Understanding antibody-mediated rejection in kidney transplantation

Incidence, Course and Outcome of Cellular and Antibody-mediated Rejection in Immunological High-risk Kidney Transplantation, a Prospective Cohort PROCARE2 Study

Observational University Medical Center Groningen · NCT05140018

This study is trying to see how well kidney transplants work and what happens to patients at high risk of rejection over a year after their surgery.

Quick facts

Study typeObservational
Enrollment225 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity Medical Center Groningen Academic / other
Locations6 sites (Amsterdam and 5 other locations)
Trial IDNCT05140018 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the incidence and outcomes of antibody-mediated rejection (ABMR) and mixed ABMR in patients receiving kidney transplants. It focuses on individuals who are at high immunological risk for rejection and will assess their graft survival, renal function, and other related parameters over a one-year follow-up period. The study will involve patients aged 18 and older who are about to undergo either post-mortal or living donor kidney transplantation. By analyzing the effects of current immunosuppressive regimens, the study seeks to provide insights into improving patient outcomes.

Who should consider this trial

Good fit: Ideal candidates for this study are kidney transplant recipients aged 18 and older who are at high immunological risk for antibody-mediated rejection.

Not a fit: Patients who do not have an immunological high risk for rejection will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to better management strategies for kidney transplant recipients, potentially reducing the incidence of graft loss due to rejection.

How similar studies have performed: Other studies have shown success in understanding rejection mechanisms in kidney transplantation, making this approach relevant and potentially impactful.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Kidney transplant recipients ≥18 years old
* About to receive a post mortal or living donor renal transplant
* written informed consent (is able to read of understand in Dutch)
* Immunological high risk for rejection

  1. Luminex positive DSAs ; or
  2. Retransplantation with repeated mismatch ; or
  3. Husband to wife donation (after fathering children); or
  4. Offspring to mother donation

Exclusion Criteria:

* No immunological high risk

Where this trial is running

Amsterdam and 5 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Antibody-mediated RejectionKidney TransplantationImmunosuppression
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.