This clinical trial focuses on patients who have undergone kidney transplantation and are experiencing a specific condition called subclinical antibody mediated rejection. This type of rejection occurs when the body produces antibodies against the transplanted kidney, even though there may not be obvious signs of the kidney not working properly. The study specifically looks at cases where these antibodies, called donor specific antibodies, develop after the transplant.
The study compares two different medications used to prevent rejection of the transplanted kidney. The first medication is belatacept, which is given through an intravenous injection, combined with standard treatment. The second medication is tacrolimus, which is taken as oral capsules, also combined with standard treatment. The purpose is to determine which medication works better in treating rejection when these new antibodies are detected.
The treatment period lasts for 12 months, during which patients will receive either belatacept or tacrolimus. Throughout the study, doctors will monitor how well the kidney is working by checking kidney function through blood tests and examining small samples of kidney tissue. They will also track the levels of antibodies in the blood and watch for any side effects of the medications.



France