Impact of Immunosuppression Adjustment on COVID-19 Vaccination Response in Kidney Transplant Recipients
NCT05060991 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2026-04-03
Summary
Immunocompromised individuals, such as solid organ transplant (SOT) recipients are at high risk of COVID-19 associated complications and mortality. Retrospective studies so far have shown that a majority of SOT recipients did not develop appreciable anti-spike antibody response after a first, second, or even third dose of mRNA vaccine. Treatment with antimetabolites was associated with poor vaccine response. The goal of this study is 1) examine whether transient immunosuppression reduction improves the immune response to a third dose of SARS-CoV-2 mRNA vaccine in kidney transplant recipients and 2) to assess the safety of immunosuppression reduction before and after third dose SARS-CoV-2 mRNA vaccination.
Conditions
- COVID-19
- Immunosuppression
- Vaccine Response Impaired
Interventions
- DRUG
-
Reduction in antimetabolite immunosuppression
Reduction in dose in mycophenolate mofetil/mycophenolic acid (MMF) or azathioprine before and after receiving 3rd dose vaccination
Sponsors & Collaborators
-
CareDx
collaborator INDUSTRY -
University of California, Davis
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-09-24
- Primary Completion
- 2026-12-24
- Completion
- 2026-12-24
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Transplant Antibody-Mediated Rejection: Guiding Effective Treatments
NCT03994783 ·Status: TERMINATED ·Phase: PHASE3
-
A Pilot Study Comparing the Use of Low-target Versus Conventional Target Advagraf
NCT01265537 ·Status: COMPLETED ·Phase: NA
-
Pilot Trial on Immunosuppression Modulation to Increase SARS-CoV-2 Vaccine Response in Kidney Transplant Recipients
NCT05338177 ·Status: UNKNOWN ·Phase: PHASE1
-
COVID-19 Protection After Transplant Pilot Study
NCT04969263 ·Status: COMPLETED ·Phase: PHASE2
-
Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) Immune Kidney Transplant Study (COVID-19)
NCT04747522 ·Status: ACTIVE_NOT_RECRUITING
-
EVALUATION OF DIFFERENT PROPHYLACTIC INTERVENTIONS TOWARD COVID-19 IN SOLID ORGAN TRANSPLANT PATIENTS
NCT05629923 ·Status: COMPLETED
-
Immune Response to Third Dose of COVID-19 Vaccine in Solid Organ Transplant
NCT05124509 ·Status: COMPLETED
-
Safety, Tolerability and Efficacy of AntiBKV as Treatment of BKV Infection in Kidney Transplant Recipients
NCT05769582 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Monitoring of COVID-19 Vaccine Response in Organ Transplant Patients
NCT04828460 ·Status: UNKNOWN
-
Renal Transplantation With Immune Monitoring
NCT00419575 ·Status: COMPLETED
-
IgG Antibodies After SARS-CoV-2 mRNA Vaccine in Kidney Transplantation (TASMANIA)
NCT04832841 ·Status: COMPLETED
-
Homologous vs Heterologous Third Vaccination in Kidney Transplant Recipients Kidney Transplant Recipients
NCT05324319 ·Status: UNKNOWN ·Phase: PHASE2
-
RECOVAC Repeated Vaccination Study
NCT05030974 ·Status: COMPLETED ·Phase: PHASE4
-
Withdrawal of Immunosuppression in Pediatric Liver Transplant Recipients
NCT00320606 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of the Impact of Reduced Immunosuppression
NCT05238155 ·Status: COMPLETED
-
Immune Monitoring in Sensitized Patients at Risk of Rejection
NCT03794817 ·Status: COMPLETED
-
Immune Monitoring and CNI Withdrawal in Low Risk Recipients of Kidney Transplantation
NCT01517984 ·Status: TERMINATED ·Phase: PHASE2
-
Once Daily Immunosuppression Regimen
NCT03555448 ·Status: TERMINATED ·Phase: PHASE4
-
Once-a-day Immunosuppression(CISECON_a_day)
NCT01964014 ·Status: COMPLETED ·Phase: PHASE4
-
COVID-19 3rd Dose Vaccine in Transplant Patients
NCT05047640 ·Status: TERMINATED ·Phase: PHASE3
-
Extension Study Of Stage 1 Subjects Of Study A3921009 For The Prevention Of Acute Rejection In Kidney Transplant Patient
NCT00263328 ·Status: COMPLETED ·Phase: PHASE2
-
Standard- Versus Reduced-dose Tacrolimus Combined With Generic Mycophenolate Mofetil in De Novo Renal Transplantation
NCT03968588 ·Status: COMPLETED ·Phase: PHASE4
-
Standard Therapy or Individualized Immunosuppression For Lowering Adverse Event Risk
NCT04473924 ·Status: WITHDRAWN ·Phase: PHASE2
-
Use of Belatacept to Delay Tacrolimus Initiation in Kidney Transplant Patients With Delayed Graft Function
NCT06091995 ·Status: COMPLETED
-
Examination of Immunosuppression Adjustment Impact on Kidney Function in Liver Transplant
NCT04104438 ·Status: COMPLETED ·Phase: PHASE4