This is a prospective, multi-center, observational study. Subjects will have OmniGraf™ (TruGraf® and TRAC™) testing at study enrollment and thereafter every 3 months. In addition subjects will have OmniGraf™ (TruGraf® and TRAC™) testing at any time there is a clinical suspicion of acute rejection. Data collection for the primary objective extends over a 2-year period.
Several studies have validated TruGraf® in stable renal transplant patients to rule out subclinical acute rejection. These studies generally evaluated the diagnostic value of TruGraf® at single timepoints. Thus the value of serial monitoring and changes over time has not been previously investigated. In addition, no study has assessed TruGraf® and TRAC™in a serial and longitudinal fashion. Therefore the aim of this study is to evaluate the impact of serial monitoring renal transplant patients with both TruGraf® and TRAC™ on long term outcomes.
Study Type
OBSERVATIONAL
Enrollment
2,000
This is an observational study there are no protocol mandated interventions. TruGraf and TRAC results will be utilized in conjunction with standard of care assessments to determine patient management.
occurrence of either biopsy proven acute rejection (BPAR) on a for cause biopsy or graft loss, or a decrease from baseline in eGFR > 10 mL/min.
Time frame: Baseline to month 24
First occurrence of biopsy proven acute rejection (on a for cause biopsy)
Time frame: Baseline to month 24
First occurrence of clinically treated acute rejection
Time frame: Baseline to month 24
Proteinuria
defined by a spot urine protein-creatinine ratio \> 0.5
Time frame: Baseline to month 24
TruGraf results
The proportion of TruGraf not-TX results
Time frame: Baseline to month 24
TRAC results
The proportion of TRAC results \> 0.69
Time frame: Baseline to month 24
Clinical Utility of TruGraf and TRAC in clinical decision making
Percent of total number of TruGraf results that the PI identified as having clinical utility
Time frame: Baseline to month 24
Proportion of subjects who develop de novo donor-specific HLA antibodies class I and class II (dnDSA)
Proportion of subjects who develop de novo donor-specific HLA antibodies class I and class II (dnDSA)
Time frame: Baseline to month 24
Proportion of subjects with graft loss
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Banner University Medical Center Tucson
Tucson, Arizona, United States
RECRUITINGFresno Nephrology Medical Group
Fresno, California, United States
RECRUITINGScripps Memorial Hospital La Jolla
La Jolla, California, United States
RECRUITINGKeck Hospital of USC
Los Angeles, California, United States
RECRUITINGHouse of Transplant and Cancer- Riverside Community Hospital
Riverside, California, United States
RECRUITINGUniversity of California Davis
Sacramento, California, United States
RECRUITINGCalifornia Pacific Medical Center
San Francisco, California, United States
RECRUITINGMedStar Georgetown University Hospital
Washington D.C., District of Columbia, United States
RECRUITINGNorthwestern University
Chicago, Illinois, United States
RECRUITINGUniversity of Illinois-Chicago Medical Center
Chicago, Illinois, United States
RECRUITING...and 26 more locations
defined as permanent return to dialysis, retransplantation or patient death at any time during the 2-year primary follow-up study period
Time frame: Baseline to month 24
Graft survival
calculated from the date of kidney transplantation until data of graft loss
Time frame: Baseline to month 24
Proportion of subjects with death-censored graft loss
defined as permanent return to dialysis or retransplantation at any time during the 2-year primary follow-up study period. Patients who die with a functioning graft will be right censored
Time frame: Baseline to month 24
Percent subject death period
Subject death from any cause at any time
Time frame: Baseline to month 24
Subject survival
calculated from date of kidney transplantation until date of patient death
Time frame: Baseline to month 24
Estimated GFR
calculated using the MDRD 4-variable equation
Time frame: Baseline to month 24