Clinical trial Recruiting at 6 sites Observational Ages 18 and up

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.

More Kidney Transplant Rejection trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment125 (estimated)
SponsorInsight Molecular Diagnostics
Industry-sponsored
Locations10 sites (Los Angeles, California and 9 other locations)
StatusRecruiting
StartedSeptember 8, 2025
Main results expectedNovember 30, 2025
Study endsDecember 2025
Registry record updatedNovember 19, 2025
Trial IDNCT07060716 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.