Adult kidney transplant recipients older than 45 years old with risk of developing prediabetes states after renal transplantation (PREDAT) and diabetes mellitus after renal transplantation (NODAT) MedDRA version: 15.1 Level: HLGT Classification code 10018424 Term: Glucose metabolism disorders (incl diabetes mellitus) System Organ Class: 10014698 - Endocrine disorders MedDRA version: 15.1 Level: LLT Classification code 10023438 Term: Kidney transplant System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age ? 45 years of age. Patients with high-risk of GMA after renal transplantation defined as: a) Patients aged ? 60 years. b) Patients aged ? 45 accomplishing one of the following combinations: b.1) Serum triglycerides > 200 mg/ml. b.2) The combination of body mass index (BMI) > 27 kg/m2 and serum triclycerides > 150 mg/ml. b.3) The combination of serum triglycerides > 150 mg/ml and serum HDL-cholesterol =65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: Seronegative or unknown EBV serostatus Patients with tuberculosis who have not been treated for latent infection. Patients at high risk for polyoma virus-associated nephropathy, which is mostly due to BK virus infection. Receiving or having previously received an organ transplant other than a kidney. Recipient of dual kidney transplantation. Recipient of a graft from a non-heart-beating donor. Cold ischemia time of the donor kidney > 30 hours. PRA >30%. Significant liver disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective is to compare the incidence of glucose metabolism alterations defined as per the American Diabetic Association at any time point up to 6 months after kidney transplantation;Secondary Objective: Acute rejections by signs and symptoms Biopsy confirmed acute rejections Patient survival at 6 months. Graft survival at 6 months. Renal function at 6 months measured as estimated glomerular filtration rate according to MDRD-4 formula. Reported quality of life;Primary end point(s): Incidence of GMA, either PREDAT or NODAT, defined as per ADA criteria;Timepoint(s) of evaluation of this end point: the first 6 months after transplantation | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Acute rejections by signs and symptoms Biopsy confirmed acute rejections Patient survival at 6 months. Graft survival at 6 months. Renal function at 6 months measured as estimated glomerular filtration rate according to MDRD-4 formula. Reported quality of life;Timepoint(s) of evaluation of this end point: the first 6 months after transplantation | — |
Countries
Spain
Contacts
Dr Francesc Moreso Mateos. Hospital Vall d?Hebron/Department of Nephrology