Transplanting kidneys from Hepatitis C–positive donors into Hepatitis C–negative recipients

A trial of transplanting Hepatitis C-viremic kidneys into Hepatitis C-Negative kidney recipients (THINKER-NEXT)

NIH-funded research University of Pennsylvania · NIH-11057580

This project gives kidneys from Hepatitis C–positive donors to people without Hepatitis C and uses antiviral drugs after transplant to prevent lasting infection.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionUniversity of Pennsylvania NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11057580 on NIH RePORTER

What this research studies

If you are on the kidney transplant waitlist, this program offers the option to accept a kidney from an HCV-positive donor and receive modern antiviral treatment right after transplant. Participants will be treated at multiple transplant centers and closely followed for graft function, cure of the virus, and any post-transplant complications. The study compares these results with standard transplants and tracks whether using these kidneys reduces wait times and organ discard. The goal is to produce strong, multicenter evidence on safety and effectiveness so more people can receive transplants sooner.

Who could benefit from this research

Good fit: Ideal candidates are adults on the deceased-donor kidney waitlist who do not have Hepatitis C and are willing to accept an HCV-positive kidney and take antiviral medication.

Not a fit: People who already have chronic Hepatitis C, are not transplant candidates, or are unwilling to accept an HCV-positive organ likely would not benefit from this program.

Why it matters

Potential benefit: If successful, this approach could safely expand the donor pool, shorten wait times, and help more people receive lifesaving kidney transplants.

How similar studies have performed: Single-center pilot trials and early series have shown that transplanting HCV-viremic kidneys with prompt antiviral therapy can cure infection and work well, but larger multicenter trials are still needed.

Where this research is happening

Philadelphia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Bright DiseaseCMV infection
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.