Status:

COMPLETED

Bortezomib in Late Antibody-mediated Kidney Transplant Rejection

Lead Sponsor:

Medical University of Vienna

Collaborating Sponsors:

Medical University Innsbruck

Conditions:

Late Rejection of Renal Transplant

Antibody-mediated Rejection

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

Late antibody-mediated rejection (AMR) after kidney transplantation is defined as a separate rejection entity. So far, no appropriate treatment has been established for this rejection type. One promis...

Detailed Description

Background Recent studies have underscored a dominant role of alloimmune injury as a leading cause of long-term graft loss in kidney transplantation. In this respect, the formation of antibodies agai...

Eligibility Criteria

Inclusion

  • Part A (Screening for DSA, cross-sectional)
  • Written informed consent
  • Age \> 18 years
  • Functioning allograft after ≥180 days
  • eGFR \>20 ml/min/1.73 m2

Exclusion

  • Part A (Screening for DSA, cross-sectional)
  • Patients actively participating in another clinical trial
  • Female subject is pregnant or lactating
  • Acute rejection treatment \<1 month before screening
  • Acute deterioration of graft function due to suspected acute rejection
  • Active viral, bacterial or fungal infection precluding bortezomib treatment
  • Active malignant disease precluding intensified immunosuppressive therapy
  • Serious medical or psychiatric illness likely to interfere with participation in the study
  • Documented intolerance of Bortezomib, boron or mannitol
  • Inclusion Criteria:
  • Part B (Interventional study)
  • Written informed consent
  • Age \> 18 years
  • Functioning allograft after ≥180 days
  • eGFR \>20 ml/min/1.73 m2
  • HLA class I and/or II DSA-positive
  • A kidney biopsy result showing Glomerulitis and/or peritubular capillaritis and/or transplant glomerulopathy and/or peritubular capillary (PTC) basement membrane lamellation (with or without C4d in PTC).

Key Trial Info

Start Date :

December 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 28 2017

Estimated Enrollment :

44 Patients enrolled

Trial Details

Trial ID

NCT01873157

Start Date

December 1 2013

End Date

February 28 2017

Last Update

March 23 2017

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Medical University of Vienna, Department of Nephrology and Dialysis

Vienna, Vienna, Austria, 1090