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NRP + ex Situ HMPO2 vs NRP Alone in DCD Kidney Transplantation
Sponsor: Karolinska University Hospital
Summary
The goal of this clinical trial is to learn if the combination of Normothermic Regional Perfusion (NRP) at the time of organ procurement with ex situ Hypothermic Oxygenated Perfusion (HMPO2) of kidneys recovered from donors after circulatory death (DCD) is superior to NRP alone. The researchers will learn if the combined use of these technologies provides a benefit in terms of kidney transplant outcomes. The researchers will also learn about the patient quality of life after these transplants and if the use of these technologies is cost efficient. The main questions it aims to answer are: * Does NRP +HMPO2 provides a better DCD kidney function at 1 year post-transplant compared to NRP alone. * Are the postoperative complications and outcomes different between the two groups? * Is the quality of life of recipients different between the two groups? * Is the use of NRP +HMPO2 a cost effective strategy? Researchers will compare NRP and HMPO2 with NRP alone to see if the combined use of the technologies provides better transplant outcomes. Participants will: * Receive a kidney treated with one of the two strategies. * Visit the clinic as per usual clinical practice for checkups and tests * Report on their quality of life pre and post transplant * Undergo a kidney biopsy at one year to forecast long term transplant function
Official title: Oxygenated Perfusion for Enhanced Renal Function in Donation After Circulatory Death (DCD) Kidney Transplants (OxyPERF) - A National Swedish Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
214
Start Date
2027-01-01
Completion Date
2030-12-31
Last Updated
2026-08-21
Healthy Volunteers
No
Conditions
Interventions
Ex situ hypothermic oxygenated machine preservation
Ex situ preservation of NRP DCD kidneys with hypothermic oxygenated machine perfusion
Locations (3)
Sahlgrenska University Hospital
Gothenburg, Sweden
Skåne University Hospital
Malmö, Sweden
Akademiska Hospital
Uppsala, Sweden