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Feasibility and Safety of Allogeneic Adipose Mesenchymal Stem Cells (aMSCs) Delivery Into Kidney Allografts Procured From Deceased Donors With High Kidney Donor Profile Index (KDPI)

Primary Purpose

Ischemia Reperfusion Injury

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Allogeneic adipose derived mesenchymal stem cells
Sponsored by
Tambi Jarmi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemia Reperfusion Injury

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female kidney transplant candidates age 18 and above.
  • Patient is receiving kidney allograft from deceased donor with KDPI>85%.
  • Ability of subject to give appropriate consent.
  • Females of childbearing potential with agreement to use birth control for six months post-transplant.
  • Approved by the Mayo Clinic Transplant Selection Committee.
  • Signed Authorization for Donation of Anatomical Gifts on file.

Exclusion Criteria:

  • Positive pregnancy test at the time of the kidney offer is called for the potential recipient.
  • Kidney transplant potential recipients with active malignancy (except none melanoma skin malignancies).
  • Patients with previous history of solid organ transplant (Heart, Lung, Intestine, Kidney and/or Pancreas).
  • Patients with previous history of bone marrow transplant.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Intra parenchymal injection

    Intra-arterial infusion

    Intra parenchymal injection & Intra-arterial infusion

    Arm Description

    5 subjects will receive AMSCs via direct injection into the kidney parenchyma only

    5 subjects will receive AMSCs via intra-arterial infusion only

    5 subjects will receive AMSCs via direct injection into the kidney parenchyma and intra-arterial infusion

    Outcomes

    Primary Outcome Measures

    Serious Adverse Events (SAEs)
    Number of serious adverse events reported. SAEs will include delayed graft function (30 days post-transplant), difficult to control bleeding (intraoperative), sub-scapular kidney hematoma or arteriovenous fistula formation (24 hours postop), and development of stroke, myocardial infarction, or pulmonary embolism (1 year post-transplant).

    Secondary Outcome Measures

    Full Information

    First Posted
    May 12, 2020
    Last Updated
    October 16, 2023
    Sponsor
    Tambi Jarmi
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04388761
    Brief Title
    Feasibility and Safety of Allogeneic Adipose Mesenchymal Stem Cells (aMSCs) Delivery Into Kidney Allografts Procured From Deceased Donors With High Kidney Donor Profile Index (KDPI)
    Official Title
    Feasibility and Safety of Allogeneic Adipose Mesenchymal Stem Cells (aMSCs) Delivery Into Kidney Allografts Procured From Deceased Donors With High Kidney Donor Profile Index (KDPI)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Challenges in recruiting participants.
    Study Start Date
    September 2020 (Anticipated)
    Primary Completion Date
    February 2024 (Anticipated)
    Study Completion Date
    February 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Tambi Jarmi

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The purpose of this research is to test an investigational drug called Adipose Mesenchymal Stem Cells (aMSCs) for the treatment of ischemia re-perfusion injury (IRI) in patients that have had a kidney transplant.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Ischemia Reperfusion Injury

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Intra parenchymal injection
    Arm Type
    Experimental
    Arm Description
    5 subjects will receive AMSCs via direct injection into the kidney parenchyma only
    Arm Title
    Intra-arterial infusion
    Arm Type
    Experimental
    Arm Description
    5 subjects will receive AMSCs via intra-arterial infusion only
    Arm Title
    Intra parenchymal injection & Intra-arterial infusion
    Arm Type
    Experimental
    Arm Description
    5 subjects will receive AMSCs via direct injection into the kidney parenchyma and intra-arterial infusion
    Intervention Type
    Drug
    Intervention Name(s)
    Allogeneic adipose derived mesenchymal stem cells
    Intervention Description
    Injection of Allogeneic adipose derived mesenchymal stem cells into the Kidney allograft
    Primary Outcome Measure Information:
    Title
    Serious Adverse Events (SAEs)
    Description
    Number of serious adverse events reported. SAEs will include delayed graft function (30 days post-transplant), difficult to control bleeding (intraoperative), sub-scapular kidney hematoma or arteriovenous fistula formation (24 hours postop), and development of stroke, myocardial infarction, or pulmonary embolism (1 year post-transplant).
    Time Frame
    1 year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Male or female kidney transplant candidates age 18 and above. Patient is receiving kidney allograft from deceased donor with KDPI>85%. Ability of subject to give appropriate consent. Females of childbearing potential with agreement to use birth control for six months post-transplant. Approved by the Mayo Clinic Transplant Selection Committee. Signed Authorization for Donation of Anatomical Gifts on file. Exclusion Criteria: Positive pregnancy test at the time of the kidney offer is called for the potential recipient. Kidney transplant potential recipients with active malignancy (except none melanoma skin malignancies). Patients with previous history of solid organ transplant (Heart, Lung, Intestine, Kidney and/or Pancreas). Patients with previous history of bone marrow transplant.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Tambi Jarmi, MD
    Organizational Affiliation
    Mayo Clinic
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Links:
    URL
    https://www.mayo.edu/research/clinical-trials
    Description
    Mayo Clinic Clinical Trials

    Learn more about this trial

    Feasibility and Safety of Allogeneic Adipose Mesenchymal Stem Cells (aMSCs) Delivery Into Kidney Allografts Procured From Deceased Donors With High Kidney Donor Profile Index (KDPI)

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