[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100625485":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":22,"centralContacts":27,"locations":34,"responsibleParty":48,"collaborators":32,"id":51,"slug":52,"hasResults":53,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":32,"eligibilityCriteria":57,"healthyVolunteers":53,"sex":58,"minAge":59,"maxAge":32,"enrollmentInfo":60,"targetDuration":32,"studyType":63,"phases":64,"briefSummary":66,"conditions":67,"keywords":32,"overallStatus":36,"whyStopped":32,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":77},{"fullName":5,"class":6},"Shahid Beheshti University of Medical Sciences","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Tirzepatide(Spartina)","EXPERIMENTAL","Route: Subcutaneous injection (SC)\n\n* Frequency: Once weekly\n* Duration: 24 weeks\n* Dose escalation:\n* Weeks 1-4: 2.5 mg weekly\n* Weeks 5-8: 5 mg weekly (if tolerated)\n* Weeks 9-24: Continue 5 mg weekly or increase to 7.5 mg weekly based on tolerability and physician judgment",[13],"Drug: Tirzepatide",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":20},"DRUG","Tirzepatide","* Route: Subcutaneous injection (SC)\n* Frequency: Once weekly\n* Duration: 24 weeks\n* Dose escalation:\n* Weeks 1-4: 2.5 mg weekly\n* Weeks 5-8: 5 mg weekly (if tolerated)\n* Weeks 9-24: Continue 5 mg weekly or increase to 7.5 mg weekly based on tolerability and physician judgment",[9],[21],"Spartina",[23],{"name":24,"affiliation":25,"role":26},"Nooshin Dalili","SBMU","PRINCIPAL_INVESTIGATOR",[28],{"name":29,"role":30,"phone":31,"phoneExt":32,"email":33},"Nooshin Dalili, MD","CONTACT","00989122404331",null,"dr.nooshindalili@gmail.com",[35],{"facility":24,"status":36,"city":37,"state":32,"zip":32,"country":38,"countryCode":39,"cosmosGeoPoint":40,"geoPoint":45,"contacts":46},"RECRUITING","Tehran","Iran","IR",{"type":41,"coordinates":42},"Point",[43,44],51.42151,35.69439,{"lat":44,"lon":43},[47],{"name":25,"role":30,"phone":31,"phoneExt":32,"email":32},{"type":26,"investigatorFullName":49,"investigatorTitle":50,"investigatorAffiliation":5,"oldNameTitle":32,"oldOrganization":32},"nooshin dalili","Associate Professor of Nephrology","100625485","phase-4-tirzepatide-spartina-in-obese-kidney-transplant-recipients-100625485",false,"NCT07423247","Tirzepatide (Spartina) in Obese Kidney Transplant Recipients","Safety and Efficacy of Tirzepatide (Spartina) in Obese Kidney Transplant Recipients: A Pilot Study on Weight Loss, Gastrointestinal Tolerability, and Graft Function","Inclusion Criteria:\n\n* Age ≥ 18 years\n* Kidney transplant recipient with ≥12 months since transplantation\n* BMI ≥ 27 kg\u002Fm²\n* Stable graft function in the last 3 months (serum creatinine variation \\\u003C 20%)\n* Stable immunosuppressive regimen\n* Ability to provide written informed consent\n\nExclusion Criteria:\n\n* History of pancreatitis\n* Severe gastroparesis\n* History of medullary thyroid carcinoma (MTC) or MEN2 syndrome\n* eGFR \\\u003C 30 mL\u002Fmin\u002F1.73m²\n* Acute rejection episode within the past 6 months\n* Any condition judged by the investigator to interfere with study participation or safety","ALL","18 Years",{"count":61,"type":62},30,"ESTIMATED","INTERVENTIONAL",[65],"PHASE4","Post-transplant obesity is a common complication after kidney transplantation, largely attributed to recovery from uremia, increased appetite, sedentary lifestyle, and long-term corticosteroid exposure. Obesity in kidney transplant recipients increases the risk of cardiovascular disease, post-transplant diabetes mellitus (PTDM), and may contribute to graft injury through hyperfiltration-related mechanisms, potentially leading to reduced graft survival. Current approaches for weight management in transplant recipients, including lifestyle modification, are often insufficient, while bariatric surgery carries considerable risks and concerns regarding altered absorption of immunosuppressive medications.\n\nTirzepatide (Iranian brand name: Spartina), the first dual agonist of glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors, has demonstrated superior effects on weight reduction and glycemic control compared with earlier GLP-1 receptor agonists in the general population. However, its use in kidney transplant recipients requires careful evaluation due to potential gastrointestinal adverse effects, dehydration risk, and possible interaction with calcineurin inhibitor absorption caused by delayed gastric emptying.\n\nThis prospective single-arm pilot clinical trial aims to assess the preliminary safety and efficacy of tirzepatide in obese kidney transplant recipients with stable graft function. Outcomes include changes in anthropometric indices, percent weight change, gastrointestinal tolerability, immunosuppressive drug trough levels, and graft function over 24 weeks of treatment.",[17],"2026-02-13",{"date":70,"type":71},"2026-02-20","ACTUAL",{"date":73,"type":71},"2026-01-01",{"date":75,"type":62},"2026-09",{"name":5,"class":6},1]