Hepatitis C, Kidney Failure
Conditions
Keywords
Kidney Transplant, Kidney Failure, HCV, Hepatitis C
Brief summary
This is a single center study characterizing the experience of administration of 8 weeks of pan-genotypic DAA therapy in kidney transplantation to prevent the transmission of hepatitis C virus infection from an HCV-positive donor kidney to an HCV-negative recipient.
Detailed description
The goal of this study is to determine if 8 weeks of preemptive and sustained administration of pan-genotypic DAA therapy after kidney transplant prevents the transmission of hepatitis C virus (HCV) infection from an HCV-positive donor kidney to an HCV-naive recipient.
Interventions
8 weeks of DAA treatment
Sponsors
Study design
Eligibility
Inclusion criteria
Recipient Inclusion Criteria: * Met MGH transplant center criteria and already listed for kidney transplant * Must agree to birth control. Women must agree to use birth control in accordance with Mycophenolate Risk Evaluation and Mitigation Strategy and at least one barrier method * No evidence of clinically significant liver disease at the time of transplant readiness as determined by the clinical team * Able to sign informed consent Recipient
Exclusion criteria
* Pregnant or nursing (lactating) women * HBV positivity (Ag or DNA) * Any contra-indication to kidney transplantation per center protocol Donor Inclusion Criteria * Detectable HCV NAT test * KDPI score is less than ≤ 0.850 * Traditional Donor Selection Criteria Met - acceptable for transplantation per usual evaluation Donor
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Undetectable HCV RNA | 12 weeks post-treatment | Negative HCV RNA 12 weeks after last dose of treatment |
| Rate of Serious and non-serious adverse events | 1 year post-transplant | Determine safety of HCV+ to HCV- kidney transplantation by determining rate of adverse events related to HCV viremia or DAA treatment |