🏛️ Verified NIH Record • Updated 2026-05-19

Advancing Transplantation Outcomes in Children (NCT06055608)

Advancing Transplantation Outcomes in Children (CTOT-41)

🟢 Recruiting Phase2 💊 Investigational Drug / Biologic Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)

🩺 Plain-English Summary (8th-Grade Level)

This is a pediatric kidney transplant study comparing the safety and efficacy of an immunosuppressive regimen of belatacept and sirolimus to tacrolimus and Mycophenolate Mofetil (MMF). Two hundred participants will be randomized (1:1) to one of two groups within 24 hours following the transplant procedure. The duration of the study from time of transplant to the primary endpoint is 12-24 months.

Who can join: To join this study, participants generally need to meet the listed inclusion criteria (9 items) and avoid the listed exclusions (28 items).

Location: University of Alabama at Birmingham (Site # 71038) — Birmingham, Alabama

Age range: 13 Years to 20 Years

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Check every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).

Usually NOT eligible if any of the following apply:

  • Exclusion Criteria:
  • Inability or unwillingness to comply with study protocol
  • Active infection requiring treatment, or viremia
  • History of malignancy
  • Receipt of any licensed or investigational live attenuated vaccine(s) within 4 weeks of enrollment
  • Prior history of organ transplantation
  • Listed for multi-organ transplant (e.g. heart- kidney, liver-kidney, multivisceral- kidney, lung- kidney)
  • Active systemic autoimmune disease at time of enrollment
  • Idiopathic Focal Segmental Glomerulosclerosis (FSGS), Membranoproliferative Glomerulonephritis (MPGN), C3 glomerulopathy, or atypical Hemolytic Uremic Syndrome (HUS) suspected at risk for recurrence
  • Use of immunosuppressants, biologics (including IVIG), chronic corticosteroids or investigational drug(s) within 8 weeks of enrollment
  • Known bleeding disorder
  • Sustained platelet count \< 75,000 cells/microliters within 3 months of enrollment

🔍 Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.

📍 All Participating Trial Locations (20 Sites)

  • University of Alabama at Birmingham (Site # 71038) — Birmingham, Alabama
  • Children's Hospital of Los Angeles (Site #: 71036) — Los Angeles, California
  • Cedars-Sinai Medical Center (Site #: 71026) — Los Angeles, California
  • Mattel Children's Hospital, UCLA (Site #: 71012) — Los Angeles, California
  • UCSD Rady Children's Hospital (Site #: 71037) — San Diego, California
  • Children's Hospital of Colorado (Site #: 71019) — Aurora, Colorado
  • Nemours Children's Health (Site #: 71042) — Wilmington, Delaware
  • Children's National Medical Center (Site #: 71039) — Washington D.C., District of Columbia
  • Ann and Robert H. Lurie Children's Hospital of Chicago (Site #: 71016) — Chicago, Illinois
  • Johns Hopkins Children's Center (Site #: 71025) — Baltimore, Maryland
  • Boston Children's Hospital (Site #: 71001) — Boston, Massachusetts
  • Helen DeVos Children's Hospital (Site #: 71035) — Grand Rapids, Michigan
  • Washington University/St. Louis Children's Hospital (Site #: 71006) — St Louis, Missouri
  • New York Medical College/Boston Children's Health Physicians — Westchester, New York
  • Duke University (Site #: 71033) — Durham, North Carolina
  • Cincinnati Children's Hospital Medical Center (Site #: 71017) — Cincinnati, Ohio
  • Children's Hospital of Philadelphia (Site #: 71091) — Philadelphia, Pennsylvania
  • UPMC Children's Hospital of Pittsburgh (Site #: 71008) — Pittsburgh, Pennsylvania
  • Texas Children's Hospital (Baylor) (Site #: 71005) — Houston, Texas
  • Seattle Children's Hospital (Site #: 71041) — Seattle, Washington

📞 Contact the Study Coordinator

Phone: (205) 638-9781

Email: whouse@uabmc.edu

Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Contact the study coordinator using the phone/email above.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗