Donor-Derived Cell-Free DNA Test for Monitoring Kidney Transplants
Official title: GraftAssureDx Study: Validation of Donor-Derived Cell-Free DNA (Dd-cfDNA) for Kidney Transplant Monitoring
Run by Insight Molecular Diagnostics · NCT07060716 · Data updated 2026-11-12
This test will try whether a blood-based donor-derived cell-free DNA (dd-cfDNA) assay can detect rejection in adults who have received a kidney transplant.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 125 (estimated) |
| Sponsor | Insight Molecular Diagnostics Industry-sponsored |
| Locations | 10 sites (Los Angeles, California and 9 other locations) |
| Status | Recruiting |
| Started | September 8, 2025 |
| Main results expected | November 30, 2025 |
| Study ends | December 2025 |
| Registry record updated | November 19, 2025 |
| Trial ID | NCT07060716 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults (18+) at least 12 days after a kidney transplant who can consent, can provide blood and urine samples, and have a graft biopsy within ±1 week of the blood draw per the protocol.
✕Probably not a fit
Patients unlikely to benefit include those whose kidney donor was an identical twin, those with another transplanted organ in place, recipients of hematopoietic stem cell or bone marrow grafts, self-reported pregnant individuals, or those without a contemporaneous biopsy sample for comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study collects blood and urine from adult kidney transplant recipients and measures donor-derived cell-free DNA using the GraftAssureDx assay. Results will be compared to standard-of-care graft biopsy findings, with blood draws timed within one week of biopsy or at least two days after an uncomplicated biopsy when the blood draw follows the biopsy. The study enrolls adults at least 12 days post-transplant at three U.S. centers and does not alter clinical care. Data will be used to determine how well the dd-cfDNA test corresponds to biopsy-detected rejection.
Why it matters
Potential benefit: If successful, the test could enable earlier, less invasive detection of rejection using a blood sample and reduce reliance on biopsy.
How similar studies have gone: Other observational studies and commercially available dd-cfDNA tests have shown promising results for detecting rejection, though they have not universally replaced biopsy in clinical practice.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Subject is 18 years of age or older 2. At least 12 calendar days have elapsed since the subject received a kidney transplant. 3. Subject has provided legally effective informed consent 4. Subject agrees to comply with all study procedures Exclusion Criteria: 1. Kidney donor is an identical twin of the subject. 2. The subject has another previously transplanted organ in situ. 3. Subject has received a hematopoietic stem cell transplant. 4. Subject has received a bone marrow graft. 5. Subject has self-reported as pregnant. 6. In the opinion of the investigator, the subject's participation in the study would pose a risk to data integrity or to the subject's safety and welfare. Sample Inclusion Criteria: 1\. A graft biopsy is obtained within ±1 week of blood draw. * If blood draw is obtained after biopsy, blood draw should be taken at least 2 days after an uncomplicated biopsy procedure. Sample Exclusion Criteria: 1. Sample collected from someone that had an invasive graft biopsy ≤ 48 hours prior to blood draw. 2. Sample collected from subject that received immunosuppressive treatment for biopsy-proven acute rejection ≤ 30 days prior to blood draw 3. Sample collected from subject that received a blood transfusion ≤ 30 days prior to blood draw. 4. Sample collected from a subject that provided another sample for the study within the past 7 days.
Where it's running
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Mayo Clinic in Florida
Jacksonville, Florida, United States Recruiting -
Tampa General Hospital
Tampa, Florida, United States Recruiting -
Cleveland Clinic
Cleveland, Ohio, United States Recruiting -
Vanderbilt University Medical Center
Nashville, Tennessee, United States Recruiting -
Baylor, Scott & White Research Institute
Dallas, Texas, United States Recruiting -
Intermountain Health
Murray, Utah, United States Recruiting
Show 4 more locations
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University of Southern California Keck School of Medicine
Los Angeles, California, United States Active not recruiting -
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States Active not recruiting -
Institute of Immunology - Transplantation Immunology
Heidelberg, Baden-Wurttemberg, Germany Active not recruiting -
Charite Universitatsmedizin
Berlin, Germany Active not recruiting
Study contacts
- Study coordinator: Robert Rogers, M.S.
- Email: rrogers@imdxinc.com
- Phone: 14436258427
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Non-invasive test to predict early heart rejection in pediatric transplant patients
This study tests non-invasive heart tests like cardiac MRI and blood markers to see if they can detect rejection in kids after heart transplant, potentially reducing the need for invasive biopsies.
-
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.