About this trial

BEAT-BK will see the effect of immunosuppression reduction/modification with and without IVIG on BKPyV infection, allograft function, allograft loss, acute transplant rejection, immunosuppression load and death in kidney and simultaneous kidney pancreas transplant recipients with polyomavirus infections (BKPyV).

Eligibility criteria

Qualifiers

Aged 2 years or above

Have received a kidney or simultaneous pancreas-kidney transplant

Have BKPyV-Viremia (detected by RT-PCR) with a viral count ≥ 5,000 copies per mL, or histological confirmation of BKPyVAN, within 3 weeks prior to randomisation.

Be able to provide informed consent or consent given by a parent or guardian (if age <18 years) or other authorised person

Disqualifiers

Contraindications to receiving IVIG as a treatment

Current active acute rejection (≤ 3 months prior)

Treating clinicians would regard as unsafe to be enrolled

Limited life expectancy (< 12 months)

Trial design

Treatments tested in this trial

  • Immunosuppression reduction/modification + intravenous immunoglobulin
  • Immunosuppression reduction/modification

Treatment groups

280 Participants
are divided into 2 treatment groups

Locations

13
Canberra Hospital2605, CanberraAustralian Capital Territory, Australia
John Hunter Hospital2305, New Lambton HeightsNew South Wales, Australia
Prince of Wales Hospital2031, RandwickNew South Wales, Australia
Royal Prince Alfred Hospital2050, SydneyNew South Wales, Australia

Sponsors and collaborators

The University of Queensland

Lead sponsor