Join the

Registry

Shaping the future of transplant monitoring through real-world evidence.

The GALACTIC Registry (GraftAssure Lowering Allograft rejeCTIon by Combination) is an observational, multi-center study enrolling up to 5,000 kidney transplant recipients across 50 centers. By contributing real-world data, participating sites help evaluate new approaches to dd-cfDNA measurement and support the future of transplant diagnostics.

Advancing Real-World Evidence in Transplant Monitoring

Dd-cfDNA testing is reshaping how transplant teams detect and respond to graft rejection. Yet the field still lacks large-scale, real-world data comparing integrated, absolute, and relative measurement approaches across diverse patient populations.

Exclusive to the GraftAssure platform, the GraftAssure™ Combination Model Score integrates the relative and absolute dd-cfDNA measurements into a single actionable result designed to improve confidence in rejection assessment. Published data demonstrate enhanced specificity and PPV (rule-in performance) compared with either metric alone.1 Utilizing the Combination Model Score alongside the relative and the absolute metrics enhances the detection of allograft injury and monitoring organ transplant health, which can ultimately help clinicians make more informed patient management decisions.

Key Areas of Evaluation:

Benefits to Your Program

Participating centers gain direct access to the tools and evidence needed to move toward faster, more economical in-house dd-cfDNA testing.

Evaluate the GraftAssureCore™ Laboratory Developed Test

Assess iMDx’s dd-cfDNA testing service alongside your existing send-out workflows during Part 1.

A pathway to in-house testing

Part 2 offers eligible sites an optional transition to in-house testing following FDA authorization.

Access to GraftAssure™ Combination Model Score

Experience the clinical differentiation from the novel algorithm, which combines the measurement of absolute and relative quantification

Real-world clinical evidence

Your longitudinal data contributes directly to the clinical case for advancing transplant monitoring.

Publication opportunities

Participating centers are positioned to contribute to scientific publications and presentations alongside leading transplant programs.

Ready to learn more?

Request the full protocol, eligibility criteria, and onboarding details.

Study Design at a Glance

The registry follows patients longitudinally and cross-sectionally, collecting dd-cfDNA data at scheduled intervals and as clinically indicated to reflect real-world practice.

Type

Observational, prospective, multi-center registry

Patients

Up to 5,000 kidney transplant recipients

Sites

Up to 50 transplant centers

Duration

>3-year enrollment (Potential for longer follow-up)

Simple Path to Participation

How It Works:

Participation is designed to integrate with standard clinical workflows, with options for centralized testing and potential transition to on-site testing. 

What Sites Contribute:

All data collection follows IRB-approved protocols and applicable privacy standards.

Contribute to the Future of Transplant Diagnostics

Participation in the GALACTIC Registry enables transplant centers and laboratories to contribute to large-scale evidence generation and collaborate in advancing dd-cfDNA research.

Multi-Center

Participation in multi-center research

Evidence Development

Contribution to real-world evidence development

Scientific Collaboration

Opportunities for scientific collaboration and publication

Transplant Network

Engagement with a network of transplant programs

1. Louise Benning, et al, Improving diagnostic performance of kidney allograft rejection with a model combining relative fraction and absolute copies of donor-derived cell-free DNA – results from five independent cohorts, American Journal of Transplantation, 2026 https://doi.org/10.1016/j.ajt.2026.06.004.

Interested in learning more?

Connect with the iMDx study team to receive the full protocol, eligibility criteria, and onboarding information.

Request Registry Information

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1. Louise Benning, et al, Improving diagnostic performance of kidney allograft rejection with a model combining relative fraction and absolute copies of donor-derived cell-free DNA – results from five independent cohorts, American Journal of Transplantation, 2026 https://doi.org/10.1016/j.ajt.2026.06.004.