Kidney Transplant; Complications
Conditions
Keywords
cancer
Brief summary
Cancer is a well known complication about long term transplantation. Cancer outcomes are due to the immunosuppressive treatment that prevents transplanted people from rejection. By lowering the effectiveness of the immune system, immune cells are no longer able to seek and destroy cancer cells. The goal here is to study immunes cells population of people that were transplanted 10 years ago and are now treated either by a corticosteroid - azathioprine association, or only by cyclosporine A.
Interventions
T lymphocytes population description through blood, urine and faeces samples
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients over 18 * Patients with kidney transplantation for 10 year * Patients with stable renal function (less than 20% creatinine variation during the last 12 months) * Patients treated either by a corticosteroid - azathioprine association or cyclosporine A * Patients giving his agreement * Patients legally free
Exclusion criteria
* Patients under 18 * Patients under legal protection * Pregnant women, or of age to get pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immune cells study | 12 months | Study 2 types of T lymphocytes (by flow cytometry) that are suspected to be responsible of the graft non rejection and the cancer outcome, treated by corticosteroid - azathioprine association or cyclosporine A |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| bacteria study | 12 months | Study the modification of the intestinal bacteria population that might led to an operational tolerance, depending on the immunosuppressive treatment : the DNA will be extracted from the faeces and a typing will be carried out by Polymerase Chain Reaction |
| cancer incidence | 12 months | Assess cancer incidence, on a population of people with kidney transplantation (since 10 years) : observation of adverse events during visits |
Countries
France