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ACTIVE NOT RECRUITING
NCT07274462
PHASE4

DARA-MVI Study (Daratumumab for Microvascular Inflammation in Kidney Transplantation)

Sponsor: University Hospital, Martin

View on ClinicalTrials.gov

Summary

The DARA-MVI Study is a prospective, randomized, controlled, open-label trial designed to evaluate the effect of daratumumab on microvascular inflammation (MVI) in kidney transplant recipients with C4d-negative biopsies. Participants with biopsy-proven MVI will be randomized to receive either daratumumab or observation with standard monitoring. The study will assess changes in histologic MVI score, donor-derived cell-free DNA (dd-cfDNA), donor-specific antibodies (DSA), and graft function over 12 months.

Official title: A Randomized Controlled Study of Daratumumab for Microvascular Inflammation (MVI) in Kidney Transplant Recipients With or Without Donor-Specific Antibodies

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

20

Start Date

2025-11-01

Completion Date

2027-09-30

Last Updated

2025-12-10

Healthy Volunteers

No

Interventions

DRUG

DARATUMUMAB (DARZALEX®)

Daratumumab 1800 mg subcutaneously once monthly × 3 doses plus standard monitoring of DSA and dd-cfDNA every 3 months.

OTHER

Observation (Standard Care)

Standard post-transplant management and monitoring per institutional protocol. Includes serial measurement of DSA and donor-derived cell-free DNA every 3 months, eGFR monitoring, and repeat biopsy at 12 months.

Locations (1)

Transplant-nephrology department

Martin, Slovakia