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Outcomes in Hepatitis C After Living Donor Liver Transplantation in Association With Interleukin 28 B

Completed
Conditions
Hepatitis C
Interventions
Genetic: Interleukin 28B genotype
Registration Number
NCT01429155
Lead Sponsor
Henry Ford Health System
Brief Summary

Hepatitis C is the leading cause of liver transplants in the USA. Given that there is a national organ shortage, living donor liver transplantation has became a viable option for patients with end stage liver disease who are not severely ill. Recently particular polymorphisms of IL-28B gene were reported to correlate with histological recurrence and antiviral treatment response after orthotopic liver transplantation for hepatitis C. Similar results have not been described yet in living donor liver transplant patients.

There is data suggesting slightly inferior outcomes in living donor liver transplants when done for hepatitis C. The investigators postulate that such inferior outcomes may be related to IL28 polymorphism concordance (i.e., unfavorable recipient polymorphism patients receive similarly unfavorable polymorphism livers from their relatives).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Patients who received a living donor liver transplant for chronic hepatitis C who are 18 year or older
  • Patients who donated part of their liver to patients suffering from chronic hepatitis C. Donors must be 18 years or older
Exclusion Criteria
  • Patients who are not willing to sign the consent
  • Inability to obtain liver specimen (recipients)
  • Inability to obtain blood sample (donors)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Liver transplant recipeintsInterleukin 28B genotypePatients suffering from chronic hepatitis C that required a living donor liver transplant.
Liver DonorsInterleukin 28B genotypePatients who donated part of their liver to a patient suffering from chronic hepatitis C
Primary Outcome Measures
NameTimeMethod
Sustained virological response after living donor liver transplant12-24 months

Determine if sustained virological response is achieved after liver transplantation for hepatitis C with antiviral therapy (rivabirin and pegelated interferon) based on patient IL28B genotype

Secondary Outcome Measures
NameTimeMethod
Liver retransplantation1-24 months

Determine the need of liver retransplantion based on the IL 28B genotype

Trial Locations

Locations (1)

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

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