Liver fibrosis in patients infected with hepatitis C virus after liver transplantation. MedDRA version: 9.1 Level: HLT Classification code 10019669 Term: Hepatic fibrosis and cirrhosis MedDRA version: 9.1 Level: LLT Classification code 10008912 Term: Chronic hepatitis C MedDRA version: 9.1 Level: LLT Classification code 10010186 Term: Complications of transplanted liver
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. HCV infection. 2. Age >17. 3. Liver transplant within previous 4 months. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Patients requiring anticoagulation for existing clinical indications. 2. Standard contraindications to anticoagulation (active peptic ulcer disease, past history of haemorrhagic stroke, thrombocytopaenia (Platelets count < 90 x109 /L). 3. Large oesophageal varices persisting post-transplant. 4. Known cerebrovascular abnormalities. 5. HIV antibody positive. 6. Baseline fibrosis score of 2 or greater.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the impact of anticoagulation on the progression of liver fibrosis in patients who have received a liver transplant for hepatitis C related disease. ;Secondary Objective: 1. To determine whether hepatic stellate cell activation is diminished in patients who are anticoagulated. 2. To determine if the presence of thrombophilia promotes fibrosis in patients after liver transplantation. 3. To evaluate non-invasive markers of liver fibrosis. ;Primary end point(s): Stage of liver fibrosis on liver biopsy after two years of anticoagulation therapy compared to controls. | — |
Countries
United Kingdom