Blood test may spare kidney transplant patients from painful biopsies
NCT ID NCT06406179
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether a blood test that measures donor DNA (dd-cfDNA) can safely guide follow-up care for kidney transplant patients, potentially reducing the need for invasive biopsies. 500 adult kidney transplant recipients will be randomly assigned to standard care or a strategy where doctors use dd-cfDNA results to decide whether a biopsy is needed. The goal is to see if this approach maintains kidney function while avoiding unnecessary procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Donor-derived cell-free DNA (dd-cfDNA) blood test
- What this could lead to
- If successful, this could reduce the need for invasive biopsies in kidney transplant patients, making monitoring safer and more comfortable.
- What could go wrong
- This is a Phase 2-like trial with 500 participants, so results may not apply to all patients. The blood test may not catch all rejection cases, and some biopsies may still be needed.
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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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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Nov 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 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: * All men and women, age ≥18 years old. * Subject must be a recipient of a non-combined renal transplant from a deceased or living donor. It can be a re transplantation after a graft loss of function or graft rejection * Subject is willing and able to provide signed written informed consent and willing to comply with study procedures * Women of Childbearing Potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study in such a manner that the risk of pregnancy is minimized. Exclusion Criteria: * Subjects who are legally detained in an official institution or under legal protection * Any condition that, in the opinion of the investigator, might interfere with the patient 's participation in the study, poses an added risk for the patient, or confounds the assessment of the patient * History of multi-organ transplant (interference with rejection natural history).
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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
3 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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AP-HP - Hôpital Tenon
ACTIVE_NOT_RECRUITINGParis, France
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CHU Toulouse
NOT_YET_RECRUITINGToulouse, France
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Georges Pompidou European Hospital
ACTIVE_NOT_RECRUITINGParis, 75015, France
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Hopital Saint Louis
RECRUITINGParis, Île-de-France Region, 75010, France
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Hôpital Necker-Enfants Malades
ACTIVE_NOT_RECRUITINGParis, 75015, France
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Hôpital de la Salpêtrière hôpital à Paris
RECRUITINGParis, Île-de-France Region, 75013, France
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Other studies related to the condition(s) this trial covers.
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- Your gut bacteria might predict transplant rejection
- Can a new drug combo help kidney transplants last longer?
- Engineered immune cells aim to trick the body into accepting a new kidney