Mismatched kidney transplants boost survival in seniors
NCT ID NCT07436338
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 1,819 elderly patients (aged 60+) with end-stage kidney disease to see if getting a living donor kidney transplant that is not a perfect match (ABO- or HLA-incompatible) helps them live longer compared to waiting for a compatible deceased donor. The approach uses desensitization therapy to reduce the risk of rejection. Results suggest that earlier transplantation with a mismatched kidney may improve survival for older patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,819 people
The number who actually took part.
- Started
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Oct 2010
- Finished
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Dec 2024
- 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.
Who is studied
This study population was derived from elderly patients registered on the kidney transplant waiting lists at two tertiary referral transplant centers in South Korea (Severance Hospital and Seoul National University Hospital). Participants were identified from institutional transplant databases, and deidentified clinical data were retrospectively collected and analyzed.
- Ages
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60 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: * Age 60 years or older * Diagnosis of end-stage kidney disease (ESKD) requiring maintenance dialysis * Registered on the kidney transplant waiting list between November 2010 and December 2023 Exclusion Criteria: * Complement-dependent cytotoxicity crossmatch positive
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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
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Seoul National University College of Medicine
Seoul, Jongno-gu, 03080, South Korea
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Yonsei University College of Medicine
Seoul, Seodaemun-gu, 03722, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A new tool aims to predict and prevent living kidney donor Drop-Out
- Can digital tools and training help more kidney patients get transplants?
- Can a new preservation fluid keep donor kidneys healthier for transplant?
- Can a blood thinner cut stroke risk in dialysis patients?