Diagnostic and Therapeutic Applications in Microarrays in Organ Transplantation

  • STATUS
    Recruiting
  • End date
    Dec 29, 2022
  • participants needed
    500
  • sponsor
    University of Alberta
Updated on 29 November 2020
Investigator
Philip F Halloran, MD PhD
Primary Contact
University of Maryland School of Medicine (6.7 mi away) Contact
+26 other location

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 1500 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.

Description

The study is now enrolling (N=1526) and the results were analyzed for these biopsies. Follow-up data is, and will be collected.

Details
Clinical Study IdentifierNCT01299168
SponsorUniversity of Alberta
Last Modified on29 November 2020

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Eligibility

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Inclusion Criteria

Is your age greater than or equal to 18 yrs?
Gender: Male or Female
Do you have any of these conditions: Incorporate Molecular Diagnosis Into Diagnostic Standards or Development of Reporting System for Molecular Diagnosis or Validation Study of Molecular ...?
Do you have any of these conditions: Incorporate Molecular Diagnosis Into Diagnostic Standards or Validation Study of Molecular Diagnostic System or Development of Reporting System for Mo...?
Do you have any of these conditions: Validation Study of Molecular Diagnostic System or Incorporate Molecular Diagnosis Into Diagnostic Standards or Development of Reporting System for Mo...?
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
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