Urine test may catch kidney rejection before it's too late

NCT ID NCT03206801

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

Summary

This study tested whether monitoring a substance in urine called CXCL10 can help detect kidney transplant rejection earlier. 260 adult kidney transplant patients were randomly assigned to either have their CXCL10 levels checked or receive standard care. If CXCL10 was high, patients got a biopsy to check for rejection. The goal was to see if early detection and treatment could improve kidney survival and function.

What this could mean

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

Active substance
urine CXCL10 monitoring (a urine test to detect early signs of rejection)
What this could lead to
If successful, this approach could help doctors detect kidney transplant rejection earlier, potentially preventing long-term damage and improving graft survival.
What could go wrong
This is a mid-stage trial, so results may not be definitive. The test may not reliably predict rejection in all patients, and early treatment might not improve overall outcomes.

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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

  • Centre de recherche du CHUM (CRCHUM)

    Montreal, Quebec, Canada

  • McGill

    Montreal, Quebec, Canada

  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000, Australia

  • University Health Network, University of Toronto

    Toronto, Ontario, Canada

  • University of Calgary

    Calgary, Alberta, Canada

  • University of Manitoba, Transplant Manitoba Adult Kidney Program

    Winnipeg, Manitoba, R3A 1R9, Canada

  • University of Ottawa

    Ottawa, Ontario, Canada

  • Université Laval

    Québec, Quebec, Canada

  • Western University

    London, Ontario, Canada

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