Liver Transplantation Results in Hepatocellular Carcinoma Patients With Immunosuppression Without Steroids

NCT ID: NCT01137084

Last Updated: 2010-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-01-31

Study Completion Date

2009-12-31

Brief Summary

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The purpose of this study was to evaluate the safety and efficacy of a steroid-free immunosuppression protocol in Hepatocellular Carcinoma (HCC) patients.

Detailed Description

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Conditions

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Immunosuppression Hepatocellular Carcinoma Liver Transplantation Post-operative Complications

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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a steroid immunosuppression protocol

Group Type ACTIVE_COMPARATOR

solu medrol

Intervention Type DRUG

total dose 20mg/kg, including first dose 10mg/kg, rest of drug given within one weeks after liver transplantation

a steroid-free immunosuppression protocol

without steroid

Group Type ACTIVE_COMPARATOR

a steroid-free immunosuppression protocol

Intervention Type DRUG

receive immunosuppression with Basiliximab(20mg/day,twice following transplantation) and tacrolimus(0.06/kg/d,twice a day) without steroids.

Interventions

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solu medrol

total dose 20mg/kg, including first dose 10mg/kg, rest of drug given within one weeks after liver transplantation

Intervention Type DRUG

a steroid-free immunosuppression protocol

receive immunosuppression with Basiliximab(20mg/day,twice following transplantation) and tacrolimus(0.06/kg/d,twice a day) without steroids.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* All liver transplantation patients with hepatocellular carcinoma in our center between Jan 2005 and Dec 2009 were potentially eligible for enrollment

Exclusion Criteria

* the recipient pass away within 3 month following up liver transplantation
* Inability to provide written informed consent prior to study entry
* acute rejection are treated only with steroids
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Fujian Medical University

OTHER

Sponsor Role collaborator

Nanchang University

OTHER

Sponsor Role collaborator

Zhejiang University

OTHER

Sponsor Role collaborator

Shanghai Changzheng Hospital

OTHER

Sponsor Role collaborator

Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Principal Investigators

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Zhi-Hai Peng, MD

Role: STUDY_CHAIR

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Locations

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Shanghai First People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Foroncewicz B, Mucha K, Ryszkowska E, Ciszek M, Ziolkowski J, Porowski D, Krawczyk M, Paczek L. Safety and efficacy of steroid-free immunosuppression with tacrolimus and daclizumab in liver transplant recipients: 6-year follow-up in a single center. Transplant Proc. 2009 Oct;41(8):3103-6. doi: 10.1016/j.transproceed.2009.07.082.

Reference Type RESULT
PMID: 19857686 (View on PubMed)

Sutherland S, Li L, Concepcion W, Salvatierra O, Sarwal MM. Steroid-free immunosuppression in pediatric renal transplantation: rationale for and [corrected] outcomes following conversion to steroid based therapy. Transplantation. 2009 Jun 15;87(11):1744-8. doi: 10.1097/TP.0b013e3181a5df60.

Reference Type RESULT
PMID: 19502970 (View on PubMed)

Li L, Chang A, Naesens M, Kambham N, Waskerwitz J, Martin J, Wong C, Alexander S, Grimm P, Concepcion W, Salvatierra O, Sarwal MM. Steroid-free immunosuppression since 1999: 129 pediatric renal transplants with sustained graft and patient benefits. Am J Transplant. 2009 Jun;9(6):1362-72. doi: 10.1111/j.1600-6143.2009.02640.x. Epub 2009 May 13.

Reference Type RESULT
PMID: 19459814 (View on PubMed)

Mastrobuoni S, Ubilla M, Cordero A, Herreros J, Rabago G. Two-dose daclizumab, tacrolimus, mycophenolate mofetil, and steroid-free regimen in de novo cardiac transplant recipients: early experience. Transplant Proc. 2007 Sep;39(7):2163-6. doi: 10.1016/j.transproceed.2007.06.073.

Reference Type RESULT
PMID: 17889125 (View on PubMed)

Humar A, Crotteau S, Gruessner A, Kandaswamy R, Gruessner R, Payne W, Lake J. Steroid minimization in liver transplant recipients: impact on hepatitis C recurrence and post-transplant diabetes. Clin Transplant. 2007 Jul-Aug;21(4):526-31. doi: 10.1111/j.1399-0012.2007.00683.x.

Reference Type RESULT
PMID: 17645714 (View on PubMed)

Other Identifiers

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20100603

Identifier Type: -

Identifier Source: org_study_id

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