Can a simple infusion save transplanted kidneys from a stealthy virus?
NCT ID NCT05325008
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether reducing anti-rejection drugs, with or without an extra treatment called IVIG, can better control BK virus in kidney transplant patients. BK virus can damage the new kidney and lead to transplant failure. About 280 adults and children who have a kidney or kidney-pancreas transplant and a high level of BK virus will take part. The goal is to find the best way to protect the kidney while managing the virus.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 280 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2023
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- 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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2 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Aged 2 years or above 2. Have received a kidney or simultaneous pancreas-kidney transplant 3. Have BKPyV-Viremia (detected by RT-PCR) with a viral count ≥ 5,000 copies per mL, or histological confirmation of BKPyVAN, within 3 weeks prior to randomisation. 4. Be able to provide informed consent or consent given by a parent or guardian (if age \<18 years) or other authorised person Exclusion Criteria: 1. Contraindications to receiving IVIG as a treatment 2. Current active acute rejection (≤ 3 months prior) 3. Treating clinicians would regard as unsafe to be enrolled 4. Limited life expectancy (\< 12 months) 5. Receiving Belatacept as part of their immunosuppression protocol 6. Currently undergoing or who have previously received, viral-specific T-cell therapy for BK viremia 7. Prior infection and treatment for BKPyV-Viremia 8. Received IVIG treatment in the past with last IVIG treatment \< 4 weeks prior to randomisation
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
13 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Canberra Hospital
RECRUITINGCanberra, Australian Capital Territory, 2605, Australia
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Flinders Medical Centre
RECRUITINGAdelaide, South Australia, 5042, Australia
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John Hunter Hospital
RECRUITINGNew Lambton Heights, New South Wales, 2305, Australia
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Monash Health
RECRUITINGMelbourne, Victoria, 3168, Australia
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Perth Children's Hospital
RECRUITINGPerth, Western Australia, 6009, Australia
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Prince of Wales Hospital
RECRUITINGRandwick, New South Wales, 2031, Australia
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Princess Alexandra Hospital
RECRUITINGWoolloongabba, Queensland, 4102, Australia
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Queensland Children's Hospital
RECRUITINGBrisbane, Queensland, 4101, Australia
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Royal Prince Alfred Hospital
RECRUITINGSydney, New South Wales, 2050, Australia
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Sir Charles Gairdner Hospital
RECRUITINGPerth, Western Australia, 6009, Australia
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The Childrens Hospital Westmead
RECRUITINGSydney, New South Wales, 2145, Australia
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Townsville University Hospital
RECRUITINGTownsville, Queensland, 4814, Australia
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Western Sydney Local Health District (Westmead Hospital)
RECRUITINGWestmead, New South Wales, 2145, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Single-Day infusion save transplanted kidneys from silent scarring?
- Could removing catheters sooner after kidney transplant cut infections?
- Transplant breakdown? new study checks organ fluid for hidden germs
- Kidney transplant patients' immune response to common virus tracked after drug switch
- Immune cells may predict CMV relapse in kidney transplant patients
- Harmless virus levels may predict transplant complications