International, multicentre, randomized 1:1 controlled trial to prove the clinical and medico economic benefits of the medical device Predigraft, by showing that the use of Predigraft could improve patient's follow-up.
The study aims to demonstrate improvement of the prevalence of biopsies leading to therapeutic change in the Predigraft group compared to the Standard of care group in kidney transplanted patients. It is hypothesized that using Predigraft as a monitoring tool will help the physician detect earlier and more often abnormalities with the patient allograft. This should lead to an increased number of biopsies leading to therapeutic change. These biopsies should be performed earlier than without the iBox monitoring tool. This would improve long-term allograft function, kidney allograft and patient survival.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
507
The Subject randomized to the Predigraft will benefit from Predigraft, a remote monitoring software that issues an alert to the investigator when the allograft survival prediction calculated by the iBox algorithm is decreasing. This follow-up is on top of the site's standard of care.
Medizinische Universität Innsbruck
Innsbruck, Austria
Hôpital Saint-Louis
Paris, France, France
Hôpital Tenon
Paris, France, France
number of biopsies leading to therapeutic change
number of biopsies leading to therapeutic change by the end of the follow-up (18 months).
Time frame: 18 months
Lapse of time between the detection of kidney allograft instability and the biospy
Lapse of time between the detection of kidney allograft instability (i.e. Predigraft alert on patient's instability) and performing the biopsy.
Time frame: 18 months
Renal function
Renal function estimated by eGFR
Time frame: 18 months
Patient outcome
Patient outcome evaluated by a composite endpoint: graft loss + patient death + eGFR \< 30 mL/min/1.73m2 by the end of the follow-up.
Time frame: 18 months
iBox predicted allograft survival
iBox predicted allograft survival: 7-year kidney allograft predictions by the end of the follow-up.
Time frame: 18 months
Number of therapeutic changes
Number of therapeutic changes by the end of the follow-up.
Time frame: 18 months
Number of unnecessary biopsies
Number of unnecessary biopsies by the end of the follow-up.
Time frame: 18 months
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CHU Rangueil
Toulouse, France, France
Hôpital Necker
Paris, France
Universitätsklinikum Düsseldorf AÖR
Düsseldorf, Germany
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Germany
Sourasky Medical Center - Ichilov Hospital
Tel Aviv, Israel
Hospital Del Mar - Parc de Salut Mar
Barcelona, Spain
Fundació Puigvert
Barcelona, Spain
...and 6 more locations