Actively Recruiting

Age: 18Years +
All Genders
ID03193151

Diagnostic and Therapeutic Applications of Microarrays in Liver Transplantation, a Multicenter Study

Led by University of Alberta · Updated on 2026-06-04

300

Participants Needed

15

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating the relationship between the molecular characteristics of liver transplant biopsies and their traditional histologic and clinical features. This observational study aims to improve the accuracy of diagnosing liver transplant dysfunction by adapting a new molecular diagnostic system called the Molecular Microscope4 Diagnostic System (MMDx), which integrates molecular, histological, clinical, and laboratory data. The study is conducted by the University of Alberta and includes centers in North America and Europe. The study involves collecting liver transplant biopsy samples taken for clinical reasons or center protocols. These biopsies are analyzed to assign molecular scores indicating the likelihood of T cell mediated rejection or antibody mediated rejection. The project will develop and validate this molecular diagnostic approach using 300 biopsies and aims to provide results in real time within two working days after biopsy receipt. Participants contribute biopsy samples collected as part of their standard clinical care. The research team will analyze these samples for molecular markers related to transplant rejection and compare them to traditional biopsy findings. Results will be communicated to clinicians using a user-friendly reporting format. The primary outcome is to assign molecular probabilities of rejection within two years, with a secondary outcome to deliver these assessments promptly within one year. The study plans to collect up to 900 biopsies in total and follows participants over time to evaluate diagnostic performance.

CONDITIONS

Brief Title

Diagnostic and Therapeutic Applications of Microarrays in Liver Transplantation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Biopsy performed for clinical indications
Not Eligible

You will not qualify if you...

  • No consent given
  • Pregnant women

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Ongoing as biopsies are performed

Participants undergo liver biopsy for clinical indication to obtain tissue for molecular and histopathological analysis.

1 biopsy procedure visit (in-person)

Long-term Monitoring

Duration - Up to 2 years

Participants are observed as their biopsy results are analyzed using the Molecular Microscope® Diagnostic System to improve diagnostic accuracy in liver transplantation.

Follow-up assessments as part of routine care; no additional study visits required

Trial Site Locations

Total: 15 locations

1

University of California San Francisco, Transplant Research Unit

San Francisco, California, United States, 94143

Completed

2

Northwestern Memorial Hospital

Chicago, Illinois, United States, 60611

Completed

3

University of Maryland School of Medicine

Baltimore, Maryland, United States, 21201

Completed

4

Henry Ford Transplant Institute

Detroit, Michigan, United States, 48202

Actively Recruiting

5

Vanderbilt University Medical Center, Vanderbilt Transplant Center

Nashville, Tennessee, United States, 37232

Withdrawn

6

Baylor University Medical Center, Annette C. and Harold C. Simmons Transplant Institute

Dallas, Texas, United States, 75246

Completed

7

Transplant Surgery, VCU Medical Center

Richmond, Virginia, United States, 23298

Completed

8

Division of Transplant Surgery, University of Washington

Seattle, Washington, United States, 98195

Completed

9

Centenary Institute of Cancer Medicine & Cell Biology, Royal Prince Alfred Hospital

Camperdown, Australia, NSW 2050

Completed

10

University of Alberta, Laboratory Medicine and Pathology

Edmonton, Alberta, Canada, T6G 2R7

Completed

11

Dep. of Nephrology, Transplantation & Internal Med., Samodzielny Publiczny Szpital Kliniczny im. A. Mieleckiego

Katowice, Poland, 40-027

Completed

12

Independent Public Composite Regional Hospital

Szczecin, Poland, 71-455

Completed

13

Warsaw Medical University, Jesus the Child Clinical Hospital

Warsaw, Poland, 02-005

Completed

14

Warsaw Medical University, Independent Public Clinical Hospital

Warsaw, Poland, 02-097

Completed

15

Institute for Liver Science, King's College London

London, United Kingdom, SE5 9NU

Completed

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Research Team

K

Konrad S Famulski, PhD

R

Robert Polakowski, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Precision diagnostics in transplanted organs using microarray-assessed gene expression: concepts and technical methods of the Molecular Microscope® Diagnostic System (MMDx).

Katelynn S Madill-Thomsen, Philip F Halloran

https://pubmed.ncbi.nlm.nih.gov/38819301

Defining an NK Cell-enriched Rejection-like Phenotype in Liver Transplant Biopsies From the INTERLIVER Study.

Katelynn S Madill-Thomsen, Patrick T Gauthier, Marwan Abouljoud...

https://pubmed.ncbi.nlm.nih.gov/39780312

The molecular diagnosis of rejection in liver transplant biopsies: First results of the INTERLIVER study.

Katelynn Madill-Thomsen, Marwan Abouljoud, Chandra Bhati...

https://pubmed.ncbi.nlm.nih.gov/32090446

The molecular phenotypes of injury, steatohepatitis, and fibrosis in liver transplant biopsies in the INTERLIVER study.

Katelynn S Madill-Thomsen, Marwan Abouljoud, Chandra Bhati...

https://pubmed.ncbi.nlm.nih.gov/34780106