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RecruitingNCT05175885KidneyARKUpdated Sep 10, 2026

Ex Vivo Normothermic Perfusion in Kidney Transplantation.

An interventional study of Ex vivo normothermic perfusion and Cold preservation in Kidney Transplantation, sponsored by Ebers Medical Technology, S.L.. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Ebers Medical Technology, S.L. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2023; still recruiting 2 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A multicenter, prospective and open-label clinical investigation to evaluate the viability, performance and safety of ex vivo normothermic perfusion in kidney transplantation from DCD and DBD donors.

Read the detailed description

The Ark Kidney is a medical device for ex vivo normothermic perfusion intended to create the conditions that allow kidneys to be resuscitated and / or preserved prior to transplantation. It consists of a permanent unit, which is retained after each perfusion, and a disposable circuit called the ARK Kidney Kidney Disposable Set (KDS), which must be replaced after perfusion to ensure sterile conditions.

It is a portable organ perfusion system designed to preserve a kidney by continuous perfusion of the donated organ with warm oxygenated perfusate supplemented with erythrocytes from the blood bank. The perfusion solution circulates continuously through the vascular network of the organ in a closed circuit. During perfusion, the system can monitor organ perfusion parameters, as well as the conditions of the perfusion solutions and the volume of urine generated during the perfusion.

The primary objective of the clinical study is to assess the viability, performance and safety of ex vivo normothermic perfusion with the Ark Kidney in kidney transplantation from DCD and DBD donors.

02

Conditions studied

  • Kidney Transplantation

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Keywords

  • Kidney
  • Transplantation
  • EBERS
  • EVNP
  • Ex vivo normothermic perfusion
  • DCD
  • DBD
  • Delayed Graft Function
03

In context

Delayed Graft Function

83 studies on the registry are indexed under Delayed Graft Function; 15 are open to participants now.

This study's planned enrollment of 100 is above the median of 90 across 62 interventional studies indexed under Delayed Graft Function.

Browse Delayed Graft Function studies →

Lead sponsor

This is the only study on the registry with Ebers Medical Technology, S.L. as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
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

  1. Patients aged 18 years and older
  2. Patients undergoing renal replacement therapy by means of dialysis and included in the waiting list for renal transplantation in their respective site.
  3. Candidates to receive a first or second renal transplant from (i) a Maastricht type III (Maastricht classification) controlled DCD donor or (ii) a DBD donor aged 70 years or older.
  4. Patients that have given in written form before their inclusion in the study. In case of compromised mental capacity, the approval and signature of a legal guardian will be required.
  5. Patients compliant with the requirements of the study and without impediments to follow the instructions throughout the 1-year duration of the study.
  6. Patients that meet the acceptance criteria for kidney transplant recipients established in the clinical site in agreement with usual clinical practice.

Exclusion criteria

Exclusion Criteria:

  1. Two or more previous kidney transplantations
  2. Dual kidney transplantation or multivisceral transplantation (e.g. a pancreas-kidney transplantation)
  3. Recipients of an organ with any of the following characteristics:

    1. Expected cold ischemia time before EVNP > 20 hours
    2. Organ from surface antigen-positive or viremic donor
    3. Organ with multiple arteries
  4. Recipients with (BMI) > 40 kg/m2
  5. Diagnosis of focal segmental glomerulosclerosis (FSGS) or membranoproliferative glomerulonephritis with high recurrence risk after transplantation in the eyes of the investigator.
  6. Diagnosis of atypical hemolytic-uremic syndrome or thrombotic microangiopathy at the moment of inclusion
  7. Diagnosis of antiphospholipid syndrome at the moment of inclusion
  8. Panel-reactive antibodies (PRA) score > 50%
  9. Known allergies to any of the components of the perfusate
  10. Preexisting vascular disease that represents an extraordinary technical difficulty for the transplantation in the opinion of the investigator
  11. Presence of donor-specific anti-HLA antibodies
  12. ABO incompatibility
  13. History of alcohol or drug abuse in the last two years
  14. Use of normothermic regional perfusion during the organ harvesting process
  15. Participation of the patient in another study or clinical trial.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Experimental group

    Ex vivo normothermic perfusion (EVNP) of the graft with the Ark Kidney System

    Device: Ex vivo normothermic perfusion

  • Active comparator
    Historical control group

    Nonrandomized historical control group formed by patients transplanted without ex vivo normothermic perfusion (EVNP) in the period Sept 2015-Sept 2020, selected by retrospective matching.

    Device: Cold preservation

Interventions

  • DeviceEx vivo normothermic perfusion

    Ex vivo normothermic perfusion (EVNP) of the renal graft with the Ark Kidney System

    Also known as: EVNP

  • DeviceCold preservation

    Static cold storage (SCS) or hypothermic machine perfusion (HMP) of the renal graft

    Also known as: SCS/HMP

06

What researchers measure

Primary outcomes

  1. Safety of EVNP in kidney transplantation from DCD and DBD donors as evaluated by assessment of adverse events

    The rate of adverse events will be compared in intervention arm and control arm

    Time frame: 1 year

Secondary outcomes

  1. Delayed graft function (DGF)

    Delayed graft function (DGF), defined as the need for dialysis during the first week after transplantation

    Time frame: 1 week

  2. Duration (in days) of delayed graft function (DGF)

    Duration (in days) of delayed graft function (DGF)

    Time frame: 1 month

  3. Proportion of patients with functional delayed graft function (fDGF)

    Proportion of patients with functional delayed graft function (fDGF), defined as the failure of serum creatinine to decrease by at least 10% daily on 3 consecutive days during the first week post-transplant, without need for dialysis in that time.

    Time frame: 1 week

  4. Primary non-function (PNF)

    Primary non-function (PNF)

    Time frame: 1 week

  5. Graft renal function (1 day)

    Graft renal function, measured by the levels of serum creatinine and eGFR (CKD-EPI) at day 1 post-transplant in recipients who have not gone through dialysis after transplantation.

    Time frame: 1 day

  6. Graft renal function (3 days)

    Graft renal function, measured by the levels of serum creatinine and eGFR (CKD-EPI) at day 3 post-transplant in recipients who have not gone through dialysis after transplantation.

    Time frame: 3 days

  7. Graft renal function (5 days)

    Graft renal function, measured by the levels of serum creatinine and eGFR (CKD-EPI) at day 5 post-transplant in recipients who have not gone through dialysis in the previous three days.

    Time frame: 5 days

  8. Graft renal function (7 days)

    Graft renal function, measured by the levels of serum creatinine and eGFR (CKD-EPI) at day 7 post-transplant in recipients who have not gone through dialysis in the previous three days.

    Time frame: 7 days

  9. Graft renal function (30 days)

    Graft renal function, measured by the levels of serum creatinine and eGFR (CKD-EPI) at day 30 post-transplant in recipients who have not gone through dialysis in the previous three days.

    Time frame: 30 days

  10. Graft renal function (90 days)

    Graft renal function, measured by the levels of serum creatinine and eGFR (CKD-EPI) at day 90 post-transplant in recipients who have not gone through dialysis in the previous three days.

    Time frame: 90 days

  11. Patient survival

    Patient survival

    Time frame: 1 year

  12. Graft survival

    Graft survival

    Time frame: 1 year

  13. Performance of EVNP in kidney transplantation from DCD and DBD donors as evaluated by the fraction of non-implanted organs because of the preservation method

    The fraction of non-implanted organs will be compared in intervention arm and control arm

    Time frame: 1 day

  14. Viability of EVNP in kidney transplantation from DCD and DBD donors as evaluated by the ratio of planned vs. perfused organs

    Viability of EVNP will be determined by the ratio of planned vs. perfused organs

    Time frame: 1 day

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

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

Registry details

Key details

Study ID
NCT05175885
Lead sponsor
Ebers Medical Technology, S.L.
Responsible party
Sponsor
First posted
Jan 4, 2022
Start date
Dec 14, 2023
Primary completion
Dec 2027 (estimated)
Completion
Dec 2029 (estimated)
Last update
Sep 10, 2026

Study contacts

Pedro Moreo Calvo, PhD
Contact
info@ebersmedical.com
+34 876 013 826
Alex Gutierrez-Dalmau, MD
principal investigator · Miguel Servet University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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