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Not yet recruitingNCT06365411GEM-KiTUpdated Mar 28, 2025

GEnomic Medicine in Kidney Transplantation Study

An observational study in Transplant Complication and Kidney Transplant Rejection, sponsored by Western Sydney Local Health District. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-03-28.

Sponsored by Western Sydney Local Health District · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Investigator led, prospective, observational cohort study to detect genomic features which can predict outcomes following kidney transplantation.

  1. Determine non-HLA genomic mismatches between donor-recipient pairs which impact kidney allograft survival following transplantation
  2. Derive polygenic risk scores on pre-transplant blood and/or kidney biopsy samples which predict kidney allograft dysfunction
  3. Derive polygenic risk scores on post-transplant blood and/or kidney biopsy samples which predict kidney allograft dysfunction
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Conditions studied

  • Transplant Complication
  • Kidney Transplant Rejection
03

In context

Lead sponsor

Western Sydney Local Health District is the lead sponsor of 35 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Adult, kidney transplant (or kidney-pancreas transplant) recipients

Eligibility criteria

Inclusion Criteria: All participants included in the study must be age ≥ 18 years old at time of enrolment and

  1. able to provide informed consent (interpreter permitted) for enrolment
  2. consenting to longitudinal follow up (can withdraw post enrolment)
  3. consenting to provide samples for biobanking, including blood, urine, faecal and/or kidney biopsy tissue (collected prospectively, separate to routine care)

Exclusion Criteria: Patients will be excluded from the study if they are

  1. unable (or unwilling) to provide consent, or
  2. have life-expectancy less than 6-months, or
  3. have received a haematopoietic stem cell transplant in the past 5 years.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Kidney Transplant Recipients

    Enrolled at time of transplant or post transplant

    Diagnostic Test: Biomarker discovery and validation - with focus on genomic biomarkers

Interventions

  • Diagnostic testBiomarker discovery and validation - with focus on genomic biomarkers

    Biomarker discovery and validation - with focus on genomic biomarkers

06

What researchers measure

Primary outcomes

  1. Death censored graft loss (DCGL)

    Loss of functioning kidney transplant (not counted if patient died with functioning graft)

    Time frame: At biopsy or during study follow up after biopsy (expected average over 60-months)

  2. Biopsy proven rejection (BPAR)

    Rejection diagnosed on kidney transplant biopsy

    Time frame: At biopsy or during study follow up after biopsy (expected average 12-months)

Secondary outcomes

  1. All cause graft loss

    DCGL or death with functioning graft

    Time frame: At biopsy or during study follow up after biopsy (expected average over 60-months)

  2. Death

    Death

    Time frame: Any time during or after biopsy (expected over 60-months)

  3. Treatment resistant rejection

    Persistent rejection despite additional glucocorticoids and/or upscaling of maintenance immunosuppression

    Time frame: At biopsy or during study follow up after biopsy (expected average 12-months)

  4. Hospital admission or emergency attendance

    Hospital admission or emergency department visit for any reason

    Time frame: At biopsy or during study follow up after biopsy (expected average 12-months)

  5. Delayed Graft Function (DGF)

    Need for dialysis within the first 7 days post transplantation

    Time frame: within the first 7 days post transplantation

  6. Kidney function

    serum creatinine and eGFR post transplantation

    Time frame: Months 1, 3, 12, 24, 36, 48, 60, 120 post transplantation

  7. Albuminuria

    albumin in the urine (UACR)

    Time frame: Months 1, 3, 12 any time after 12-months trnasplantation

  8. Surrogate end-point markers

    eGFR slope and iBOX scores

    Time frame: Months 3, 12, 24, 36, 48 and 60, 120 post transplantation

  9. Borderline rejeciton

    Based on banff scoring criteria for kidney biospies

    Time frame: At biopsy or during study follow up after biopsy (expected average 12-months)

  10. chronic rejection; chronic transplant glomerulopathy; and interstitial fibrosis and tubular atrophy (IFTA) scores

    Based on banff scoring for kidney biopsies

    Time frame: At biopsy or during study follow up after biopsy (expected average over 12-months)

  11. Recurrent disease

    recurrence of original disease causing kidney failure

    Time frame: At biopsy or during study follow up after biopsy (expected average 60-months)

  12. BK virus complications

    Viremia or virus associated nephropathy

    Time frame: At biopsy or during study follow up after biopsy (expected average 12-months)

  13. Major cardiovascular complications

    3-point MACE: non fatal stroke, non fatal myocardial infarction, cardiovascular death

    Time frame: At biopsy or during study follow up after biopsy (expected average 60-months)

  14. Major infectious complications

    any major fungal, bacterial or viral infection

    Time frame: At biopsy or during study follow up after biopsy (expected average 60-months)

  15. Malignancy post transplantation

    any cancer type

    Time frame: At biopsy or during study follow up after biopsy (expected average 60-months)

  16. Kidney biopsy transcriptomic signature

    Based on bulk and/or spatial transcriptomic experiments

    Time frame: At biopsy - based on collected tissue sample

  17. Kidney cell type composition

    Cell type phenotyping of immune and kidney cell types

    Time frame: At biopsy - based on collected tissue sample

  18. Proteinomic signature

    mass spectrometry or spatial proteinomic results

    Time frame: At biopsy or during study follow up after biopsy (expected average 12-months)

07

Study locations

No study locations are listed for this record.

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 Mar 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06365411
Lead sponsor
Western Sydney Local Health District
Responsible party
Jennifer Li (Nephrologist and Transplant Physician, Western Sydney Local Health District) — Principal investigator
First posted
Apr 15, 2024
Start date
Jun 3, 2025 (estimated)
Primary completion
Jan 1, 2030 (estimated)
Completion
Jan 1, 2035 (estimated)
Last update
Mar 28, 2025

Study contacts

Jennifer SY Li, MBBS, FRACP
Contact
jennifer.li@health.nsw.gov.au
612 88905555
Philip J O'Connell, MBBS, FRACP
Contact
philip.oconnell@sydney.edu.au
612 88905555

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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