Assessment of Biomarkers for Recurrent HCV Infection Post-liver Transplantation

This study has been completed.
Sponsor:
Collaborator:
Novartis
Information provided by (Responsible Party):
University of Alberta
ClinicalTrials.gov Identifier:
NCT00710801
First received: July 2, 2008
Last updated: September 14, 2011
Last verified: September 2011
  Purpose

The purpose of this study is to learn about how different immunosuppressant therapies impact on recurrent hepatitis C virus infection in the new liver after liver transplant. We will be evaluating if Cyclosporin A has a superior effect against recurrent Hepatitis C virus (HCV) infection than Tacrolimus.


Condition
Hepatitis C Virus

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Randomized, Open-label Study to Evaluate the Hepatitis C Virus (HCV) Burden in Patients Receiving Cyclosporine (Neoral or CSA) Versus Tacrolimus (Prograf) in de Novo Liver Recipients Receiving Mycophenolate Sodium (Myfortic): Assessment of Biomarkers for Recurrent HCV Infection Post-liver Transplantation

Resource links provided by NLM:


Further study details as provided by University of Alberta:

Biospecimen Retention:   Samples With DNA

Serum Tissue


Estimated Enrollment: 40
Study Start Date: May 2005
Detailed Description:

We will address the hypothesis that CSA has a superior antiviral effect against HCV than Tacrolimus by assessing serial HCV RNA levels in serum. We plan to address the hypothesis that CSA is more efficient in limiting viremia than Tacrolimus and that viremia is predictive of long-term clinical outcome of hepatic fibrosis that is known to impact on both graft and patient survival

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

HCV positive patients undergoing orthotopic liver transplantation

Criteria

Inclusion Criteria:

  • About to undergo a primary liver transplant (including living donor, split liver) and are HCV positive.
  • Willing and capable of giving written consent for study participation
  • Expected to be capable of study participation for full 24 months post-transplantation.
  • Allograft biopsies will be possible
  • Expected use of calcineurin inhibitor (Neoral or Tacrolimus) as primary immunosuppression An immunosuppressive regimen consisting of a calcineurin inhibitor (Neoral or Tacrolimus) in combination with Simulect and MYCOPHENOLATE SODIUM

Exclusion Criteria:

  • This is a multi-organ transplant or if the patient has previously been transplanted with any other organ.
  • This is a liver transplant from a non-heart beating donor.
  • This is an ABO incompatible transplant.
  • Patients with serum creatinine level > 250 umol/L.
  • The recipient is seropositive for human immunodeficiency virus (HIV) antibodies.
  • Fulminant liver failure is the reason for transplant.
  • Patient is participating in other clinical trial involving exploratory drug
  • There is a known malignancy, or a history of malignancy, other than successfully treated non-metastatic basal or squamous cell carcinoma of the skin, or hepatocellular carcinoma less than 5 cm meeting Milan criteria for transplantation5.
  • The patient is being transplanted for hepatic malignancy with greater than 5 known lesions.
  • Severe coexisting disease is present or if any unstable medical condition is present which could affect the study objectives.
  • A female transplant candidate is pregnant, lactating or of childbearing potential and not practicing an acceptable method of contraception.
  • An unlicensed drug or therapy has been administered within one month prior to study entry or if such therapy is to be instituted post-transplantation.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00710801

Locations
Canada, Alberta
University of Alberta Hospital
Edmonton, Alberta, Canada, T6G 2B7
Sponsors and Collaborators
University of Alberta
Novartis
Investigators
Principal Investigator: Andrew L Mason, MD University of Alberta
  More Information

No publications provided

Responsible Party: University of Alberta
ClinicalTrials.gov Identifier: NCT00710801     History of Changes
Other Study ID Numbers: COLO400A2427
Study First Received: July 2, 2008
Last Updated: September 14, 2011
Health Authority: Canada: Ethics Review Committee
Canada: Health Canada

Keywords provided by University of Alberta:
Hepatitis C Virus
HCV
Liver Transplant
Cyclosporine
Tacrolimus
Myfortic

Additional relevant MeSH terms:
Hepatitis
Hepatitis A
Hepatitis C
Liver Diseases
Digestive System Diseases
Hepatitis, Viral, Human
Virus Diseases
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Flaviviridae Infections
Cyclosporins
Cyclosporine
Tacrolimus
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Antifungal Agents
Anti-Infective Agents
Therapeutic Uses
Dermatologic Agents
Antirheumatic Agents

ClinicalTrials.gov processed this record on July 20, 2014