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Kidney transplant breakthrough: Biopsy-Guided drug adjustments could save more grafts

NCT ID NCT02444429

First seen Nov 01, 2025 · Last updated Jun 21, 2026 · Updated 26 times

Summary

This study tested whether a routine biopsy three months after kidney transplant can help doctors personalize immunosuppressive therapy. 346 patients were split into two groups: those with mild inflammation received extra steroids, while those with no inflammation had their steroids reduced. The goal was to improve graft survival and reduce side effects from lifelong medication.

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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

Locations

  • Département de Néphrologie et Transplantation d'Organes - Hôpital Rangueil - CHU de Toulouse

    Toulouse, 31059, France

  • Institut de Transplantation, Urologie et Néphrologie (ITUN) - CHU de Nantes

    Nantes, 44093, France

  • Service de Néphrologie - Hôpital Claude Huriez - CHU de Lille

    Lille, 59037, France

  • Service de Néphrologie et Transplantation - Nouvel Hôpital Civil - CHRU Strasbourg

    Strasbourg, 67091, France

  • Service de Néphrologie, Hémodialyse, Transplantations Rénales - Hôpital de la Cavale Blanche - CHU de Brest

    Brest, 29609, France

  • Service de Néphrologie, Transplantation et Immunologie Clinique - Hôpital Edouard Herriot - Hospices Civils de Lyon

    Lyon, 69437, France

  • Service de Néphrologie,Transplantation, Dialyse I - Hôpital Pellegrin - CHU Bordeaux

    Bordeaux, 33000, France

  • Service de Transplantation - Hôpital Universitaire Necker

    Paris, 75015, France

What this could mean

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

Active substance

Corticosteroid boluses (methylprednisolone) and corticosteroid withdrawal

What this could lead to

If successful, this approach could help tailor immunosuppression after kidney transplant, potentially reducing graft loss and side effects from lifelong medication.

What could go wrong

This is a completed phase 3 trial, but results may not apply to all transplant patients. The strategy involves risks from biopsies and changes in medication.

Conditions

The condition(s) this trial relates to.

end stage renal failure

As listed by the trial registrant

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