RecruitingPhase 3NCT05325008

A Trial to Treat Polyomavirus Infections (BKPyV) in Kidney and Simultaneous Kidney Pancreas Transplant Recipients

An Adaptive Randomised Controlled Trial to Treat Polyomavirus Infections (BKPyV) in Kidney and Kidney Pancreas Transplant Recipients


Sponsor

The University of Queensland

Enrollment

280 participants

Start Date

Aug 18, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

BEAT-BK will see the effect of immunosuppression reduction/modification with and without IVIG on BKPyV infection, allograft function, allograft loss, acute transplant rejection, immunosuppression load and death in kidney and simultaneous kidney pancreas transplant recipients with polyomavirus infections (BKPyV).


Eligibility

Min Age: 2 Years

Inclusion Criteria4

  • Aged 2 years or above
  • Have received a kidney or simultaneous pancreas-kidney transplant
  • Have BKPyV-Viremia (detected by RT-PCR) with a viral count ≥ 5,000 copies per mL, or histological confirmation of BKPyVAN, within 3 weeks prior to randomisation.
  • Be able to provide informed consent or consent given by a parent or guardian (if age \<18 years) or other authorised person

Exclusion Criteria8

  • Contraindications to receiving IVIG as a treatment
  • Current active acute rejection (≤ 3 months prior)
  • Treating clinicians would regard as unsafe to be enrolled
  • Limited life expectancy (\< 12 months)
  • Receiving Belatacept as part of their immunosuppression protocol
  • Currently undergoing or who have previously received, viral-specific T-cell therapy for BK viremia
  • Prior infection and treatment for BKPyV-Viremia
  • Received IVIG treatment in the past with last IVIG treatment \< 4 weeks prior to randomisation

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Interventions

DRUGImmunosuppression reduction/modification + intravenous immunoglobulin

Participants will receive intravenous immunoglobulin along with immunosuppression reduction/modification.

OTHERImmunosuppression reduction/modification

Participants will receive immunosuppression reduction/modification.


Locations(12)

Canberra Hospital

Canberra, Australian Capital Territory, Australia

John Hunter Hospital

New Lambton Heights, New South Wales, Australia

Prince of Wales Hospital

Randwick, New South Wales, Australia

Royal Prince Alfred Hospital

Sydney, New South Wales, Australia

The Childrens Hospital Westmead

Sydney, New South Wales, Australia

Western Sydney Local Health District (Westmead Hospital)

Westmead, New South Wales, Australia

Queensland Children's Hospital

Brisbane, Queensland, Australia

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Flinders Medical Centre

Adelaide, South Australia, Australia

Monash Health

Melbourne, Victoria, Australia

Perth Children's Hospital

Perth, Western Australia, Australia

Sir Charles Gairdner Hospital

Perth, Western Australia, Australia

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NCT05325008


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