Trial Outcomes & Findings for Conventional Laparoscopic Versus Laparoendoscopic Single Site Donor Nephrectomy in Living Donor Kidney Transplantation (NCT NCT01236326)

NCT ID: NCT01236326

Last Updated: 2019-06-12

Results Overview

The Primary Endpoint of the Study Will be Patient Self-reported "Return to 100%", as Measured by the Number of Days Post-surgery That the Patient Reports His or Her Return to 100% Functioning Capacity.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

105 participants

Primary outcome timeframe

1 year

Results posted on

2019-06-12

Participant Flow

Participant milestones

Participant milestones
Measure
LESS-DN
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Overall Study
STARTED
50
55
Overall Study
COMPLETED
49
51
Overall Study
NOT COMPLETED
1
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Conventional Laparoscopic Versus Laparoendoscopic Single Site Donor Nephrectomy in Living Donor Kidney Transplantation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LESS-DN
n=49 Participants
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=51 Participants
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
46.8 years
STANDARD_DEVIATION 11.9 • n=99 Participants
47.4 years
STANDARD_DEVIATION 11.5 • n=107 Participants
47.1 years
STANDARD_DEVIATION 11.6 • n=206 Participants
Sex: Female, Male
Female
29 Participants
n=99 Participants
29 Participants
n=107 Participants
58 Participants
n=206 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
22 Participants
n=107 Participants
42 Participants
n=206 Participants
Race/Ethnicity, Customized
African American
5 participants
n=99 Participants
9 participants
n=107 Participants
14 participants
n=206 Participants
Race/Ethnicity, Customized
Caucasian
28 participants
n=99 Participants
31 participants
n=107 Participants
59 participants
n=206 Participants
Race/Ethnicity, Customized
Hispanic
10 participants
n=99 Participants
9 participants
n=107 Participants
19 participants
n=206 Participants
Race/Ethnicity, Customized
All Other
6 participants
n=99 Participants
2 participants
n=107 Participants
8 participants
n=206 Participants
Region of Enrollment
United States
49 participants
n=99 Participants
51 participants
n=107 Participants
100 participants
n=206 Participants
Relationship to Recipient
Living Related
21 participants
n=99 Participants
24 participants
n=107 Participants
45 participants
n=206 Participants
Relationship to Recipient
Living Unrelated
28 participants
n=99 Participants
27 participants
n=107 Participants
55 participants
n=206 Participants
Side of Donation (left)
Left
45 participants
n=99 Participants
48 participants
n=107 Participants
93 participants
n=206 Participants
Side of Donation (left)
Right
4 participants
n=99 Participants
3 participants
n=107 Participants
7 participants
n=206 Participants
Body Mass Index (BMI)
BMI < 30 kg/m^2
36 participants
n=99 Participants
36 participants
n=107 Participants
72 participants
n=206 Participants
Body Mass Index (BMI)
BMI >= 30 kg/m^2
13 participants
n=99 Participants
15 participants
n=107 Participants
28 participants
n=206 Participants
Multiple Arteries
Yes
6 participants
n=99 Participants
6 participants
n=107 Participants
12 participants
n=206 Participants
Multiple Arteries
No
43 participants
n=99 Participants
45 participants
n=107 Participants
88 participants
n=206 Participants

PRIMARY outcome

Timeframe: 1 year

Population: The number of participants analyzed is lower than the number of baseline participants because overall, 25% of subjects did not return the 2-month questionnaire (26.5% of the LESS-DN group and 23.5% of the Conventional LDN group).

The Primary Endpoint of the Study Will be Patient Self-reported "Return to 100%", as Measured by the Number of Days Post-surgery That the Patient Reports His or Her Return to 100% Functioning Capacity.

Outcome measures

Outcome measures
Measure
LESS-DN
n=36 Participants
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=39 Participants
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
The Primary End Point of the Study Was the Mean/Median Number of Days Postsurgery Required for Each Group to Return to 100% Functioning Capacity.
43 days
Standard Deviation 15
45 days
Standard Deviation 22

SECONDARY outcome

Timeframe: 2 months

Population: The number of participants analyzed is lower than the number of baseline participants because overall, 25% of subjects did not return the 2-month questionnaire (26.5% of the LESS-DN group and 23.5% of the Conventional LDN group).

Outcome measures

Outcome measures
Measure
LESS-DN
n=36 Participants
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=39 Participants
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Days on Oral Pain Medication After Discharge
6 days
Standard Deviation 4
7 days
Standard Deviation 8

SECONDARY outcome

Timeframe: 2 months

Population: The number of participants analyzed is lower than the number of baseline participants because overall, 25% of subjects did not return the 2-month questionnaire (26.5% of the LESS-DN group and 23.5% of the Conventional LDN group).

Outcome measures

Outcome measures
Measure
LESS-DN
n=36 Participants
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=39 Participants
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Days Before Going Back to Work
24 days
Standard Deviation 14
27 days
Standard Deviation 18

SECONDARY outcome

Timeframe: 2 months

Population: The number of participants analyzed is lower than the number of baseline participants because overall, 25% of subjects did not return the 2-month questionnaire (26.5% of the LESS-DN group and 23.5% of the Conventional LDN group).

Outcome measures

Outcome measures
Measure
LESS-DN
n=36 Participants
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=39 Participants
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Days to Normal Day-to-day Activities
30 days
Standard Deviation 17
33 days
Standard Deviation 25

SECONDARY outcome

Timeframe: 2 months

Population: The number of participants analyzed is lower than the number of baseline participants because overall, 25% of subjects did not return the 2-month questionnaire (26.5% of the LESS-DN group and 23.5% of the Conventional LDN group).

Outcome measures

Outcome measures
Measure
LESS-DN
n=36 Participants
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=39 Participants
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Recovered by 2 Months After Donation
35 participants
31 participants

Adverse Events

LESS-DN

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Conventional LDN

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LESS-DN
n=49 participants at risk
Laparoendoscopic single site donor nephrectomy: Patients randomized to this arm will undergo laparoendoscopic single site donor nephrectomy
Conventional LDN
n=51 participants at risk
Conventional laparoscopic donor nephrectomy: Patients randomized to this arm will undergo conventional laparoscopic donor nephrectomy
Renal and urinary disorders
Conversion to Hand Assist Laparoscopy
6.1%
3/49 • Number of events 3
3.9%
2/51 • Number of events 2
Gastrointestinal disorders
Ileus within 30 days
0.00%
0/49
2.0%
1/51 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
6.1%
3/49 • Number of events 3
0.00%
0/51
Nervous system disorders
Neuropathy
0.00%
0/49
2.0%
1/51 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.00%
0/49
2.0%
1/51 • Number of events 1
Skin and subcutaneous tissue disorders
Superficial Surgical Site Infection
4.1%
2/49 • Number of events 2
0.00%
0/51
Renal and urinary disorders
Urinary Retention
2.0%
1/49 • Number of events 1
0.00%
0/51
General disorders
Re-admission
0.00%
0/49
3.9%
2/51 • Number of events 2

Additional Information

Meredith J. Aull, Pharm.D.

Weill Cornell Medical College

Phone: (212) 746-0727

Results disclosure agreements

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