MedPath

Tacrolimus During the Implantation and the Effect on Ischemia-reperfusion Injury in Liver Transplantation

Phase 4
Completed
Conditions
Ischemia Reperfusion Injury
Interventions
Other: Saline solution 0.9% (250mL)
Registration Number
NCT00609388
Lead Sponsor
Medical University of Vienna
Brief Summary

The evaluation of the efficacy of an intraportal infusion with Tacrolimus, at the time of liver graft implantation, compared to a control group without immunosuppressive intraportal infusion (Placebo: Saline solution 0.9%) with respect to the initial liver function measured by the parameters of the liver function (LFP): AST (U/L), ALT (U/L), total Bilirubin (mg/dL) and the coagulation factors: NT (%), PTT (s), INR.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Multi organ transplantation or retransplantation
  • ABO incompatible donor organ recipients- Patients, who are listed on the liver transplant-waiting list at the Vienna General Hospital and who fulfill the clinical requirements (local allocation)
  • Written informed consent
  • Age > 18
  • First transplantation
Exclusion Criteria
  • Fulminant failure of the liver
  • Liver-Living donor recipients
  • pregnant or nursing women
  • Allergy/Intolerance to antimetabolites, HCO-60, EL Cremophor or similar compounds,Steroids or macrolide antibiotics
  • HIV-positive donors or recipients
  • Participants of another clinical study
  • Patient has any form of substance abuse, psychiatric disorder or condition, which, in the opinion of the investigator, may invalidate communication.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BSaline solution 0.9% (250mL)Group B receives a placebo-Saline solution (0.9%)-Infusion, ATG induction, Tacrolimus and Steroids.
ATacrolimusGroup A receives an intraportal Tacrolimus-infusion, ATG Induction, Tacrolimus and Steroids.
Primary Outcome Measures
NameTimeMethod
initial liver function measured by the parameters of the liver function (LFP): AST (U/L), ALT (U/L), total Bilirubin (mg/dL) and the coagulation factors: NT (%), PTT(s),INR.Day 1,2,3; Weeks 6 and 12 post OLT
Secondary Outcome Measures
NameTimeMethod
Patient survival at 3 months post Txwithin the first 3 month
Serum parameters: TNF alpha, IL1, IL6within the first 3 month
Histopathology (before and after reperfusion)within the first 3 month
Frequency of rejection episodeswithin the first 3 month
Graft function (Serum) und graft survival at 3 months post Txwithin the first 3 month

Trial Locations

Locations (1)

General Hospital Vienna

🇦🇹

Vienna, Austria

© Copyright 2025. All Rights Reserved by MedPath