Can kidneys from HIV-Positive donors save more lives?
NCT ID NCT03500315
First seen Sep 01, 2026 · Last updated Sep 04, 2026 · Updated 3 times
Summary
This trial tests whether kidneys from deceased HIV-positive donors can be safely transplanted into people living with HIV. Researchers track major complications like graft failure, serious side effects, and HIV progression. The goal is to see if using these organs is a safe way to expand the donor pool and shorten transplant wait times.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Kidney transplant from an HIV-infected deceased donor
- What this could lead to
- If successful, this could expand the donor pool for people with HIV, reducing wait times and improving access to life-saving kidney transplants.
- What could go wrong
- The trial is still gathering evidence, and risks include transplant rejection, serious side effects, HIV breakthrough, or infections. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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207 people
The number who actually took part.
- Started
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Apr 2018
- Finished
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May 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participant meets the standard criteria for kidney transplant at the local center. * Participant is able to understand and provide informed consent. * Participant meets with an independent advocate per the HIV Organ Policy Equity (HOPE) Act Safeguards. * Documented HIV infection (by any licensed assay, or documented history of detectable HIV-1 RNA). * Participant is ≥18 years old. * Opportunistic complications: if prior history of an opportunistic infection, the participant has received appropriate therapy and has no evidence of active disease. * Cluster of Differentiation 4 (CD4)+ T-cell: ≥200/µL within 16 weeks of transplant. * HIV-1 is below 50 copies RNA/mL. Viral blips between 50-400 copies allowed as long as there are not consecutive measurements \>200 copies/mL. * Participant is willing to comply with all medication related to their transplant and HIV management. * For participant with a history of aspergillus colonization or disease, no evidence of active disease. * The participant must have, or be willing to start seeing, a primary medical care provider with expertise in HIV management. * All participants participating in sexual activity that could lead to pregnancy must use an FDA approved method of birth control. * Participant is not suffering from significant wasting (e.g. body mass index \<21) thought to be related to HIV disease. Exclusion Criteria: * Participant has a history of progressive multifocal leukoencephalopathy (PML) or primary central nervous system (CNS) lymphoma. * Participant is pregnant or breastfeeding. * Past or current medical problems or findings from medical history, physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks or may impact the quality or interpretation of the data obtained from the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cleveland Clinic Florida
Weston, Florida, 33331, United States
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Columbia University Medical Center
New York, New York, 10032, United States
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Drexel University
Philadelphia, Pennsylvania, 19102, United States
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Emory University
Atlanta, Georgia, 30322, United States
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Indiana University
Indianapolis, Indiana, 46202, United States
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Johns Hopkins University
Baltimore, Maryland, 21205, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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MedStar Georgetown Transplant Institute
Washington D.C., District of Columbia, 20007, United States
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Methodist Health System Clinical Research Institute
Dallas, Texas, 75203, United States
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Miami Transplant Institute
Miami, Florida, 33136, United States
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New York University School of Medicine
New York, New York, 10016, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Ochsner Medical Center
New Orleans, Louisiana, 70121, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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UPMC-University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
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University of California, Los Angeles
Los Angeles, California, 90095, United States
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University of California, San Diego
San Diego, California, 92103, United States
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University of California, San Francisco
San Francisco, California, 94193, United States
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University of Cincinnati
Cincinnati, Ohio, 45267, United States
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University of Illinois at Chicago
Chicago, Illinois, 60612, United States
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University of Maryland, Institute of Human Virology
Baltimore, Maryland, 212101, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of Virginia
Charlottesville, Virginia, 22908, United States
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Weill Cornell Medical College
New York, New York, 10065, United States
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Yale University School of Medicine
New Haven, Connecticut, 06520-8022, United States
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