Belimumab to Mobilise Memory B-cells From Secondary Lymhoid Organs to Improve Memory B-cell HLA-specificity Profiling to Support Delisting for Transplant Access in Highly-sensitized
NCT07539857 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2026-04-20
Summary
The goal of this clinical trial is to determine whether belimumab can improve detection of circulating HLA-specific memory B cells to support safer and more effective donor organ allocation in highly sensitized kidney transplant candidates.
The main questions it aims to answer are:
Does treatment with belimumab change the antigen specificity profile of circulating HLA-specific memory B cells compared to pre-treatment measurements?
Does a delisting strategy that incorporates mobilized memory B cells improve the probability of donor organ allocation and reduce time to transplantation?
Participants will:
Receive a short course of belimumab treatment
Provide blood samples before and during treatment to assess memory B-cell profiles
Undergo evaluation for potential adjustment of unacceptable HLA specificities (delisting) based on test results
Be followed for donor organ allocation and transplantation outcomes
Conditions
- Kidney Transplant Rejection
Interventions
- DRUG
-
Belimumab Prefilled Syringe [Benlysta]
Monoclonal antibody binding BAFF
Sponsors & Collaborators
- collaborator INDUSTRY
-
Leiden University Medical Center
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-04-01
- Primary Completion
- 2028-01-01
- Completion
- 2030-01-01
Countries
- Netherlands
Study Locations
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