Study of Combined Kidney and Blood Stem Cell Transplant From a Brother or Sister Donor
NCT03707262 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2026-05-08
Summary
The purpose of this study is to find out if an investigational treatment will allow kidney transplant recipients to better accept their new kidney and stop immunosuppressive medicines. This study is for kidney transplant recipients who receive a kidney from a sibling donor.
The investigational treatment is started after kidney transplant. It begins with a regimen of a drug called rabbit anti-thymocyte globulin (rATG) combined with radiation therapy (known as total lymphoid irradiation, or TLI) to the lymph nodes and spleen. This is followed by an infusion of blood stem cells, which will be donated by the same sibling who donated their kidney. Researchers think that this treatment allows immune cells from the donor and recipient to live side by side, a condition referred to as "mixed chimerism." Mixed chimerism may help create a state of "tolerance" in kidney transplant recipients in which all immunosuppressive medications can be stopped without rejection of the transplanted kidney.
This study will test whether (1) the investigational treatment will allow patients to stop immunosuppressive medications after their kidney transplant and (2) if the treatment impacts the rate of kidney rejection and the side effects of immunosuppressive medications.
Conditions
- Renal Transplant Rejection
- Tolerance
- Kidney Transplant
Interventions
- BIOLOGICAL
-
Donor CD34+ and CD3+ cells
Infusion of GCSF-mobilized, Miltenyi-enriched CD34+ hematopoietic stem/progenitor cells (HSPCs) (≥ 5 million cells/kg) and CD3+ cells (5 million cells/kg) from an HLA-identical sibling living donor, following pre-conditioning regimen of rATG and TLI.
Sponsors & Collaborators
-
OneLegacy Foundation
collaborator UNKNOWN -
Jeffrey Veale, MD
lead OTHER
Principal Investigators
-
Jeffrey Veale, MD · University of California, Los Angeles
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-11-06
- Primary Completion
- 2027-05-31
- Completion
- 2027-05-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
A Study to Evaluate the Safety and Efficacy of Dual Costimulation Blockade With VIB4920 and Belatacept for Prophylaxis of Allograft Rejection in Adults Receiving a Kidney Transplant
NCT04046549 ·Status: COMPLETED ·Phase: PHASE2
-
Cell Therapy for Immunomodulation in Kidney Transplantation
NCT03867617 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Renal Allograft Tolerance Through Mixed Chimerism
NCT01780454 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Low Dose Thymoglobin in Renal Transplant Patients
NCT01280617 ·Status: COMPLETED ·Phase: NA
-
Randomized Trial for Mixed Acute Rejection
NCT00771875 ·Status: COMPLETED ·Phase: PHASE2
-
TLI, TBI, ATG & Hematopoietic Stem Cell Transplantation and Recipient T Regs Therapy in Living Donor Kidney Transplantation
NCT03943238 ·Status: RECRUITING ·Phase: PHASE1
-
Early Trial of Allogeneic Hematopoietic Stem Cell Transplantation for Patients Who Will Receive a Kidney Transplant From the Same Donor
NCT05508009 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Effect of Thymoglobulin Versus Basiliximab on Regulatory T Cell Function in Live Donor Kidney Transplant Recipients
NCT02730715 ·Status: TERMINATED
-
Evaluation of Thymoglobulin Induction and Reduced Doses of Calcineurin Inhibitors on Liver Transplant Rejection
NCT00117689 ·Status: COMPLETED ·Phase: PHASE2
-
Delayed Blood Stem Transplantation in HLA Matched Kidney Transplant Recipients to Eliminate Immunosuppressive Drugs.
NCT03591302 ·Status: UNKNOWN ·Phase: PHASE1
-
Combination Drug Therapy Followed by Single Drug Steroid Free Therapy to Prevent Organ Rejection in Kidney Transplantation
NCT00076570 ·Status: COMPLETED ·Phase: PHASE2
-
Sirolimus and Thymoglobulin to Prevent Kidney Transplant Rejection
NCT00006178 ·Status: COMPLETED ·Phase: PHASE2
-
Sequential Targeting of Cluster of Differentiation 52 (CD52) and Tumor Necrosis Factor (TNF) Allows Early Minimization Therapy in Kidney Transplantation
NCT02711202 ·Status: COMPLETED ·Phase: NA
-
Treg Therapy in Subclinical Inflammation in Kidney Transplantation
NCT02711826 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Infusion of T-Regulatory Cells in Kidney Transplant Recipients (The ONE Study)
NCT02091232 ·Status: COMPLETED ·Phase: PHASE1
-
Safety and Efficacy Study of Rituximab in Renal Transplantation
NCT00255593 ·Status: COMPLETED ·Phase: PHASE1
-
A Study to Evaluate the Effect of Thymoglobulin and Reduced Doses of Steroids to Prevent Renal Transplant Rejection
NCT00089947 ·Status: COMPLETED ·Phase: PHASE2
-
Rituximab Desensitization Therapy for Patients on the Waiting List for Kidney Transplant
NCT00167791 ·Status: WITHDRAWN ·Phase: NA
-
Calcineurin Inhibitor Avoidance With Thymoglobulin and Sirolimus in Kidney Transplantation
NCT00305396 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Rituximab on the Development of Anti-Donor Antibodies
NCT00695097 ·Status: COMPLETED ·Phase: NA
-
Belatacept in Kidney Transplantation of Moderately Sensitized Patients
NCT02130817 ·Status: WITHDRAWN ·Phase: PHASE4
-
HLA-Identical Sibling Renal Transplant Tolerance
NCT00619528 ·Status: COMPLETED ·Phase: NA
-
Randomized Trial of Induction Therapies in High Immunological Risk Kidney Transplant Recipients
NCT00782821 ·Status: COMPLETED ·Phase: PHASE4
-
Combined Kidney and Hematopoietic Stem Cell Transplantation for Tolerance Induction
NCT05086003 ·Status: RECRUITING ·Phase: PHASE2
-
Thymoglobulin Versus Campath-1H Versus Daclizumab in Adult, Primary Living Donor Renal Transplantation
NCT00681343 ·Status: COMPLETED ·Phase: PHASE4