Trial Outcomes & Findings for HLA-Identical Sibling Renal Transplant Tolerance (NCT NCT00619528)

NCT ID: NCT00619528

Last Updated: 2026-02-27

Results Overview

The ability to withdraw immunosuppression as above 24 months post-transplant with follow-up to 10 years.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

88 participants

Primary outcome timeframe

24 months post-transplant with follow-up to 10 years

Results posted on

2026-02-27

Participant Flow

Subject enrollment 2008-2012. Subjects were recruited at the Northwestern University Medical Center, in the comprehensive Transplant Center. Enrollment has been completed since 2012

1 subject did not did not receive the DHSC infusions due to the immediate pre-operative cross-match again the donor that was unexpectedly found to be positive

Participant milestones

Participant milestones
Measure
Experimental
Recipients of Infusion of Donor Hemopoietic Steam Cells (n=20)
Donor
Donor of HLA identical donor-recipient sibling pairs
Healthy Controls
Healthy Controls do not have the disease or problem being studied.
Parents of Recipients/Donors
Parent(s) to donor/recipient children
Overall Study
STARTED
20
20
19
29
Overall Study
COMPLETED
19
0
0
0
Overall Study
NOT COMPLETED
1
20
19
29

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

All enrolled kidney transplant recipients who met eligibility criteria, including age 18-65 years, and underwent HLA-identical living-related donor renal transplantation.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Recipients
n=20 Participants
Recipient of kidney transplant
Donor
n=20 Participants
Donating kidney to sibling
Healthy Controls
n=19 Participants
The control subjects (not having the disease or problem being studied) either have a one time bone marrow aspiration (taking bone marrow out of one or both hip bones) and/or having blood taken for the study.
Parents of Recipients/Donors
n=29 Participants
The subjects in this group are the parents of donors and recipients of kidney transplant
Total
n=88 Participants
Total of all reporting groups
Age, Continuous
39.625 years
n=24 Participants • All enrolled kidney transplant recipients who met eligibility criteria, including age 18-65 years, and underwent HLA-identical living-related donor renal transplantation.
39.241 years
n=20 Participants • All enrolled kidney transplant recipients who met eligibility criteria, including age 18-65 years, and underwent HLA-identical living-related donor renal transplantation.
36.034 years
n=40 Participants • All enrolled kidney transplant recipients who met eligibility criteria, including age 18-65 years, and underwent HLA-identical living-related donor renal transplantation.
53.379 years
n=565 Participants • All enrolled kidney transplant recipients who met eligibility criteria, including age 18-65 years, and underwent HLA-identical living-related donor renal transplantation.
36.034 years
n=349 Participants • All enrolled kidney transplant recipients who met eligibility criteria, including age 18-65 years, and underwent HLA-identical living-related donor renal transplantation.
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=24 Participants
2 Participants
n=20 Participants
0 Participants
n=40 Participants
6 Participants
n=565 Participants
11 Participants
n=349 Participants
Sex: Female, Male
Female
4 Participants
n=24 Participants
11 Participants
n=20 Participants
9 Participants
n=40 Participants
17 Participants
n=565 Participants
41 Participants
n=349 Participants
Sex: Female, Male
Male
16 Participants
n=24 Participants
9 Participants
n=20 Participants
10 Participants
n=40 Participants
12 Participants
n=565 Participants
47 Participants
n=349 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=565 Participants
0 Participants
n=349 Participants
Race (NIH/OMB)
Asian
0 Participants
n=24 Participants
0 Participants
n=20 Participants
5 Participants
n=40 Participants
0 Participants
n=565 Participants
5 Participants
n=349 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=565 Participants
1 Participants
n=349 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=24 Participants
3 Participants
n=20 Participants
3 Participants
n=40 Participants
3 Participants
n=565 Participants
12 Participants
n=349 Participants
Race (NIH/OMB)
White
14 Participants
n=24 Participants
13 Participants
n=20 Participants
8 Participants
n=40 Participants
20 Participants
n=565 Participants
55 Participants
n=349 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=24 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
0 Participants
n=565 Participants
0 Participants
n=349 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=24 Participants
4 Participants
n=20 Participants
3 Participants
n=40 Participants
6 Participants
n=565 Participants
15 Participants
n=349 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=24 Participants
17 Participants
n=20 Participants
16 Participants
n=40 Participants
23 Participants
n=565 Participants
73 Participants
n=349 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=24 Participants
1 Participants
n=20 Participants
3 Participants
n=40 Participants
0 Participants
n=565 Participants
4 Participants
n=349 Participants

PRIMARY outcome

Timeframe: 24 months post-transplant with follow-up to 10 years

The ability to withdraw immunosuppression as above 24 months post-transplant with follow-up to 10 years.

Outcome measures

Outcome measures
Measure
Kidney Transplant Recipients Who Received Infusion of Donor Hematopoietic Stem Cells and Campath-1H
n=19 Participants
No separate arms: All Enrolled Receive Same Treatment Infusion of Donor Hematopoietic Stem Cells and Campath-1H: Intervention: a four-dose (peri-operative and 3, 6, and 9-month boost) DHSC infusion protocol using two-dose Campath-1H induction combined with transient (conditioning) Tacrolimus/Sirolimus and MMF therapy will result in a high degree of macro-chimerism (\>10%), and a robust prolonged donor-specific (post-thymic) immunoregulatory condition that will allow renal transplant survival in the absence of permanent immunosuppression.
The Ability to Withdraw Immunosuppression as Above 24 Months Post-transplant
6 Participants

PRIMARY outcome

Timeframe: One Year

Patient and graft survival measured at the one-year timepoint post-transplant.

Outcome measures

Outcome measures
Measure
Kidney Transplant Recipients Who Received Infusion of Donor Hematopoietic Stem Cells and Campath-1H
n=20 Participants
No separate arms: All Enrolled Receive Same Treatment Infusion of Donor Hematopoietic Stem Cells and Campath-1H: Intervention: a four-dose (peri-operative and 3, 6, and 9-month boost) DHSC infusion protocol using two-dose Campath-1H induction combined with transient (conditioning) Tacrolimus/Sirolimus and MMF therapy will result in a high degree of macro-chimerism (\>10%), and a robust prolonged donor-specific (post-thymic) immunoregulatory condition that will allow renal transplant survival in the absence of permanent immunosuppression.
Patient and Graft Survival
20 Participants

Adverse Events

Healthy Controls

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Parents of Recipients/Donors

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Recipient of Transplant

Serious events: 8 serious events
Other events: 4 other events
Deaths: 4 deaths

Donor

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Healthy Controls
n=19 participants at risk
Control subjects (not having the disease or problem being studied) either have at one time bone marrow aspiration (taking bone marrow out of one or both hip bones) and/or having blood taken for the study
Parents of Recipients/Donors
n=29 participants at risk
The subjects in this group are the parents of the donor and recipient of kidney transplant
Recipient of Transplant
n=20 participants at risk
Recipient with Infusion of Donor Hematopoietic Stem Cells and Campath-1H:
Donor
n=20 participants at risk
Donating Kidney to Sibling
Renal and urinary disorders
Prostrate Cancer
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
5.0%
1/20 • Number of events 1 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study
General disorders
Hospitalizations
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
20.0%
4/20 • Number of events 4 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study
Renal and urinary disorders
Acute Tubular Necrosis
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
5.0%
1/20 • Number of events 1 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study
Renal and urinary disorders
Severe Cellular Rejection
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
5.0%
1/20 • Number of events 1 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study
Cardiac disorders
Heart Failure
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
5.0%
1/20 • Number of events 1 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study
Endocrine disorders
Pancreatic Neuroendocrine Tumor
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
5.0%
1/20 • Number of events 1 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study

Other adverse events

Other adverse events
Measure
Healthy Controls
n=19 participants at risk
Control subjects (not having the disease or problem being studied) either have at one time bone marrow aspiration (taking bone marrow out of one or both hip bones) and/or having blood taken for the study
Parents of Recipients/Donors
n=29 participants at risk
The subjects in this group are the parents of the donor and recipient of kidney transplant
Recipient of Transplant
n=20 participants at risk
Recipient with Infusion of Donor Hematopoietic Stem Cells and Campath-1H:
Donor
n=20 participants at risk
Donating Kidney to Sibling
Renal and urinary disorders
UTI
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
5.0%
1/20 • Number of events 1 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study
Product Issues
Allergic Reaction following second dose of Altuzemab
0.00%
0/19 • Over 10 year after receiving consenting to the study
0.00%
0/29 • Over 10 year after receiving consenting to the study
15.0%
3/20 • Number of events 3 • Over 10 year after receiving consenting to the study
0.00%
0/20 • Over 10 year after receiving consenting to the study

Additional Information

Joseph Leventhal MD, PhD

Northwestern University

Phone: 312-695-0427

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place