Ischemia reperfusion injury in kidney transplantation
Conditions
Interventions
The intervention group will be treated with either alkaline phosphatase or
placebo at the induction of transplantation, followed by continuous infusion
for 24 hours. This treatment will be on top of
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Age >18 - Recipients of a living donor kidney
Exclusion criteria
Exclusion criteria: - Strict vegetarians or veganists. These individuals have higher potential risk to an allergic reaction to the infused bovine protein. - History of allergy to bovine proteins - Not standard immunosuppression at time of transplantation (see protocol)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Graft function 12 months after kidney transplantation (eGFR and iohexol clearance) - Safety outcome:% infusion related reactions/ side effects | — |
Secondary
| Measure | Time frame |
|---|---|
| - eGFR and creatinine clearance at 3 months - *Rate of fall in creatinin* in the first 48 hours after transplantation - Cytokine profiles in peripheral blood samples - Urinary *kidney damage markers*: retinolbinding protein; KIM1; NGAL ; (assay NephroCheck) - Incidence of biopsy proven rejection | — |
Countries
Netherlands
Outcome results
None listed