Immune Development in Pediatric Transplantation (IMPACT)
NCT00951353 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 125
Last updated 2019-01-03
Summary
Transplantation is the preferred method of treatment for end-stage renal disease (ESRD) in children. Over the past forty years, the use of newer immunosuppressive drugs has decreased the risk for organ rejection considerably, and improved short-term outcomes. However, these costly and complicated life-long treatment regimens also cause serious side effects. This has been particularly true for children, who undergo treatment with these drugs at the same time they are transitioning, physically and emotionally, from childhood to adulthood. These factors lead to significantly reduced life-spans, decreased drug regimen adherence, and an increased need for re-transplantation, as compared with adults.
Current immunosuppressive procedures and strategies for children mimic those for adults, despite the difference between the two populations' immune systems and needs. New strategies aimed at tailoring to an individual child's needs would both reduce the risk of complications and improve outcomes. The purpose of this study is to generate information which will help to change the current practice of pediatric transplantation into one that is more individualized and preventative.
Conditions
- Chronic Kidney Failure
- End Stage Renal Disease
Sponsors & Collaborators
-
National Institute of Allergy and Infectious Diseases (NIAID)
lead NIH
Principal Investigators
-
Allan D. Kirk, MD, PhD · Emory University
Eligibility
- Min Age
- 1 Year
- Max Age
- 20 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-07-31
- Primary Completion
- 2012-08-31
- Completion
- 2013-03-31
Countries
- United States
Study Locations
More Related Trials
-
Immunosuppression Withdrawal for Stable Pediatric Liver Transplant Recipients
NCT01638559 ·Status: COMPLETED ·Phase: PHASE2
-
Steroid-Free Versus Steroid-Based Immunosuppression in Pediatric Renal (Kidney) Transplantation
NCT00141037 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Safety in Immunomodulatory Functions of Alemtuzumab (Campath) in Pediatric Kidney Transplantation Recipients
NCT00240994 ·Status: COMPLETED ·Phase: PHASE2
-
Withdrawal of Immunosuppression in Pediatric Liver Transplant Recipients
NCT00320606 ·Status: COMPLETED ·Phase: PHASE1
-
Safety of Immunosuppression Minimization in Children and Adolescents After Kidney Transplantation
NCT00768729 ·Status: COMPLETED ·Phase: PHASE1
-
Pediatric Kidney Transplant Study of Sirolimus, Mycophenolate Mofetil, and Corticosteroids vs Calcineurin Inhibitor Based Immunosuppression
NCT00555373 ·Status: COMPLETED ·Phase: NA
-
Alloantibodies in Pediatric Heart Transplantation
NCT01005316 ·Status: TERMINATED
-
Th1, Th2 and Monokine Responses as Risk Factors of Renal Transplant Rejection
NCT00150891 ·Status: COMPLETED
-
Immune Tolerance After Pediatric Liver Transplantation
NCT05501301 ·Status: RECRUITING
-
Virus Surveillance in Pediatric Solid Organ Transplant Recipients
NCT00886158 ·Status: UNKNOWN
-
Outcomes in Pediatric Heart Transplant Recipients Receiving Cellcept
NCT00166153 ·Status: TERMINATED ·Phase: NA
-
Rituximab for Pediatric Renal Transplant Rejection
NCT00697996 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Study to Compare Treatment With Sirolimus Versus Standard Treatment in Patients Who Have Received a Kidney Transplant
NCT00005113 ·Status: TERMINATED ·Phase: PHASE3
-
Mechanisms of Belatacept Effect on Alloimmunity and Antiviral Response After Kidney Transplantation (BMS IM 103-309)
NCT01953120 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety in Imlifidase Desensitized Kidney Tx Patients, Including Two Non-Comparative Reference Cohorts
NCT05369975 ·Status: COMPLETED ·Phase: PHASE3
-
MMF After Pediatric Liver Transplantation
NCT00367146 ·Status: COMPLETED ·Phase: NA
-
Comparison of Immunosuppression Protocols After LTx in Children
NCT00195988 ·Status: COMPLETED ·Phase: PHASE4
-
Renal Transplantation With Immune Monitoring
NCT00419575 ·Status: COMPLETED
-
Treatment of Children With Kidney Transplants by Injection of CD4+CD25+FoxP3+ T Cells to Prevent Organ Rejection
NCT01446484 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Reduced-dose Alemtuzumab for Kidney Transplant Rejection
NCT06100965 ·Status: RECRUITING
-
An Efficacy and Safety Study of Imlifidase in Treatment of Antibody-Mediated Rejection in Kidney Transplant Patients
NCT03897205 ·Status: COMPLETED ·Phase: PHASE2
-
Steroid Withdrawal in Pediatric Renal Transplant: Impact on Growth, Bone Metabolism and Acute Rejection
NCT00707759 ·Status: COMPLETED ·Phase: PHASE3
-
Iguratimod in Kidney Transplant Recipients
NCT02839941 ·Status: UNKNOWN ·Phase: NA
-
Associating Renal Transplantation With the ITN Signature of Tolerance
NCT01516177 ·Status: COMPLETED
-
Prospective Donor Specific T Response Measurment for IS Minimization in de Novo Renal Transplantation
NCT02540395 ·Status: COMPLETED ·Phase: NA