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Allosensitization clinical trials

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NCT ID: NCT04610320 Completed - Clinical trials for Heart Transplant Failure and Rejection

Daratumumab-SC for Highly Sensitized Patients Awaiting Heart Transplantation

Start date: July 1, 2021
Phase: Phase 1
Study type: Interventional

The purpose of this study is to test whether Daratumumab-SC, a drug that eliminates antibody-producing plasma cells, can effectively lower the level of preformed antibodies in patients awaiting heart transplantation. These preformed antibodies limit the number of donor hearts that are compatible for the patients. If Daratumumab-SC can effectively remove preformed, donor-specific antibodies, then highly allosensitized patients will have more compatible hearts available to them, potentially decreasing transplant waitlist time and reducing mortality.

NCT ID: NCT04204980 Completed - Clinical trials for Kidney Transplant Rejection

Desensitization in Kidney Allograft Using Daratumumab

DARDAR
Start date: February 18, 2020
Phase: Phase 1/Phase 2
Study type: Interventional

Patients highly allosensitized against HLA antigen awaiting for a kidney transplant have less compatible transplants to them, increasing their waitlist time and mortality. Current desensitization strategies need to be improved with a high remaining acute rejection rate in this population and a substantial survival benefit which is not uniformly reported in the literature. The investigators propose to use daratumumab, a human IgG1 (Immunoglobulin Gamma-1) monoclonal antibody directed against the CD38 molecule (cluster of differentiation 38) witch induce response in refractory multiple myeloma by depleting plasma cells, as a new agent of desensitization. The study will address the hypothesis that daratumumab can lead to a significant decrease in calculated panel reactive antibodies by elimination of anti-HLA antibodies-producing plasma cells and facilitate the access to transplantation with a safety profile in highly sensitized patients registered in our kidney transplantation center.