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Trial · NCT01025193

Desensitization With Belimumab in Sensitized Patients Awaiting Kidney Transplant

NCT01025193, Phase 2, Terminated, University of Pennsylvania; results first posted 2017-02-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Desensitization With Belimumab in Sensitized Patients Awaiting Kidney Transplant. Trials, record NCT01025193. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01025193

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Desensitization With Belimumab in Sensitized Patients Awaiting Kidney Transplant
NCT number
NCT01025193
Status
Terminated
Phases
Phase 2
Enrollment
8 participants, actual
Lead sponsor
University of Pennsylvania
Conditions
Desensitization
Interventions
Belimumab
First posted
2009-12-03
Last updated
2017-06-12
Results first posted
2017-02-28
Limitations and caveats
Few patients enrolled, and limited follow-up due to trial being halted due to lack of efficacy after review by investigators and the data safety monitoring board. Only one patient was transplanted during the trial (unrelated to study treatment).

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryEffectiveness of Belimumab to Normalize Allo-antibody Levels in Sensitized Patients Awaiting Kidney Transplantation.up to one year pre-transplant
Before transplant it is necessary to measure antibodies that the recipient might have and compare them to the living or decease donor's immune make-up. Recipients with many antibodies or a specific antibody in a high concentration may have a more difficult time finding a compatible donor, and being transplanted. These recipients are referred to as sensitized patients. It is important that the sensitized recipient and the donor be compatible to prevent rejection after transplant. We measured antibodies levels in sensitized patients waiting for kidney transplant, to see if belimumab would decrease these antibody levels.
PrimarySuccessful Kidney Transplantation From a Cross-match Compatible Donor (as a Result of Belimumab Therapy)one year pre-transplant
In order for a sensitized recipient ( a recipient with antibodies) to be transplanted, the cross match with the donor has to be compatible. We wanted to study if belimumab reduced antibodies in sensitized patients and led those patients to subsequently become cross-match compatible with a donor and allow for successful transplant.
SecondaryPharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.
Belimumab serum drug dilution factors were measured in patients at at timepoints 0 (first day of belimumab), day 14, day 56, day 168, 364, at any unscheduled visits, and at 8 weeks post completion of belimumab therapy.
We wanted to look at belimumab pharmacokinetics in sensitized patients awaiting kidney transplant. These are reported as number of participants with specific dilution factors at each studied time-point. Blood for these tests could be drawn pre dose as well as 0-4 hours after the dose was given. Belimumab dilutions factors were measured pre dose at timepoints 0 (first day of belimumab), days 56 and 364. Belimumab dilution factors were measured after the dose on days 14, and 168. Belimumab dilution factors were also measured at 8 weeks after completion of belimumab therapy and pre dose at any unscheduled visits if needed.
SecondaryB and T Lymphocyte Subsets8 weeks after the last dose of belimumab
B and T Lymphocyte subsets were measured through flow cytometry pre-treatment and at months 1,2,12 and at 8 weeks after the last belimumab dose. We looked for clinically significant changes (as determined by Principal Investigator) in these subsets at each time-point.
SecondaryBLyS Levels Before and After Treatment With Belimumabup to 8 weeks after completion of therapy
We assessed for unexpected changes in bound and unbound BLyS levels before and after treatment with belimumab. These were measured from before treatment and at months 1,2,6,10 and 12 months after belimumab treatment and again at 8 weeks after belimumab treatment.
SecondaryHepatitis B Vaccine Antibody Titersup to 12 months of treatment with belimumab
We investigated if belimumab treatment would decrease Hepatitis B vaccine titers by 12 months after treatment with belimumab. All patients received Hepatitis B vaccine before beginning treatment with belimumab.
SecondaryNumber of Participants With Treatment Related Serious Adverse Eventsup to one year pre-transplantTo assess the safety of belimumab in sensitized patients awaiting kidney transplant we evaluated the number of participants with serious adverse events possibly or definitely related to belimumab.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEffectiveness of Belimumab to Normalize Allo-antibody Levels in Sensitized Patients Awaiting Kidney Transplantation.up to one year pre-transplantany patient who received at least one dose of belimumab was included in analysis populationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYSuccessful Kidney Transplantation From a Cross-match Compatible Donor (as a Result of Belimumab Therapy)one year pre-transplantAll participants enrolled who received at least one dose of belimumab were considered for analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.
Belimumab serum drug dilution factors were measured in patients at at timepoints 0 (first day of belimumab), day 14, day 56, day 168, 364, at any unscheduled visits, and at 8 weeks post completion of belimumab therapy.
any patient who received at least one dose of belimumab was included in the analysisParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYB and T Lymphocyte Subsets8 weeks after the last dose of belimumabAny patient who received at least one dose of belimumab was included in the analysisParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYBLyS Levels Before and After Treatment With Belimumabup to 8 weeks after completion of therapyAny patient who received at least one dose of belimumab was included in the analysisParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYHepatitis B Vaccine Antibody Titersup to 12 months of treatment with belimumabAll patients who received at least one dose of belimumab were included in the analysisParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Treatment Related Serious Adverse Eventsup to one year pre-transplantAny patient who received at least one dose of belimumab was included in the analysisParticipantsCOUNT_OF_PARTICIPANTS

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Effectiveness of Belimumab to Normalize Allo-antibody Levels in Sensitized Patients Awaiting Kidney Transplantation.BelimumabPatients not experiencing a decrease in antibodies8Participants
Effectiveness of Belimumab to Normalize Allo-antibody Levels in Sensitized Patients Awaiting Kidney Transplantation.BelimumabPatients experiencing a decrease in antibodies0Participants
Successful Kidney Transplantation From a Cross-match Compatible Donor (as a Result of Belimumab Therapy)BelimumabKidney transplant as a result of belimumab therapy0Participants
Successful Kidney Transplantation From a Cross-match Compatible Donor (as a Result of Belimumab Therapy)Belimumabkidney transplant unrelated to belimumab therapy1Participants
Successful Kidney Transplantation From a Cross-match Compatible Donor (as a Result of Belimumab Therapy)BelimumabKidney transplant not received during trial7Participants
Pharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.BelimumabPre Dose Belimumab Serum Dilution at 400-Day 08Participants
Pharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.BelimumabPre Dose Belimumab Serum Dilution at 8000-Day 567Participants
Pharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.BelimumabPre Dose Belimumab Dilution 8000 at Day 3642Participants
Pharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.BelimumabPost Dose Belimumab Dilution at 8000 at Day 147Participants
Pharmacokinetics of Belimumab Measured as Number of Participants With Specific Dilution Factors at Each Time Point.BelimumabPost Dose Belimumab Dilution at 8000 at Day 1686Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBelimumab8
Overall StudyCOMPLETEDBelimumab4
Overall StudyNOT COMPLETEDBelimumab4

Adverse events16

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherRash left antecubitus from adhesive tapeSkin and subcutaneous tissue disordersBelimumab181
otherHypertensive episodeRenal and urinary disordersBelimumab181
otherElectrolyte imbalanceRenal and urinary disordersBelimumab181
otherNauseaGastrointestinal disordersBelimumab181
othernon-cardiac related chest painGeneral disordersBelimumab181
otherShakinessGeneral disordersBelimumab181
otheranemia (low red blood cell count)Blood and lymphatic system disordersBelimumab181
otherfluid overloadRenal and urinary disordersBelimumab182
otherinfection cold symptomsInfections and infestationsBelimumab181
otherpartial parathyroidectomyEndocrine disordersBelimumab181

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBelimumab
Total, other adverse eventsBelimumab68
Total, serious adverse eventsBelimumab38

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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The record and each of its lists are JSON, twenty rows a page. No key.

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