by Centre Hospitalier Universitaire de Besancon. Active, not recruiting at 7 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-03.

Sponsored by Centre Hospitalier Universitaire de Besancon · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,150
Ages
18 Years and older
Sex
All
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Study summary

The incidence of atherosclerotic complications is increased after kidney transplantation. Traditional risk factors do not fully explain this increased risk. Atherosclerosis is an inflammatory disease in which all players in the immune response are involved. The impact of these immune responses is not well known in immunocompromised patients, particularly among organ transplant. Nevertheless, the work of our group suggest that innate and acquired responses through different mechanisms influencing the evolution of atheromatous disease after transplantation.

The investigators therefore propose to study the impact of the expansion of regulatory T cells on the risk of atherosclerotic complications after transplantation.

Since November 2008, the investigators began a multicenter, prospective study whose purpose is to study in detail the immunological mechanisms of atherosclerosis after transplantation via immunomonitoring cohort of renal transplant patients in the Grand East Interregion. It was planned to include 500 patients and to date a little more than half have been included. After completion of the blood test, the tubes are routed over the Biomonitoring Platform (CIC-BT 506 Besançon) and the samples are stored in CRB Dijon.

The atherosclerotic events are recorded prospectively. The investigators hope to implement as part of ORLY IS, a second study to determine the impact of an expansion of regulatory T cells on the risk of atherosclerotic events.

Our hypothesis is that a cell rate regulatory T below the median results in an increase of 5% of atherosclerotic complications.

02

Conditions studied

  • Disorder Related to Renal Transplantation

Keywords

  • Transplantation
  • Immunology
  • Atherosclerosis
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In context

Lead sponsor

Centre Hospitalier Universitaire de Besancon is the lead sponsor of 439 studies on the registry; 97 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study population corresponds to 1000 patients receiving a renal transplant in Hospital of Besançon, Dijon, Nancy, Reims, Clermont-Ferrand, Strasbourg et Kremlin-Bicêtre.

Inclusion criteria

  1. Male or female patients aged over 18 years
  2. Patients receiving a renal transplant
  3. Patients able to understand the benefits and risks of testing
  4. Patients gave written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Inability to understand the advantages and disadvantages of the study; psychiatric disorders judged by the investigator to be incompatible with the inclusion in the study.
  2. Immunosuppressive therapy immediately prior to transplantation
  3. Cancer (except skin cancer) or malignant blood disease being treated; active infection; decompensated cirrhosis [patients had cancer and considered as cured or in remission, patients with virus infection of hepatitis B or hepatitis C and having no cirrhosis may be included].

This study is strictly non-interventional, participation in another study is not a cons-indication to the inclusion in this study and no exclusion period is required for inclusion in another study after inclusion in this study (Art L. 1121-12 (loi n°2004-806 du 9 Août 2004).

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,150 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • Otherblood sample

    36 ml of blood sample at D0 and 1 year after transplantation

06

What researchers measure

Primary outcomes

  1. Percentage of regulatory T cells related to atherosclerotic complications events.

    Percentage of regulatory T cells

    Time frame: 5 or 10 years

Secondary outcomes

  1. Atherosclerotic complications events

    Percentage of regulatory T cells

    Time frame: 5 or 10 years

  2. Genetic determinants (TNF-alpha, IL-6,...) related to cardiovascular events

    Percentage of regulatory T cells

    Time frame: 5 or 10 years

07

Study locations

7 sites
  • CHU de Besançon
    Besançon, 25000, France
  • CHU Clermont-Ferrand, 58 rue Montalembert, 63003 Clermont-Ferrand
    Clermont-Ferrand, 63003, France
  • CHU Dijon, Hôpital du Bocage, 2 Bd du Maréchal de Lattre de Tassigny, 21079 Dijon cedex
    Dijon, 21079, France
  • Hôpital du Kremlin Bicêtre 78, rue du Général Leclerc, 94275 Le Kremlin-Bicêtre Cedex
    Le Kremlin-Bicêtre, 94275, France
  • CHU Brabois, et Vandoeuvre les Nancy
    Nancy, France
  • CHU Reims, 45 rue Cognacq-Jay 51092 Reims Cedex
    Reims, 51092, France
  • Hôpital Civil- 1, place de l'hôpital BP426 ; 67091 Strasbourg Cedex
    Strasbourg, 67091, France
08

References and documents

Publications

  • Ducloux D, Courivaud C, Bamoulid J, Crepin T, Gaiffe E, Laheurte C, Vauchy C, Rebibou JM, Saas P, Borot S. Immune phenotype predicts new onset diabetes after kidney transplantation. Hum Immunol. 2019 Nov;80(11):937-942. doi: 10.1016/j.humimm.2019.08.006. Epub 2019 Sep 10. PubMed 31515130 ↗
  • Ducloux D, Legendre M, Bamoulid J, Rebibou JM, Saas P, Courivaud C, Crepin T. ESRD-associated immune phenotype depends on dialysis modality and iron status: clinical implications. Immun Ageing. 2018 Jul 17;15:16. doi: 10.1186/s12979-018-0121-z. eCollection 2018. PubMed 30026783 ↗

Individual participant data

Plan to share: Yes — Identified individual participant data for all outcome measures will be made available within 6 monts of study completion

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02843867
Lead sponsor
Centre Hospitalier Universitaire de Besancon
Collaborators
University of Franche-Comté, Etablissement Français du Sang
Responsible party
Sponsor
First posted
Jul 26, 2016
Start date
Nov 28, 2008
Primary completion
Oct 23, 2020
Completion
Oct 23, 2030 (estimated)
Last update
Aug 3, 2022

Study contacts

Didier Ducloux, Pr.
principal investigator · CHRU de Besançon

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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