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Induction of Donor Specific Tolerance in Recipients of Kidney Allografts by Donor Bone Marrow Cell Infusion

Protocol Number: Version 2.1 6/27/2002
Trial Phase: Phase I
Maximum # of Subjects: 15
IRB Number: WIRB IRB# 1051658
Study Status: Active
Enrollment Status: Open
Principal Investigator: Frederick Bentley, MD
Coordinator: Stephanie  Copeland
RN
(502) 852-2050
(502) 852-0067
sbcope01@louisville.edu
To determine whether the administration of donor bone marrow, enriched for hematopoietic stem cells (HSC) and graft facilitating cells (FC) and depleted of GVHD-producing cells, will induce tolerance to a donor-specific renal allograft and substantially reduce or eliminate the requirement for chronic nonspecific immunosuppressive agents within 12 months following transplantation.
 


Eligibility

Inclusion Criteria:
 1. Patients must be between the ages of 18 and 65 years and meet the institution's criteria for renal transplantation for end-organ failure. 2. Patient is receiving first renal transplant. 3. Patient is receiving a renal transplant only. 4. Patient has a cadaveric organ donor. 5. The patient's panel reactive antibody (PRA) is < 10% and the crossmatch is negative between donor and recipient. 6. Women who are of child bearing potential must have a negative pregnancy test before TBI and agree to use reliable contraception for 1 year following transplant.

Exclusion Criteria:
 1. Clinically active bacterial, fungal, viral or parasitic infection. 2. Pregnancy. 3. Clinical or serologic evidence of Hepatitis B (HBV), Hepatitis C (HCV) or Human Immunodeficiency (HIV) Virus infection. 4. Malignancy. 5. Previous radiation therapy at a dose which would preclude Total Body Irradiation. 6. Positive crossmatch between donor and recipient.