Early Trial of Allogeneic Hematopoietic Stem Cell Transplantation for Patients Who Will Receive a Kidney Transplant From the Same Donor

Inclusion Criteria

• •Anticipated need for kidney transplant due to:
• •a. Underlying genetic/immunologic disease the following conditions i. SIOD ii. FSGS iii. Cystinosis iv. SLE v. Membranoproliferative glomerulonephritis vi. Renal vasculitis characterized by positivity of the presence of ANCA vii. Other genetic diseases leading to kidney disease requiring KT Or b. Patients who have rejected a previous KT regardless of the underlying disease
• •Chronic kidney disease (CKD) stage 3 or greater
• •Steroids \< 0.5 mg/Kg/day
• •The donor and recipient must be identical, as determined by high resolution typing, at least one allele of each of the following genetic loci: HLA-A, HLA-B, HLA-Cw, HLA-DQB1 and HLA-DRB1
• •Lansky/Karnofsky score \> 50; the Karnofsky Scale will be used in subjects ≥ 16 years of age, and the Lansky Scale will be used for those \< 16 years of age.
• •Able to give informed consent or have an LAR available to provide consent
• •Male and female subjects of childbearing potential must agree to use an effective means of birth control to avoid pregnancy throughout the transplant procedure, while on immunosuppression, and if the subject experiences any cGvHD
• •Serious concurrent uncontrolled medical disorders except for primary disease leading to chronic kidney disease
• •Lack of patient/parent/guardian informed consent
• •Any severe concurrent disease which, in the judgement of the investigator would place the patient at increased risk during participation in the study