Kidney transplants from HIV-positive donors: impact on rejection and long-term outcomes
Official title: Kidney Transplantation from Donors with HIV: Impact on Rejection and Long-term Outcomes
Funded at Johns Hopkins University · NIH-11324988 · Data updated 2026-11-12
This study will compare kidney transplant outcomes for HIV-positive donor to HIV-positive recipient transplants versus HIV-negative donor transplants in people living with HIV.
Quick facts
| Grant type | U01 cooperative agreement |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Johns Hopkins University NIH-funded |
| Lab location | 1 site (Baltimore, United States) |
| Project start | May 25, 2023 |
| Project end | April 30, 2028 |
| Funding year | 2026 |
| Award (this year) | $1,715,469 |
| NIH project number | 5U01AI177211-04 |
| Project ID | NIH-11324988 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults with HIV undergoing kidney transplantation, particularly those considering HIV D+/R+ versus D-/R+ donor options.
✕Less likely to help
Patients not receiving a kidney transplant or those not meeting eligibility criteria may not be directly helped by this study.
What this research studies
If you have HIV and need a kidney transplant, this project will follow two groups across multiple centers to see how the donor's HIV status affects rejection and long-term results. Researchers will collect data from hundreds of transplants, including prior HOPE cohorts, to understand immune and infection-related factors that may drive rejection. The goal is to identify which patients benefit most, refine eligibility and monitoring, and improve immunosuppressive strategies to keep transplants lasting longer. Participation would involve standard follow-up visits and testing as part of the transplant care plan. Findings could guide safer donor selection and personalized care for HIV-positive transplant recipients.
Why it matters
Potential benefit: If successful, the study could lead to safer, longer-lasting transplants for people living with HIV by improving donor selection and post-transplant care.
How similar studies have gone: Previous HOPE studies suggest that HIV D+/R+ transplants can have good short-term results, with ongoing research to improve long-term outcomes.
Where this research is happening
-
Johns Hopkins University
Baltimore, United States Active
Researchers
- Principal investigator: Durand, Christine Marie — Johns Hopkins University
- Study coordinator: Durand, Christine Marie
Related research
Other NIH-funded projects on the same topics.
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Kidney transplantation from HIV-positive donors to HIV-positive recipients
This study is looking at how well kidney transplants from HIV-positive donors work for people who also have HIV, to see if they have better or worse outcomes compared to transplants from HIV-negative donors, all to help improve care for patients like you.
-
Strategies for HIV-to-HIV kidney transplants to increase organ donations
This project looks at making HIV-to-HIV kidney transplantation more common to help people with HIV get transplants faster by boosting organ donation and changing practice.
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Biomarker-guided Immunosuppression in Kidney Transplant Patients
A multicenter study in kidney transplant recipients is testing whether a biomarker score from HLA-DR/DQ can guide changes in immunosuppression to reduce rejection risk and drug toxicity.
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Helping the immune system accept a donated kidney in patients without prior sensitization
This project will try giving specially treated donor B cells alongside immune-sparing medicines to teach the immune systems of kidney transplant patients without prior antibodies to accept the new kidney.
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Lowering donor-specific antibodies in sensitized kidney transplant patients
This project works to reduce harmful donor-specific antibodies in people who are sensitized and need a kidney transplant so their new organ lasts longer.
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Injecting immune-boosting medicine into melanoma tumors to help the immune system reject them
This gives an immune-boosting drug directly into melanoma tumors in pet dogs to help their T cells find and destroy the cancer.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.