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.
COMPLETED
NA
88 participants
24 months post-transplant with follow-up to 10 years
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
| 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
| 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 yearsThe ability to withdraw immunosuppression as above 24 months post-transplant with follow-up to 10 years.
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 YearPatient and graft survival measured at the one-year timepoint post-transplant.
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
Parents of Recipients/Donors
Recipient of Transplant
Donor
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
| 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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place