Hepatitis C Virus (HCV) Positive Kidney Grafts in HCV Negative Recipients
Study Details
Study Description
Brief Summary
To determine the efficacy and safety of transplanting HCV positive kidney allografts to HCV sero-negative patients who are on the waiting list.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Recipient of HCV positive kidney graft A single center, open-label, pilot study examining 20 adult HCV negative kidney transplant patients who receive an HCV infected graft. Target start date for antiviral therapy will be within 3 months after kidney transplantation, unless extenuating clinical circumstances arise (such as the development of fibrosing cholestatic HCV, which would prompt earlier treatment, or clinical events or comorbidities which would prompt delay in treatment). |
Procedure: Kidney Transplantation
A HCV negative or previously successfully treated recipient with a HCV positive kidney graft
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Outcome Measures
Primary Outcome Measures
- 1-year graft and patient survival [From the date of transplant through the last day of 12 month post transplant]
Will track subjects post transplant for 12 months
Eligibility Criteria
Criteria
Inclusion Criteria:
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Male or female
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Age 18 and older
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English and Spanish speaking patients
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Active on the waiting list for kidney transplantation
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Donor organ with Antibody and NAT (nucleic acid test) positive for HCV
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HCV negative recipient; this includes patients who never had HCV and those with HCV previously eradicated with antiviral therapy. The latter is defined as those with undetectable HCV viral load at least 3 months since stopping therapy.
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Willing and able to provide written informed consent
Exclusion Criteria:
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Participants co-infected with HIV
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Donor previously treated with an NS5a containing regimen (if treatment history of donor known)
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Known allergies or hypersensitivity to DAA or RBV
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Pregnancy and/or actively breastfeeding
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Loma Linda University Health-Transplant Institute | Loma Linda | California | United States | 92354 |
Sponsors and Collaborators
- Loma Linda University
Investigators
- Principal Investigator: Michael E de Vera, MD, Loma Linda University Health
Study Documents (Full-Text)
None provided.More Information
Additional Information:
- Twelve-Month Outcomes After Transplant of Hepatitis C-Infected Kidneys Into Uninfected Recipients
- Direct-Acting Antiviral Prophylaxis in Kidney Transplantation From Hepatitis C Virus-Infected Donors to Noninfected Recipients
Publications
- Durand CM, Bowring MG, Brown DM, Chattergoon MA, Massaccesi G, Bair N, Wesson R, Reyad A, Naqvi FF, Ostrander D, Sugarman J, Segev DL, Sulkowski M, Desai NM. Direct-Acting Antiviral Prophylaxis in Kidney Transplantation From Hepatitis C Virus-Infected Donors to Noninfected Recipients: An Open-Label Nonrandomized Trial. Ann Intern Med. 2018 Apr 17;168(8):533-540. doi: 10.7326/M17-2871. Epub 2018 Mar 6.
- Reese PP, Abt PL, Blumberg EA, Van Deerlin VM, Bloom RD, Potluri VS, Levine M, Porrett P, Sawinski D, Nazarian SM, Naji A, Hasz R, Suplee L, Trofe-Clark J, Sicilia A, McCauley M, Gentile C, Smith J, Niknam BA, Bleicher M, Reddy KR, Goldberg DS. Twelve-Month Outcomes After Transplant of Hepatitis C-Infected Kidneys Into Uninfected Recipients: A Single-Group Trial. Ann Intern Med. 2018 Sep 4;169(5):273-281. doi: 10.7326/M18-0749. Epub 2018 Aug 7.
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