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Assessing Safety and Efficacy of Preoperative and Post-Transplant C1 Inhibitor (Berinert®) vs. Placebo in Recipients of a Renal Allograft From Deceased High Risk Donors and Its Impact on DGF and IRI (C1INHDGF)
The use of C1INH (Berinert) in patients receiving deceased donor kidney transplants with high risk for delayed graft function (DGF) may show significant improvement in outcomes post transplant compared with patients that do not receive C1INH treatment. Complement activation has been detected in animal models and human kidneys with ischemic reperfusion injury (IRI) and inflammatory cell infiltrates. By blocking complement activation the investigators hope to improve kidney graft function post transplant in these recipients.
Details
| Lead sponsor | Cedars-Sinai Medical Center |
|---|---|
| Phase | Phase 1/Phase 2 |
| Status | COMPLETED |
| Enrolment | 70 |
| Start date | 2014-09 |
| Completion | 2017-03-13 |
Conditions
- End Stage Renal Disease
- Kidney Failure
- Delayed Graft Function
- Ischemic Reperfusion Injury
Interventions
- C1 Esterase Inhibitor
- Placebo
Primary outcomes
- Number of Patients Enrolled With Serum Creatinine >3mg/dL on Postoperative Day 5. — First 7 days post-transplant
Number of participants in the C1INH and placebo groups with serum creatinine \>3mg/dL on postoperative day 5 - Number of Patients Enrolled Who Require at Least One Session of Dialysis in the First 7 Days Post Transplant. — First 7 days post-transplant
The proportion of patients enrolled who require at least one session of dialysis in the first 7 days post transplant (excluding those who are dialyzed for hyperkalemia). - Number of Patients With Serum Creatinine Reduction Ratio of < 30% From 24 to 48 Hours Post-transplant. — First 7 days post-transplant
Number of patients in the C1INH and placebo groups with serum creatinine reduction of \< 30% from 24 to 48 hours post-transplant. - Number of Dialysis Sessions Per Patient in the First 7 Days Post Transplant. — First 7 days post-transplant
Mean quantity of dialysis sessions per patient in the first 7 days post transplant.
Countries
United States