Validating Injury to the Renal Transplant Using Urinary Signatures in Children (VIRTUUS)
Project Summary
Transplant rejection contributes to irreversible damage to the transplanted organ. Sub-clinical detection of transplant rejection (when no definite or readily observable clinical symptoms are present) and detection of other post-transplantation complications using non-invasive means, such as urinary biomarkers, will allow earlier diagnosis of rejection. This approach will ultimately allow less aggressive and earlier intervention, and thus preserve transplant function. The purpose of the study is to investigate whether the existing urinary mRNA and metabolite profiles used for detection of early kidney transplant injury in adults can also predict rejection and other complications of kidney transplantation in children.
This is a prospective, observational, multicenter, cohort study coordinated at the Children's Hospital of Philadelphia. BC Children's Hospital is one of the participating research sites, led by Dr. Tom Blydt-Hansen (site investigator).
For more information, visit ClinicalTrials.gov.
This study is being funded by the National Institutes of Health (NIH).
- Project Status
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	Status: Closed 
 Study Start Date: September 26, 2018
 Study End Date: May 31, 2023Study Enrolment Status: Closed 
 Start Date: October 2018
 End Date: February 2022
- Project Team
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	Principal Investigator Research Team Members Candice Wiedman, Research Assistant 
- Enrolment Eligibility Criteria
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	- Males or females between 2 to 18 years at the time of recruitment, receiving the first, or additional, kidney transplants.
- Parental/guardian permission (informed consent) and, if appropriate, child/adolescent assent can be obtained.
 For more information, please email sotresearch@bcchr.ca. 
- Publications
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	- Kumar, J., Contrepois, K., Snyder, M., Grimm, P. C., Moudgil, A., Smith, J. M., Bobrowski, A. E., Verghese, P. S., Hooper, D., Ingulli, E., Lestz, R., Weng, P., Reason, J. L., Blydt-Hansen, T. D., Suthanthiran, M., Keating, B., & Amaral, S. (2021). Design and Methods of the Validating Injury to the Renal Transplant Using Urinary Signatures (VIRTUUS) Study in Children. Transplantation Direct, 7(12), e791. doi.org/10.1097/TXD.0000000000001244
 
- Acknowledgements
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	Harry Chae, Worklearn student 
 David Camarda, Undergraduate student
 Kevin Vytlingam, Undergraduate student
 Bita Ghordani, Undergraduate student
 Kerry Hu, Undergraduate student
 Ibarheem Babar, Undergraduate student
 Jasmine Malhi, Undergraduate student
 Simranpreet Mann, Undergraduate student