Human Penile Tissue Allotransplantation for Devastating Penile and Concomitant Genital Trauma
NCT03240822 · Status: WITHDRAWN · Phase: PHASE1 · Type: INTERVENTIONAL
Last updated 2021-04-14
Summary
This is a 4-year, non-randomized, single center, patient self-controlled, clinical trial (though enrolled subjects will be followed for life as are all transplant patients) for patients seeking allotransplantation of the male external genitalia (MEG), or penile tissue, as a feasible reconstructive strategy for the treatment of devastating and irreversible injuries to the genitalia. In addition to receiving penile allotransplantation and post-operative monitoring and support, enrolled patients will receive an innovative and clinically proven immunomodulatory protocol that combines lymphocyte depletion of the recipient with donor bone marrow cell infusion. Patients will be treated with lymphocyte depleting induction therapy, donor bone marrow cell infusion and tacrolimus. After the first year, maintenance immunosuppression will be modified gradually and cautiously (tapered dose reduction or spaced frequency dosing of tacrolimus) in selected patients based on a critical evaluation of clinical and immunologic outcomes. Outcomes will include but not be limited to functional metrics (sensation, erection, voiding), psychosocial (body integrity, adaptation to transplant) and health related quality of life (HRQOL) measures.
Conditions
- Urologic Injuries
- Genital Diseases, Male
- Amputation
Interventions
- PROCEDURE
-
Penile Transplant
Penile Allotransplantation
- BIOLOGICAL
-
Monoclonal Antibody (Humanized Anti-CD52)
- DRUG
Sponsors & Collaborators
-
Wake Forest University Health Sciences
lead OTHER
Principal Investigators
-
Anthony Atala, MD · Professor
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 35 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-01-31
- Primary Completion
- 2022-12-31
- Completion
- 2025-12-31
- FDA Drug
- Yes
More Related Trials
-
A Retrospective Review - Anti-HLA Antibodies
NCT00460824 ·Status: WITHDRAWN
-
Laryngeal Allograft Transplantation
NCT03269396 ·Status: SUSPENDED ·Phase: NA
-
Craniomaxillofacial Allotransplantation
NCT02158793 ·Status: TERMINATED ·Phase: NA
-
Mesenchymal Stem Cells and Subclinical Rejection
NCT00734396 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Human Partial Facial Allotransplantation
NCT00663988 ·Status: COMPLETED ·Phase: PHASE3
-
Technology Enabled And Molecular Monitoring of the Allograft and Transplant rEcipient
NCT05033548 ·Status: TERMINATED
-
Expanding Live Donor Kidney Transplantation Through Advocacy Training and Social Media
NCT03099434 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
CRISPR-Edited HLA Donor Kidney Transplant to Reduce Rejection Risk
NCT07053462 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Study of an Autologous Neo-Kidney Augment in Patients With Chronic Kidney Disease
NCT01846715 ·Status: TERMINATED ·Phase: PHASE1
-
ARGX-117 in Deceased Donor Kidney Transplant Recipients at Risk for Delayed Graft Function
NCT05907096 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Porcine Kidney Xenotransplantation in Patients With End-Stage Kidney Disease
NCT05340426 ·Status: WITHDRAWN ·Phase: PHASE1
-
Reduce the Severity of DGF in Recipients of a Deceased Donor Kidney
NCT02474667 ·Status: UNKNOWN ·Phase: PHASE3
-
Sexual Functioning After Erection Prosthesis Placement in Post Phalloplasty Transgender Persons
NCT06639776 ·Status: RECRUITING
-
Genital HPV Infections Before and After Renal Transplantation
NCT01717443 ·Status: COMPLETED
-
Concomitant Renal and Urinary Bladder Allograft Transplantation
NCT04626167 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Islet After Kidney Transplant for Type 1 Diabetes
NCT00784966 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Virtual Interactive Platform (VIP) Transplant Research Study
NCT02828605 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Impact of Donor-Specific Antibodies in (Highly-) Immunized Living Donor Kidney Transplant Recipients
NCT05431712 ·Status: COMPLETED
-
Vascularised Sentinel Skin Flaps to Predict Rejection in Intestinal Transplantation
NCT06718400 ·Status: WITHDRAWN ·Phase: NA
-
Quality of Life in Pediatric Transplant Patients
NCT00678002 ·Status: TERMINATED
-
Descemet Membrane Endothelial Keratoplasty (DMEK)
NCT00521898 ·Status: COMPLETED ·Phase: NA
-
Study Correlation Between Blood, Tissue Gene Expression, Donor Derived Cell Free DNA and Histopathology in Kidney Transplant Recipients
NCT05811468 ·Status: WITHDRAWN
-
New Urine and Blood Markers for Acute Kidney Injury in Liver Transplant Patients
NCT00855127 ·Status: WITHDRAWN
-
Allosure in Simultaneous Pancreas Kidney Transplant
NCT04777617 ·Status: TERMINATED
-
Prevention of Human Papillomavirus (HPV) Infection in Paediatric Kidney and Liver Transplant Recipients and in Paediatric Patients With Advanced Chronic Kidney Disease
NCT03100682 ·Status: UNKNOWN