Could cutting immune drugs save kidney transplants during severe infections?

NCT ID NCT06881927

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether reducing immunosuppressive drugs (along with giving a steroid) helps kidney transplant patients recover from septic shock or severe breathing failure in the ICU. About 212 adults whose transplant was at least 3 months ago will be randomly assigned to either lower their usual immune drugs or continue them. The goal is to see if this approach improves organ function without raising the risk of rejection.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Hôpitaux Universitaires de Strasbourg

    RECRUITING

    Strasbourg, France

    Contact Phone: •••-•••-•••• Email: •••••@•••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Hydrocortisone hemisuccinate (a steroid) and reduction of usual immunosuppressive drugs

What this could lead to

If it works, this could lead to a safer way to manage immunosuppression during critical illness, improving recovery and reducing organ damage in kidney transplant patients.

What could go wrong

This is a Phase 4 trial with 212 participants, so results are not yet proven. Reducing immunosuppression may increase the risk of graft rejection, and the steroid itself has side effects.

Conditions

The condition(s) this trial relates to.

acute respiratory failure Sepsis toxic shock syndrome

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.