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Trial registered on ANZCTR
Registration number
ACTRN12615000678594
Ethics application status
Approved
Date submitted
27/05/2015
Date registered
30/06/2015
Date last updated
30/06/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Mesenchymal Stem Cells (MSC) for the amelioration of ischaemia-reperfusion injury (IRI) after deceased donor renal transplantation, a phase 1 pilot study
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Scientific title
Mesenchymal Stem Cells to prevent ischaemia reperfusion injury in deceased donor renal transplant recipients
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Secondary ID [1]
286820
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ischaemia reperfusion injury
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Kidney Transplantation
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Condition category
Condition code
Renal and Urogenital
295443
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Infusion of peripheral IV third party allogeneic Mesenchymal Stem Cells 2 x 10 ^6 MSC/kg at reperfusion of deceased donor kidney and at 7 days post reperfusion.
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Intervention code [1]
291978
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Treatment: Other
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Comparator / control treatment
Phase 1 pilot study- controls receiving deceased donor kidneys in the period 1.1.2014 - 1.6.2015.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Safety and tolerability as determined by clinical events, infusion reactions and immunogenicity measured by Luminex SAB.
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Assessment method [1]
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Timepoint [1]
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1 year post renal transplantation.
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Primary outcome [2]
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Graft function (estimated glomerular filtration rate eGFR)
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Assessment method [2]
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Timepoint [2]
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1 year post renal transplantation
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Primary outcome [3]
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Renal Allograft Rejection episodes proven by renal biopsy
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Assessment method [3]
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Timepoint [3]
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1 year post renal transplantation
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Secondary outcome [1]
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Immunogenicity- HLA antibody measured by Lumniex Single Antigen Beads against third party Donor
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Assessment method [1]
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Timepoint [1]
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1 year post renal transplantation
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Eligibility
Key inclusion criteria
Adult Deceased Donor kidney recipients
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Live Kidney Donor Recipients
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/09/2014
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Actual
29/10/2014
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Date of last participant enrolment
Anticipated
1/10/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
9732
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6150 - Murdoch
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Transplant Society of Australia and New Zealand (TSANZ)-AMGEN 2013 Innovation Grant
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Address [1]
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TSANZ
145 Macqaurie Street
Sydney NSW 2000
Australia
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Perth Hospital
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Address
GPO Box X2213
Perth WA 6847
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Country
Australia
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Cell and Tissue Therapies WA
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Address [1]
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c/o Royal Perth Hospital
GPO Box X2213
Perth WA 6847
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Country [1]
290044
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Perth Hospital
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Ethics committee address [1]
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Royal Perth Hospital GPO Box X2213 Perth WA 6847
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/06/2014
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Approval date [1]
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01/08/2014
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Ethics approval number [1]
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RPH 2014-009
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Summary
Brief summary
In performing a renal transplant, the time spent by the graft outside the body and cooled on ice (non-perfused) is critical to its future functional capacity. With deceased donor transplants, this may be many hours and there is damage caused to the cells of the kidney by the lack of oxygenated bood suppy, which is called ischaemia. On connection of the donor renal atery to the intended recipients leg artery, blood flow is suddenly restored and the kidney is rewarmed or reperfused. Reperfusion itself is associated with further damage caused by the complex changes on blood vessels and immunological response following the period of ischaemia; the ischaemia-reperfusion injury (IRI). This may lead to delayed function of the kidney, during which the kidney undegoes repair. Changes associated with its recovery may include those that cause injury and scarring and lead to significantly worse renal function in the longer term, causing premature graft senescence and loss. There are currently few effective strategies to reduce this damaging response other than minimsation of cold ischaemia time. Many animal studies have shown that the infusion of mesenchymal stromal cells (MSC) to the recipient lessens the injury associated with IRI and allows earlier short term and better long term kidney function. We propose to use third party normal (non-immunogenic) MSC at the time of and 7 days following reperfusion of a cold stored kidney, in order to lessen this damage in a pilot study of 10 patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Ashley Irish
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Address
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Department of Nephrology
Fiona Stanley Hospital
Murdoch Drive
Murdoch WA 6150
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Country
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Australia
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Phone
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61 8 61522222
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ashley Irish
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Address
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Department of Nephrology
Fiona Stanley Hospital
Murdoch Drive
Murdoch WA 6150
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Country
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Australia
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Phone
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61 8 61522222
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Marian Sturm
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Address
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CTTWA
B Block
GPO Box X2213
Royal Perth Hospital
Perth WA 6847
Australia
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Country
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Australia
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Phone
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61 8 9224 1987
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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