Transplant Dysfunction
Conditions
Brief summary
The aim is to investigate the safety and potential effect of Low-energy Shockwave Therapy (ESWT) on the transplanted kidney. The treatment consist of ESWT two times a week for three weeks, six treatments in total. The hypothesis is that ESWT with improve the renal function, by reducing proteinuria (in a 24-hour urine collection test) and improving renal clearance of 51Cr-EDTA. The safety of ESWT on the renal allograft will be assessed during and after treatments.
Interventions
2 treatments a week for 3 weeks consisting of 3000 focused shockwaves of 4Hz and 0,20mJ/mm2 applied over the kidney allograft. Treatment is performed using the STORZ DUOLITH® SD1 T-TOP F-SW ultra
Sponsors
Study design
Eligibility
Inclusion criteria
* Minimum 1 year ago since last kidney transplant * P-Creatinin under 300, in the last 3 blood-samples * U-Albumine/creatinine ratio over 100, in the last 3 urine-samples
Exclusion criteria
* Not Danish speaking. * Obstructive uropathy * Suspected autoimmune disease in the kidney graft * Symptomatic urinal tract infection (UTI) * Severe psychiatric disorder * Pregnant or planning on becoming pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in renal clearance (GFR) | At baseline and 3 months after treatment | Comparing GFR before and 3 months after treatment sessions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in albumin/creatine ratio in 24hour urine sample | At baseline, 1 month after treatment and 3 months after treatment | Comparing the results from a sample of 24-hour urine sample before, 1 month after and 3 months after treatment. |
| Incidens of treatment-related adverse events | up to 4 months | The participants answer questions about side-effects before and after each treatment session, at 1 month followup and 3 month followup. After 1 month a ultrasound of the kidney will show if there is any bleeding in the graft-tissue after the 6 treatments. |
Countries
Denmark