Hepatitis E virus (HEV) infection in hematopoietic stem cell transplantation (HSCT) recipients Hepatitis E virus (HEV) Hematopoietic stem cell transplantation (HSCT) Chronic hepatitis E
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18 years or more. 2.Undergoing autologous or allogeneic hematopoietic stem cell transplantation (HSCT) during the study period 3.Able and willing to provide written informed consent
Exclusion criteria
Exclusion criteria: 1.History of solid organ transplantation 2.Known active chronic liver disease before HSCT with evidence of active disease including chronic hepatitis B with detectable HBV DNA, hepatitis C with detectable HCV RNA, active autoimmune hepatitis, active primary biliary cholangitis, active primary sclerosing cholangitis, or decompensated cirrhosis 3.Known active cytomegalovirus CMV, Epstein Barr virus EBV, adenovirus, or herpes simplex virus HSV hepatitis at enrollment 4.Sinusoidal obstruction syndrome or veno occlusive disease diagnosed before or at enrollment 5.Receipt of intravenous immunoglobulin IVIG within 3 months before enrollment 6. Inability or unwillingness to provide written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Baseline anti HEV IgG seroprevalence Before HSCT Proportion of participants with positive anti HEV IgG at baseline,Incidence of HEV infection Within 90 days after HSCT Proportion of participants with HEV RNA positivity and or anti HEV IgM positivity | — |
Secondary
| Measure | Time frame |
|---|---|
| Chronic HEV infection Day 90 Proportion of participants with persistent HEV RNA positivity for at least 3 months,Anti HEV IgG loss Day 90 Proportion of baseline anti HEV IgG positive participants who become anti HEV IgG negative,HEV related mortality Within 90 days after HSCT Number and proportion of deaths attributable to HEV infection,Risk factors for HEV infection Baseline to Day 90 after HSCT Association between demographic clinical and transplant related factors and HEV RNA positivity using logistic regression | — |
Countries
Thailand
Contacts
Faculty of Medicine, Chiang Mai University