Dear Friends,
Recent progress in clinical xenotransplantation has instilled hope of survival in millions of patients throughout the world who are ineligible for traditional human organ transplant. The International Xenotransplantation Association (IXA) has been on the forefront for over 35 years in advocating for this life saving option. IXA is a group of Physicians and Scientists sincere in pushing this field forward and making it a clinical reality.
We need your support and as the President of IXA, I invite you to join our association and bring your ideas to the platform of IXA where we can work together and further energize this field.
We also have an exciting meeting planned in Geneva, Switzerland on September 30-October 1, 2025.
Please see the links for our membership and scientific meeting below.
Wishing you Happy Holidays and a wonderful New Year!
Muhammad Mansoor Mohiuddin
President, IXA
The Association seeks to achieve a geographically balanced representation of Council in proportion to our membership and therefore ask for nominations from Asia, Europe and North America.
President-Elect: (6 year term - 2 years as President-Elect, 2 years as President and 2 years as Past President)
The President-Elect shall be the Vice President of IXA. Subject to the directions of the Council, he/she shall take part in the general supervision of the business and affairs of IXA and shall perform all duties incident to the office of a Vice President of a corporation, and such other duties as from time to time may be assigned to him/her by the Council or as may be delegated to him/her by the President.
Secretary-Treasurer: (4 year term)
He/she shall see that all notices are duly given in accordance with the provisions of law and these bylaws. The Secretary-Treasurer shall have charge and be responsible for all funds, securities, receipts and authorized disbursements of the Association, and shall deposit, or cause to be deposited, in the name of the Association, all Monies or other valuable effects in such banks, trust companies or other depositories as shall, from time to time, be selected by the Council. He/she shall render to the President and to the Council, whenever requested, an account of the financial condition of the Association. In general, he/she shall perform all duties incident to the offices of a secretary and a treasurer of a corporation, and such other duties as from time to time may be assigned to him/her by the Council.
Councilor: (4 year term)
A Councilor of IXA shall attend all Council meetings whenever possible, participate in advancing the objectives of IXA and provide mentorship to trainees in their field. In general, he/she shall perform any duties that from time to time may be assigned to him/her by the Council.
To be eligible for election the candidate must be a Full Member in good standing of the IXA at the time of their nomination and during their term of office. Nominations must be completed online via the link below and using your member login.
To nominate, you will need the following information:
Nominations must be completed by February 2, 2025 at 11:59 PM ET.
The recipient was a 62-year-old man living with end-stage kidney disease (ESKD) with a failed prior allograft and without functioning vascular access who was subsequently discharged from the hospital for continued care. Details are being prepared for peer-reviewed publication. This was a major milestone in advancing clinical xenotransplantation. This transplant was based on decades of preclinical xenotransplantation research at MGH and other xenotransplant research programs worldwide. The gene-edited pig kidney carried 69 genomic edits including multiple modifications to address immune and coagulation incompatibilities as well as inactivation of the porcine endogenous retrovirus (performed by eGenesis of Cambridge, Massachusetts).
A subsequent living xeno-kidney recipient at the NYU Langone Medical Center (NYU) in New York City, USA was for a 54 year old woman with heart and kidney failure who received a both a ventricular support device and subsequent gene edited combined thymo-kidney xenograft and is doing well. The added thymic graft is intended to enhance long term immune compatibility in the recipient. This compassionate use living xenotransplantation follows on the heels of studies at NYU of multiple xeno-kidney implants into brain dead human recipients.
Both are major steps in the quest to provide more readily available organs to patients. It is notable that the two teams have deployed differing immunosuppressive regimens and pigs carrying different genetic edits to achieve renal replacement. The field of transplantation will benefit from insights gained from this experience. These efforts depend on large teams at each center as well as important collaborations with industrial partners who have developed source animals, immunosuppressive agents, and diagnostic tools deployed for these therapies.
The field of xenotransplantation is most grateful to the two remarkable kidney recipients in these pioneering surgeries, whose courage and support have allowed these advances.
On behalf of the International Xenotransplantation Association Council
BOSTON – MARCH 2024 - Massachusetts General Hospital (MGH), a founding member of the Mass General Brigham health care system, announced the world’s first successful transplant of a genetically-edited pig (porcine) kidney into a 62-year-old man living with end-stage kidney disease (ESKD). Surgeons from the Mass General Transplant Center conducted the four-hour- long surgery on Saturday, March 16. The procedure marks a major milestone in the quest to provide more readily available organs to patients.
The patient is recovering well at MGH and is expected to be discharged soon.
Under the leadership of Leonardo V. Riella, MD, PhD, Medical Director for Kidney Transplantation, Tatsuo Kawai, MD, PhD, Director of the Legorreta Center for Clinical Transplant Tolerance, along with Nahel Elias, MD, Interim Chief of Transplant Surgery and Surgical Director for Kidney Transplantation, a genetically-edited pig kidney with 69 genomic edits was successfully transplanted into a living patient. MGH transplant clinicians and surgeons have nearly 30 years of experience with xenotransplantation research. IXA members in attendance were recognized at the press briefing including Drs. David Sachs, David Cooper, Richard (Robin) Pierson, Joren Madsen, and Jay Fishman.
“Mass General Brigham researchers and clinicians are constantly pushing the boundaries of science to transform medicine and solve significant health issues facing our patients in their daily lives,” said Anne Klibanski, MD, President and CEO, Mass General Brigham. “Nearly seven decades after the first successful kidney transplant, our clinicians have once again demonstrated our commitment to provide innovative treatments and help ease the burden of disease for our patients and others around the world.”
“The tireless commitment of our clinicians, researchers and scientists to improving the lives of our transplant patients – both current and future – is at the very heart and soul of academic medicine and what it means to work and provide care at Mass General Brigham,” said David F. M. Brown, MD, President, Academic Medical Centers, Mass General Brigham. “We are so thankful to the incredible staff throughout our hospitals who helped make this surgery a success, and to the patient for his bravery and courage.”
“The success of this transplant is the culmination of efforts by thousands of scientists and physicians over several decades. We are privileged to have played a significant role in this milestone. Our hope is that this transplant approach will offer a lifeline to millions of patients worldwide who are suffering from kidney failure,” Kawai said.
The pig kidney was provided by eGenesis of Cambridge, Mass., from a pig donor that was genetically-edited using CRISPR-Cas9 technology to remove harmful pig genes and add certain human genes to improve its compatibility with humans. Additionally, eGenesis scientists inactivated porcine endogenous retroviruses in the pig donor to eliminate risks due to these organisms in humans. Dr. Jay Fishman, President-elect of IXA, Professor of Medicine, and Director of the MGH Transplant Infectious Disease Program, with eGenesis scientists have developed an extensive testing strategy for the pigs and for the kidney recipient to reduce potential risks of infection. The procedure was performed under a single FDA Expanded Access Protocol (EAP) which was rigorously reviewed by the FDA before its approval in late February. This compassionate use protocol also included infusion of novel immunosuppressant drugs, tegoprubart, provided by Eledon Pharmaceuticals, Inc., and ravulizumab, provided by Alexion Pharmaceuticals, Inc.
“We are grateful for the courageous contribution of the patient and to the advancement of transplantation science,” said Mike Curtis, Chief Executive Officer, eGenesis. “We congratulate our collaborators at MGH on this historic milestone. We also recognize the work and dedication of the eGenesis team that made this achievement possible. This represents a new frontier in medicine and demonstrates the potential of genome engineering to change the lives of millions of patients globally suffering from kidney failure.”
This successful procedure in a living kidney recipient is a further historic milestone in xenotransplantation and extends observations in decedent recipients and recent cardiac xenotransplants to clinical applications. Kidneys are the most common organ needed for transplant with end-stage kidney disease rates estimated to increase 29-68 percent in the U.S. by 2030.
“The real hero today is the patient, as the success of this pioneering surgery, once deemed unimaginable, would not have been possible without his courage and willingness to embark on a journey into uncharted medical territory said Joren C. Madsen, MD, DPhil, Director of the MGH Transplant Center.
“The continued success of this groundbreaking kidney transplant represents a true milestone in the field of transplantation. It also represents a potential breakthrough in solving one of the more intractable problems in our field, that being unequal access for ethnic minority patients to the opportunity for kidney transplants due to the extreme donor organ shortage and other system-based barriers. This health disparity has been the target of many national policy initiatives for over 30 years, with only limited success. An abundant supply of organs resulting from this technological advance may go far to finally achieve health equity and offer the best solution to kidney failure – a well-functioning kidney – to all patients in need.” Williams said
International Xenotransplantation Association
C/O The Transplantation Society
International Headquarters
740 Notre-Dame Ouest
Suite 1245
Montréal, QC, H3C 3X6
Canada