Evaluating Urinary CXCL10 for Enhanced Detection of Acute Rejection in Kidney Transplant Patients With Low DD-CFDNA
NCT07415876 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 20
Last updated 2026-07-15
Summary
Kidney transplant rejection remains a significant challenge to long-term graft survival. While histological biopsy continues to be the gold standard for diagnosing rejection, noninvasive biomarkers such as donor-derived cell-free DNA (dd-cfDNA) have gained traction for their ability to detect allograft injury. However, dd-cfDNA may lack sensitivity in certain clinical scenarios particularly in cases of localized immune activation leading to false negatives despite biopsy-confirmed rejection.
Conditions
- Kidney Transplant Rejection
Interventions
- OTHER
-
Retrospective Cohort Enrollment
Subjects for this cohort will be selected from existing research database and criteria include: hx of kidney transplantation, clinically indicated biopsy, positive histology, \<1% circulating donor-derived cell-free DNA (dd-cfDNA) result at the time of biopsy, and Availability of frozen urine samples.
- OTHER
-
Prospective Cohort Enrollment
Subjects for this cohort will be selected based on ability to provide urine sample, recent kidney transplant recipient and underwent a clinically indicated biopsy
Sponsors & Collaborators
-
Thermo Fisher Scientific, Inc
collaborator INDUSTRY -
Virginia Commonwealth University
lead OTHER
Principal Investigators
-
Gaurav Gupta, MD · Virginia Commonwealth University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-04
- Primary Completion
- 2026-07-01
- Completion
- 2026-07-01
Countries
- United States
Study Locations
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