Clazakizumab in Highly-HLA Sensitized Patients Awaiting Renal Transplant
NCT03380962 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2025-03-24
Summary
Patients who have had a previous allograft failure represent a major problem for transplant centers as they are highly-human leukocyte antigen (HLA) sensitized and unlikely to receive another transplant without significant desensitization. This single center, phase I/II, open label single-arm exploratory study focuses on enrolling twenty patients (ages 15-75) who will begin desensitization therapy to achieve HLA incompatible (HLAi) renal transplantation. Patients who qualify will receive up to 6 doses of clazakizumab 25 mg monthly pre-transplantation. If patients receive an HLAi transplant during the study, the participants will continue to receive another 6 monthly doses of clazakizumab 25 mg, followed by a 6 month protocol biopsy. Patients will continue another 6 doses over 6 months if improvements are seen after the 6th dose of clazakizumab. Patients who develop evidence of persistent allograft dysfunction may have non-protocol biopsies for cause. Patients who receive 12 doses of clazakizumab post-transplant will receive a 12M protocol biopsy.
Conditions
- Kidney Failure, Chronic
- End-Stage Renal Disease
- Transplant Glomerulopathy
- Transplant;Failure,Kidney
- Kidney Transplant Failure and Rejection
- Antibody-mediated Rejection
- Kidney Transplant; Complications
Interventions
- DRUG
-
All patients will receive clazakizumab 25 mg subcutaneous injections (monthly) for a maximum of 18 injections.
Sponsors & Collaborators
-
Stanley Jordan, MD
lead OTHER
Principal Investigators
-
Stanley Jordan, MD · Cedars-Sinai Medical Center Comprehensive Transplant Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 15 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-27
- Primary Completion
- 2025-08-30
- Completion
- 2025-08-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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