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Diagnostic and Therapeutic Applications in Microarrays in Organ Transplantation

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ClinicalTrials.gov Identifier: NCT01299168
Recruitment Status : Recruiting
First Posted : February 18, 2011
Last Update Posted : May 30, 2018
Sponsor:
Information provided by (Responsible Party):
Philip Halloran, University of Alberta

Brief Summary:
The current standard for biopsy-based diagnoses of dysfunction of kidney transplants is the Banff Classification which represents arbitrary international consensus. Recent data-driven approaches using molecular and conventional technologies indicate that mere consensus produces frequently incorrect diagnoses with potential harm to patients due to inappropriate treatment. To address this unmet need and improve diagnostics in the area of organ transplantation, the Alberta Transplant Applied Genomics Centre (ATAGC) has developed a new diagnostic system that combines the molecular and histopathological features of transplant biopsies, plus clinical and laboratory parameters, to create the first Integrated Diagnostic System. The present study will validate and refine this system in 500 prospectively unselected biopsies for clinical indications from American, Canadian and European centres in addition to 300 biopsies already collected. Due to a considerable interest and support from participating Centers, the study is further extended to 1200 prospective biopsies. Thus this is the extension of the INTERCOM study (INTERCOMEX). In addition to demonstrating the feasibility and value of this System in routine patient care and clinical trials, the study will develop and optimize a transparent and user-friendly reporting format to communicate this information to clinicians and obtain detailed feedback on how this system can best improve patient care.

Condition or disease
Validation Study of Molecular Diagnostic System Development of Reporting System for Molecular Diagnosis Incorporate Molecular Diagnosis Into Diagnostic Standards

Detailed Description:
The study is now enrolling (N=1100) and the results were analyzed for the first 300 collected biopsies. Follow-up data is, and will be collected.

Study Type : Observational
Estimated Enrollment : 500 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Multi-centric Observational Study to Analyse the Diagnostic Molecular Features in the Clinical Setting of Kidney Allograft Biopsies
Study Start Date : May 2011
Estimated Primary Completion Date : December 2018
Estimated Study Completion Date : December 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Biopsy

Group/Cohort
Kidney Transplant Biopsies for Cause
The study population includes patients with a functioning kidney transplant undergoing a biopsy for clinical indications as standard of care to determine the cause of their graft dysfunction (deterioration in graft function, delayed graft function, proteinuria).



Primary Outcome Measures :
  1. Validate the Integrated Diagnostic System in the International Collaborative Microarray (INTERCOM) Study [ Time Frame: 2013-2016 ]
    1. The rejection classifier predicts Banff diagnosis of any rejection: ABMR, TCMR, or mixed ABMR and TCMR;
    2. The TCMR classifier predicts the presence of Banff TCMR lesions/diagnoses;
    3. The ABMR classifier predicts the presence of ABMR lesions;
    4. In late (>1yr) biopsies for clinical indications, the failure classifier predicts failure within three years.


Secondary Outcome Measures :
  1. Demonstrate the feasibility of molecular phenotyping of 300 + 500 kidney transplant biopsies for clinical indications. [ Time Frame: 2014-2016 ]
    To test the hypothesis that the molecular phenotype of a newly acquired sample predicts the histologic and clinical features of this sample.

  2. Demonstrate the feasibility of molecular phenotyping of 500 biopsies in real time i.e. returning the molecular phenotyping report in two working days upon sample arrival. [ Time Frame: 2015-2016 ]
    Refine the reports based on feedback from the participants.


Biospecimen Retention:   Samples Without DNA
Needle kidney biopsy core as per local standard of care


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
The study population includes patients with a functioning kidney transplant undergoing a biopsy for clinicalindications as standard of care to determine the cause of their graft dysfunction (deterioration in graft function, delayed graft function, proteinuria).
Criteria

Inclusion Criteria:

  • All kidney transplant recipients ≥18yrs of age undergoing a kidney biopsy for clinical indications, as determined by their physician or surgeon, will be eligible to enrol in the study.

Exclusion Criteria:

  • Patients will be excluded from the study if they decline participation or are unable to give informed consent.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01299168


Contacts
Contact: Philip F Halloran, MD PhD 1 780 492-6160 phallora@ualberta.ca
Contact: Konrad S Famulski, PhD DSc 1 780 4921725 konrad@ualberta.ca

  Hide Study Locations
Locations
United States, Alabama
University of Alabama Completed
Birmingham, Alabama, United States, 35294-0006
United States, Maryland
University of Maryland School of Medicine Active, not recruiting
Baltimore, Maryland, United States, 21209
United States, Michigan
University of Michigan Health System Active, not recruiting
Ann Arbor, Michigan, United States, MI 48109-5395
United States, Minnesota
University of Minnesota Completed
Minneapolis, Minnesota, United States, 55455
United States, Missouri
Barnes-Jewish Hospital Active, not recruiting
Saint Louis, Missouri, United States, MO 63110
United States, New York
Montefiore Medical Center Completed
Bronx, New York, United States
United States, Pennsylvania
Pinnacle Transplant Associates Active, not recruiting
Harrisburg, Pennsylvania, United States
United States, Texas
Texas Transplant Institute - Methodist Healthcare System Active, not recruiting
San Antonio, Texas, United States, 78229
United States, Virginia
Virginia Commonwealth University School of Medicine Recruiting
Richmond, Virginia, United States, 23298
Contact: Gaurav Gupta, MD       ggupta@mcvh-vcu.edu   
Contact: Mary Baldecchi       mbaldecchi@mcvh-vcu.edu   
Principal Investigator: Gaurav Gupta, MD         
United States, Wisconsin
University of Wisconsin School of Medicine and Public Health Completed
Madison, Wisconsin, United States, WI 53705
Austria
Medical University of Vienna Recruiting
Vienna, Austria
Contact: Georg Boehmig, MD PhD       georg.boehmig@meduniwien.ac.at   
Contact: Farsad Eskandry, MD       farsad.eskandary@meduniwien.ac.at   
Principal Investigator: Georg Boehmig, MD PhD         
Principal Investigator: Farsad Eskandry, MD         
Canada, Alberta
Department of Medicine, University of Alberta Recruiting
Edmonton, Alberta, Canada, T6G 2S2
Contact: Soroush Shojai, MD       shojai@ualberta.ca   
Principal Investigator: Soroush Shojai, MD         
Canada, British Columbia
University of British Columbia, St. Paul's Hospital Withdrawn
Vancouver, British Columbia, Canada
France
Hopital Necker Completed
Paris, France
Hopital St. Louis Completed
Paris, France
Germany
Charité - Universitätmedizin Berlin Completed
Berlin, Germany
Medizinische Hochschule Completed
Hannover, Germany, 30625
Ireland
Beaumont Hospital Withdrawn
Dublin, Ireland
Korea, Republic of
Department of Surgery, University of Usan, College of Medicine Recruiting
Seoul, Korea, Republic of, 05505
Contact: Sung Shin, MD PhD    82 2 3010 3964    sshin@amc.seoul.kr   
Principal Investigator: Sung Shin, MD PhD         
Poland
Pomeranian Medical University in Szczecin Active, not recruiting
Szczecin, Poland
Spain
Vall d'Hebron Hospital Completed
Barcelona, Spain, 08035
United Kingdom
Manchester Royal Infirmary Completed
Manchester, United Kingdom, M13 9WL
Sponsors and Collaborators
University of Alberta
Investigators
Principal Investigator: Philip F Halloran, MD PhD University of Alberta

Publications of Results:

Other Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Philip Halloran, Professor, University of Alberta
ClinicalTrials.gov Identifier: NCT01299168     History of Changes
Other Study ID Numbers: ATAGC-001
First Posted: February 18, 2011    Key Record Dates
Last Update Posted: May 30, 2018
Last Verified: May 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Philip Halloran, University of Alberta:
global gene expression
molecular diagnostic classifiers