Status:
COMPLETED
Transplant-Related Accelerated Progression of Hepatitis C
Lead Sponsor:
National Institutes of Health Clinical Center (CC)
Conditions:
Hepatitis C
Cirrhosis
Eligibility:
All Genders
18+ years
Brief Summary
This study will explore why severe scarring of the liver (cirrhosis) develops so rapidly in hepatitis C-infected patients who have had a liver transplant and possibly in kidney transplant patients as ...
Detailed Description
Nearly all patients with hepatitis C virus (HCV) related end-stage liver disease who receive an orthotopic liver transplant (OLT) develop hepatitis C reinfection of the graft after transplantation. Mo...
Eligibility Criteria
Inclusion
- INCLUSION CRITERIA
- To fulfill criteria for study entry, the patient must:
- be 18 years of age or older.
- have detectable HCV RNA
- require orthotopic liver transplantation for chronic hepatitis C induced cirrhosis or require renal transplantation for end-stage kidney disease
- have a MELD score greater than 18 (for liver transplant patients) or have an otherwise high probability of receiving a liver or kidney transplant within six months of enrollment based on assessment by the clinical transplant team at each hospital.
- be able/willing to travel to the collaborating center for blood sampling prior to liver or kidney transplantation, and at 2, 3, 4, 5, 6, 8, 12, 16, 24 weeks after transplantation and then bi-annually until the end of the study at 5 years
- be willing to have study-related liver biopsies at 3 months, and then 1, 3 and 5 years after transplantation
- provide informed consent.
- EXCLUSION CRITERIA:
- To fulfill criteria for study entry, the patient must NOT:
- be HIV or Hepatitis B virus (HBsAg) positive
- receive a liver graft from an anti-HCV antibody positive or HBV core positive donor
- have other forms of liver disease including primary biliary cirrhosis, autoimmune hepatitis, hemochromatosis and Wilson's Disease
- have hepatocellular carcinoma if any single lesion is 5 cm. or more or if there are 3 or more lesions exceeding 3 cm.
- be on immunomodulatory medications such as corticosteroids within four weeks of collection of blood for pre-transplant baseline laboratory testing
- have been diagnosed with any hereditary or acquired immunodeficiency state prior to liver or kidney transplantation
Exclusion
Key Trial Info
Start Date :
June 22 2006
Trial Type :
OBSERVATIONAL
End Date :
January 22 2009
Estimated Enrollment :
100 Patients enrolled
Trial Details
Trial ID
NCT00368225
Start Date
June 22 2006
End Date
January 22 2009
Last Update
July 2 2017
Active Locations (3)
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1
Georgetown University
Washington D.C., District of Columbia, United States, 20007-2197
2
National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, United States, 20892
3
Inova Fairfax Hospital
Falls Church, Virginia, United States, 22042