This proposal's objective is to determine whether belatacept, in conjunction with a proteasome inhibitor can be used to safely increase the likelihood of finding an acceptable donor for highly HLA sensitized kidney transplant candidates.
Who can participate
Age range18 Years – 60 Years
SexALL
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Inclusion Criteria:
* Highly sensitized patient cPRA 99-100% AND actively listed for kidney transplantation at the kidney transplantation Program at University fo Chicago
* Ebstein Barr Virus (EBV) Immunoglobulins (IgG) seropositive
* No active systemic infection
* No allergy to proteasome inhibitors (Bortezomib), or to belatacept
* No known malignancy in the previous 2 years except for non-melanomatous skin cancer
* Female who agrees to practice 2 effective methods of contraception through 3 months after the last dose of Bortezomib
* Patient vaccinated against hepatitis B virus with positive level of HBsAb
* Patients fully vaccinated against Coronavirus Disease 2019 at least 2 weeks prior to the start of the 1st cycle.
* Actively listed for kidney transplant at the Transplant Institute at University of Chicago
Exclusion Criteria:
* Patient with significant neuropathy by the Common Terminology Criteria for Adverse Events (CTCAE) criteria within 14 days before enrollment (Grades 3-4 or Grade 2 with pain)
* Myocardial infarction within 6 months of enrollment or has Heart Failure in acute dialysis quality initiative (ADQI) ESRD classification system Class 2 non restrictive (2NR) or greater, uncontrolled angina, severe uncontrolled ventricular arrhythmias, or ECG evidence of acute ischemia or active conduction system abnormalities
* Patient who received other investigational drugs within 14 days prior to initiation of study treatment
* Receipt of a live vaccine within 4 weeks …
What they're measuring
1
Likelihood of finding a donor to whom the study participant does not have strong anti-donor HLA specific antibodies (DSA).