Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 65

Improving hand transplantation for patients with limb loss

Official title: Immunomodulation to Optimize Vascularized Composite Allograft Integration for Limb Loss Therapy

Run by Duke University · NCT02310867 · Data updated 2026-11-12

This study is testing if hand transplants can help people who have lost a hand below the elbow to use their new hand better and improve their quality of life.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment50 (estimated)
SponsorDuke University
Academic / other
Locations1 site (Durham, North Carolina)
StatusRecruiting
StartedMarch 2015
Main results expectedDecember 2027
Study endsJune 2028
Registry record updatedApril 9, 2026
Trial IDNCT02310867 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18-65 who have experienced loss of a limb below the elbow and are willing to participate in the study.

Probably not a fit

Patients with active malignancies, severe comorbid conditions, or those unable to comply with the study protocol may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the safety and effectiveness of hand transplantation for individuals who have lost a limb below the elbow. It will involve a series of assessments over 18 months, including medical history, vital signs, and functional tests to measure the ability to use the transplanted hand in daily activities. Participants will receive immunomodulatory treatment with Belatacept to enhance graft integration and reduce the risk of rejection. The study will focus on the long-term outcomes of hand function and quality of life for these patients.

Why it matters

Potential benefit: If successful, this study could significantly improve the quality of life for patients with limb loss by enabling them to regain functional use of a transplanted hand.

How similar studies have gone: Other studies have shown promise in hand transplantation and immunomodulation, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients from 18-65 years old with loss of limb
2. Willingness and legal ability to give informed consent
3. Willingness to travel to study site for protocol specific samples to be taken, or in some cases, the ability to send samples via overnight mail

Exclusion Criteria:

* Any condition that precludes serial follow-up
* Any condition that would likely increase the risk of protocol participation or confound the interpretation of the data
* Any active malignancy or any history of a malignancy or lymphoma
* Inability or unwillingness to comply with protocol monitoring and therapy and immunodeficiency syndrome(s)

Where it's running

  • Duke University Medical Center
    Durham, North Carolina, United States
    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.