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