Cirrhosis, Hepatitis C
Conditions
Keywords
cirrhosis, hepatitis C
Brief summary
The main goal of this study is to prevent liver allograft infection with Hepatitis C virus in hepatitis C positive patients undergoing liver transplantation. The hypothesis is that patients who receive ribavirin immediately before transplant and intravenous interferon alfa 2b during the anhepatic phase(while the liver is removed)will have sustained virologic response post liver transplant.
Detailed description
The study is evaluating intravenous interferon given during the anhepatic phase of lvier transplant. Ribavirin was given as well. Serial measurements for HCV RNA were determined 12, 24 72, 96 hrs and 4 weeks after liver transplant.
Interventions
IV interferon 5MU during anhepatic phase
Sponsors
Study design
Eligibility
Inclusion criteria
* liver transplant for hepatitis c
Exclusion criteria
* allergy to interferon
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HCV RNA Result | 4 weeks after liver transplant | Will measure mean HCV RNA levels 4 weeks after liver transplant |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| IV Interferon IV interferon oral ribavirin
Aims The purpose of this study was to determine the safety and effect of intravenous interferon (IFN) during the anhepatic phase of LT on hepatitis C viral load. Methods Fifteen consecutive subjects undergoing liver transplant for hepatitis C cirrhosis were enrolled in the study, ten of which received study drug and five subjects served as controls. Cases received weight-based ribavirin and subcutaneous IFN at time of incision followed by intravenous IFN at the start of the anhepatic phase. | 10 |
| no Treatment standard of care for liver transplant | 5 |
| Total | 15 |
Baseline characteristics
| Characteristic | no Treatment | IV Interferon | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 5 Participants | 10 Participants | 15 Participants |
| Age, Continuous | 55.8 years | 57 years | 56.4 years |
| Region of Enrollment United States | 5 participants | 10 participants | 15 participants |
| Sex: Female, Male Female | 1 Participants | 0 Participants | 1 Participants |
| Sex: Female, Male Male | 4 Participants | 10 Participants | 14 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 1 / 10 | 0 / 5 |
| serious Total, serious adverse events | 3 / 10 | 0 / 5 |
Outcome results
HCV RNA Result
Will measure mean HCV RNA levels 4 weeks after liver transplant
Time frame: 4 weeks after liver transplant
| Arm | Measure | Value (MEAN) |
|---|---|---|
| IV Interferon | HCV RNA Result | 924,082 IU/ml |
| no Treatment | HCV RNA Result | 3,731,749 IU/ml |