Renaparin® in Kidney Transplantation

This is an interventional prevention trial for Delayed Graft Function Read More

Inclusion Criteria:

Organs:

• Kidney must come from a deceased donor above 18 years of age
• The regular protocols for organ donation according to Swedish law can be followed

Patients:

• Male and female patients 18 - 75 years of age.
• Ability to provide written informed consent.
• Mentally stable and able to comply with the procedures of the study protocol
• Patient has been listed for kidney transplantation from a deceased donor at the clinical sites included in this study.
• Negative crossmatch test prior to transplantation and no existence of donor-specific antibodies
• Receiving first or second renal transplantation

Exclusion Criteria:

Organs:

• Organs from donors deceased due to cardiac death.
• Organs which have not been adequately perfused during HMP, as judged by the transplantation surgeon on call.

Patients:

• Use of an investigational drug or other investigational treatment, that could interfere with the outcome of the present trial, in the 30 days' period before Study Day 1
• Increased risk of thrombosis (ex. homozygous APC-resistance) or bleeding (INR>1.5)
• Anticoagulant treatment with Warfarin for indication unrelated to the kidney transplantation
• History of heparin-induced thrombocytopenia (HIT)
• History of or positive for HIV, HBV, or HCV
• History of oncological malignancy within the last five years, except excised squamous or basal cell carcinoma of the skin
• Scheduled to undergo multi-organ transplantation or dual kidney transplantation
• Current drug and/or alcohol abuse
• Known fish allergy
• History or presence of a medical condition or disease or psychiatric condition that in the investigator's assessment would place the patient at an unacceptable risk for study participation
• Lactating or pregnant women or women who intend to become pregnant

• Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during study treatment. Acceptable birth control methods are those with a failure rate of less than 1% per year when used consistently and correctly. Such methods include (in "Recommendations related to contraception and pregnancy testing in clinical trials", supplied from www.hma.eu/):

  1. Combined (estrogen and progestogen containing hormonal contraception associated with inhibition of ovulation

     • oral
     • intravaginal
     • transdermal

  2. progestogen-only hormonal contraception associated with inhibition of ovulation

     • oral
     • injectable
     • implantable
  3. intrauterine device
  4. intrauterine hormone-releasing system
  5. bilateral tubal occlusion
  6. vasectomized partner
• Patients who the investigator considers not eligible to give informed consent
• Presence of ECG-based evidence of acute myocardial infarction, unstable angina, decompensated heart failure, third degree of heart block or cardiac arrhythmia associated with hemodynamic stability
• Patients with any condition or any circumstance that in the opinion of the investigator would make it unsafe to undergo a kidney transplantation