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Pre-treatment of deceased organ donors with methylprednisolone versus placebo for the prevention of post-ischemic acute renal transplant failure
ISRCTN ISRCTN78828338
ClinicalTrials.gov identifier
Public title Pre-treatment of deceased organ donors with methylprednisolone versus placebo for the prevention of post-ischemic acute renal transplant failure
Scientific title
Acronym N/A
Serial number at source P-18325
Study hypothesis Deceased organ donors exhibit a severe systemic inflammatory response caused by the brain death syndrome. This leads to an activation of inflammatory regulators in the donor kidney, associated with increased risk for subsequent development of post-ischemic acute renal transplant failure (ARTF) in the recipient. ARTF is the main risk factor for shortened allograft survival. Pre-treatment of deceased organ donors with corticosteroids before organ retrieval may modify the genome-wide gene expression in the donor kidney and thus reduce the incidence and duration of post-ischemic ARTF after engraftment.
Lay summary
Ethics approval Approved by the Ethics Committee of the Medical University Vienna on 14/03/2005, reference number: 067/2005
Study design Randomised placebo-controlled study
Countries of recruitment Austria
Disease/condition/study domain Pre-treatment of deceased organ donors
Participants - inclusion criteria Deceased kidney donors
Participants - exclusion criteria Non-heart beating organ donors
Anticipated start date 20/03/2006
Anticipated end date 20/09/2008
Status of trial Completed
Patient information material
Target number of participants 200 deceased organ donors
Interventions The deceased organ donor will be randomized to receive 1000 mg of methylprednisolone or placebo three to six hours before organ retrieval. Donor kidney biopsies will be obtained before engraftment and genome-wide gene expression analysis will be performed using complementary deoxyribonucleic acid (cDNA) microarrays.
Primary outcome measure(s) Incidence and duration of post-ischemic acute renal transplant failure in the transplant recipient
Secondary outcome measure(s) Genome-wide gene expression analysis of transplant kidney wedge biopsies
Sources of funding Austrian Science Funds (grant P-18325)
Trial website http://www.meduniwien.ac.at/nephrogene
Publications 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20713790
Contact name Prof  Rainer  Oberbauer
  Address Vienna Medical University

Waehringer Gürtel 18-20
  City/town Vienna
  Zip/Postcode 1090
  Country Austria
  Tel +43 (0)140 400 4358
  Fax +43 (0)140 400 4452
  Email rainer.oberbauer@meduniwien.ac.at
Sponsor Austrian Science Fund
  Address Weyringergasse 35
  City/town Vienna
  Zip/Postcode 1040
  Country Austria
  Tel +43 (0)1 505 67 40
  Fax +43 (0)1 505 67 39
  Email office@fwf.ac.at
  Sponsor website: http://www.fwf.ac.at
Date applied 14/03/2006
Last edited 04/11/2010
Date ISRCTN assigned 12/04/2006
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