Graft Failure Clinical Trial
Official title:
A Randomised Placebo-Controlled Trial to Investigate the Effect of Pre-treatment With Haem Arginate (Normosang) on Heme-Oxygenase 1 (HO-1) Upregulation in Recipients of Deceased Donor Kidneys
This is a blinded, placebo-controlled, randomised controlled trial looking at the effects of
Heme arginate (HA) on cadaveric renal transplantation. The investigators know that HA can
upregulate HO-1, which has been shown to have a protective effect on animal transplants.
The investigators will be giving HA/placebo to participants prior to transplant and repeat
again on day 2 post-transplant and compare outcomes.
Patients will be recruited from the East of Scotland transplant waiting list and consent
when they arrive in the hospital. The investigators will randomise them to drug or placebo
and give the infusion prior to induction for their transplant.
A blood sample will be taken prior to infusion and a renal biopsy will be taken before the
graft is implanted. These will be used as baseline values.
Patients will receive standard care from our unit. The investigators will use the routine
blood test results (urea and creatinine) to determine the function of the graft.
The investigators will take blood samples 24 hours after infusion of drug/placebo and use
this to determine the primary outcome. Blood tests will be taken daily and a renal biopsy
taken on day 5 to fulfil secondary objectives.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Prevention
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