Blood test could spare kidney patients painful biopsies
NCT ID NCT04239703
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing whether a blood test (called DD-cfDNA) can accurately detect kidney transplant rejection, potentially replacing the need for invasive kidney biopsies. Researchers will compare the blood test results with standard biopsy analysis in 300 kidney transplant recipients. If successful, this could make monitoring for rejection safer and more comfortable for patients.
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.
- Participants
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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2019
- Expected to finish
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Dec 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.
Who is studied
The study population includes patients with a functioning kidney transplant undergoing a biopsy for clinical indications as standard of care to determine the cause of their graft dysfunction (deterioration in graft function, delayed graft function, proteinuria).
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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 kidney transplant recipients undergoing a kidney biopsy for clinical indications, as determined by their physician or surgeon, will be eligible to enroll in the study. Exclusion Criteria: * Patients will be excluded from the study if they decline participation or are unable to give informed consent or multiple organ recipients.
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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
27 sites in 9 countries. 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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Barnes-Jewish Hospital, Washington University at St. Louis
RECRUITINGSt Louis, Missouri, 63110, United States
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Centre of Nephrology, Vilnius University Hospital Santaros Klinikos
RECRUITINGVilnius, LT-08661, Lithuania
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Charite-Medical University of Berlin Department of Nephrology
RECRUITINGBerlin, 10117, Germany
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Department of Nephrology and Transplantation Medical University in Bialystok
COMPLETEDBialystok, 15-540, Poland
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Department of Nephrology, The Royal Melbourne Hospital 1 South East
RECRUITINGMelbourne, VIC 3050, Australia
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Department of Nephrology, Transplantation and Internal Medicine, University Hospital n.2
RECRUITINGSzczecin, 70-111, Poland
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Department of Nephrology, University Medical Centre
RECRUITINGLjubljana, 21000, Slovenia
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Department of Transplantation and General Surgery, Wojewodzki Hospital
RECRUITINGPoznan, 60-479, Poland
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Detroit Medical Center, Harper University Hospital of Wayne State University
NOT_YET_RECRUITINGDetroit, Michigan, 48201, United States
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Division of Nephrology & UW Organ Transplant Center University of Washington
RECRUITINGSeattle, Washington, 98195, United States
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Henry Ford Hospital
RECRUITINGDetroit, Michigan, 48202, United States
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Institute for Clinical and Experimental Medicine (IKEM)
RECRUITINGPrague, 140 21 Praha 4, Czechia
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Intermountain Transplant Services
RECRUITINGMurray, Utah, 84107, United States
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Medical University of Gdańsk Klinika Nefrologii Transplantologii i Chorób Wewnętrznych
RECRUITINGGdansk, 80-259, Poland
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Medical University of Silesia
RECRUITINGKatowice, 40-027, Poland
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Medical University of Warsaw, Department of Transplantation Medicine, Nephrology and Internal Diseases
RECRUITINGWarsaw, 02-006, Poland
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Pomeranian Medical University, Samodzielny Publiczny Woj. Szpital Zespolony, Oddzial Nefrologii i Transplantacji Nerek
RECRUITINGSzczecin, 71-455, Poland
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ST. Paul's Hospital, 6A Providence Building, 1081 Burrard Street
RECRUITINGVancouver, British Columbia, V6Z 1Y6, Canada
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Tampa General Hospital
RECRUITINGTampa, Florida, 33606, United States
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The Children's Memorial Health Institute, Department of Nephrology, Kidney Transplantation and Hypertension
COMPLETEDWarsaw, 04-730, Poland
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The Johns Hopkins University, School of Medicine
RECRUITINGBaltimore, Maryland, 21205, United States
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Transplant Medicine & Nephrology Clinic, Medical University of Warsaw
RECRUITINGWarsaw, 02-006, Poland
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University Hospital Merkur Renal Division
RECRUITINGZagreb, 1910000, Croatia
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University Hospital Zurich
COMPLETEDZurich, 8091, Switzerland
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University Hospital nr1 Bydgoszcz, Klinika Transplantologii
COMPLETEDBydgoszcz, 85-094, Poland
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University Hospitals Cleveland Medical Ctr.
RECRUITINGCleveland, Ohio, 44106-5048, United States
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University of Alberta, Department of Medicine
RECRUITINGEdmonton, Alberta, T6G 2G3, Canada
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University of Maryland School of Medicine
RECRUITINGBaltimore, Maryland, 21201, United States
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Virginia Commonwealth University Medical Center
RECRUITINGRichmond, Virginia, 23298, United States
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Wroclaw Medical University, Department of Nephrology and Transplantation Medicine
RECRUITINGWroclaw, 50-556, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can your gut bacteria change how transplant drugs work?
- Your gut bacteria might predict transplant rejection
- Engineered immune cells aim to trick the body into accepting a new kidney
- Massive data dive aims to outsmart kidney transplant rejection
- Smartphone Check-Ins could save transplanted kidneys
- Harmless virus levels may predict transplant complications