End-stage Renal Disease Clinical Trial
Official title:
Improving of Morphological,Clinical Biochemical and Instrumental Functional Reserve Estimation of Donor Kidney
The purpose of the study:
- To estimate the role of morphological, clinical, biochemical and imaging studies at
stages of kidney transplantation (medical therapy, explantation, preservation,
transplantation).
- To improve the ways of preserving optimal functional parameters of renal transplants.
Status | Completed |
Enrollment | 60 |
Est. completion date | December 2013 |
Est. primary completion date | September 2011 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years to 60 Years |
Eligibility |
Inclusion Criteria: - recipients-patients with end-stage renal disease; - donor healthy people without absolute contraindications to the kidney transplantation; - donor and recipients who are both in the genetic and non-genetic related to each other. - obligatory immunological compatibility by HLA-phenotyping provided that the donor and recipient are not relatives with each other; - negative result of cross-match between donors and recipients; - presence of pre-existing lymphotoxic antibodies in a recipient less than 50%; - absence of standard absolute contraindications in a donor and in a recipient for surgeric intervention. Age is 18-60 years. Exclusion Criteria: - patients with absolute contraindications to surgery: diseases of organs and systems having a threating risk to the life of donor and recipient during and after surgery; - immunological incompatibility between donor and recipient; - high level of pre-existing lymphotoxic antibodies in a recipient more than 50%, uncorrected by Therapy; - donor age is under 18 and over 60 years; - incapable persons; - absence of a notarized consent form to kidney transplantation; - presence of the active phase of viral infection with hepatitis B and C; - positive results of blood tests for HIV/AIDS, syphilis; - patients with severe concomitant pathology of kidneys, (or) heart and (or)liver. |
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Kazakhstan | Republican Scientific Center for Emergency Medicine | Astana |
Lead Sponsor | Collaborator |
---|---|
Republican Scientific Center for Emergency Medicine |
Kazakhstan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Pre-Operative Patients Health Status: Donor and Recipient | Patient-donor health status. Concomitant somatic pathology of a patient-recipient. Time for Kidney transplantation. |
For 1 week | Yes |
Primary | Functional Reserve Estimation of Donor Kidney | Graft survival is assessed on the following criteria: The duration of the functioning graft Clinical, laboratory and device functioning graft. Morphological and histological study of the stages of transplantation (for withdrawal, before implantation) and the post-transplant period (with the threat of rejection.) Study of the blood recipient: Laboratory tests of blood recipient: biochemical analysis, the composition of the electrolyte, acid-base status, the level of immunosuppressants. Immunological typing for HLA-system. Cross-typing of donor and recipient, the level of pre-existing limfotsitotoksicheskih antibodies in the recipient.Patients survival. |
for 12 months | Yes |
Secondary | Clinical and Laboratory,Imaging Parameters | Intraoperational Macroscopic Description of signs of kidney ischemia: turgor, colour, consistency of transplanted kidney, pulse characteristics of renal artery. Signs of graft rejection: increasing of temperature, blood pressure, the levels of waste products (blood creatinine, blood urea). |
From 2 hours to 7 days | Yes |
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