Hepatitis C reinfection after liver transplantation Infections and Infestations Chronic viral hepatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Males, females above the age of 18 2. HCV reinfection after liver transplantation 3. 3 to 120 months after liver transplantation 4. Histology showing hepatitis 5. Negative pregnancy test 6. Willingness to give written informed consent
Exclusion criteria
Exclusion criteria: 1. Histology showing acute or chronic rejection 2. Hypersensivity to ribavirin, interferon 3. HCV-positive donor 4. Pretreatment with pegylated interferon plus/minus ribavirin 5. Pretreatment with interferon plus ribavirin 6. Pregnancy 7. Active cytomegalovirus (CMV), hepatitis B virus (HBV), hepatitis A virus (HAV) infection 8. Liver cirrhosis, Child Pugh stages B or C 9. Alpha fetoprotein >100 ng/m 10. Bilirubin >3.0 mg/d 11. Creatinine clearance 11,000/µl 16. Platelets <75,000/µl 17. Patients at special risk for anemia 18. Patients at special risk for complications induced by anemia 19. Autoimmune disease 20. Functionally relevant chronic lung disease 21. Severe cardiovascular disease 22. Psychiatric disease, especially depression 23. Epilepsy 24. Carcinoma 25. Difficult to treat thyroid disease 26. Retinopathy 27. Difficult to treat diabetes mellitus 28. Active drug abuse, including alcohol abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sustained viral clearance (HCV RNA negative, 24 weeks after the end of treatment). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Biochemical response (normal alanine aminotransferase [ALT], 24 weeks after the end of treatment) 2. On treatment virological response (HCV RNA negative after 12, 24, 48 weeks) 3. On treatment biochemical response (ALT normal after 12, 24, 48 weeks) 4. Histological response (24 weeks after the end of treatment) | — |
Countries
Germany