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Hand transplants get a boost: new drug may reduce rejection risk
NCT ID NCT02310867
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 study tests whether a hand transplant from a deceased donor, combined with the immunosuppressant belatacept (Nulojix), can help people with below-elbow limb loss use their new hand in daily tasks. Fifty participants aged 18-65 will be followed for 18 months. The main goal is improved hand function, but risks include rejection, infection, and side effects from long-term anti-rejection drugs.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Belatacept (Nulojix) plus hand transplant surgery
- What this could lead to
- If successful, this could offer a way for people with below-elbow limb loss to regain hand function for daily activities, using a new immunosuppressant to help prevent rejection.
- What could go wrong
- This is an early phase 2 study with only 50 participants, so results may not apply to everyone. Risks include organ rejection, serious infection, and side effects from long-term immunosuppression.
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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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2015
- Expected to finish
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Jun 2028
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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18 to 65 years
- 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: 1. Patients from 18-65 years old with loss of limb 2. Willingness and legal ability to give informed consent 3. Willingness to travel to study site for protocol specific samples to be taken, or in some cases, the ability to send samples via overnight mail Exclusion Criteria: * Any condition that precludes serial follow-up * Any condition that would likely increase the risk of protocol participation or confound the interpretation of the data * Any active malignancy or any history of a malignancy or lymphoma * Inability or unwillingness to comply with protocol monitoring and therapy and immunodeficiency syndrome(s)
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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
1 site. 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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Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710, United States
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