Hepatitis B Antigen Kidney Graft Into Protective Level Hepatitis B Antibody Recipients

NCT ID: NCT02044588

Last Updated: 2014-01-24

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

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2000-01-31

Brief Summary

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To determine the safety of using kidney organ from hepatitis B surface antigen positive donor, the author conducted the single-center, prospective study of the use of these kidneys for recipients who have protective level of hepatitis B surface antibodies.

Detailed Description

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The kidney transplant registry was conducted in KCMH since the year of 2000 until the present.

The inclusion criterion was:

* All kidney allograft recipients who received at least one month after transplantation.
* All kidney recipients who already had the protective antibody against hepatitis B virus infection defined by anti-HBs titer above 100 mIU/mL at pre-transplantation period.

The exclusion criterion was:

* The recipients with positive hepatitis C virus antibody.
* The recipients who had received a previous or simultaneous non-kidney solid organ transplant.
* The recipients those lost to follow-up.

Study group:

* The recipients who received kidney allograft from the HBsAg(+) donor.

Control group:

* The recipients who received kidney allograft from the HBsAg(-) donor.

According to the Thai Red Cross National Organ Donation and our institute's policy, the HBsAg(+) kidney allografts were distributed to only and informed consent.

Data collection:

* Baseline characteristic data e.g. donor and recipient age, donor and recipient gender, HLA, PRA, anti-HBs titer, immunity against HBV status (both natural and vaccinated),immunosuppressive regimens were collected.
* The recipients were prospective followed up at month 3, 6, 9, 12, 18, 24, 36, 48, 60, 72, 84, 96, 108, 120.
* Clinical data including jaundice, hepatitis, graft rejection were collected
* Laboratory data of HBsAg, anti-HBc, HBV DNA, SGOT, SGOT, eGFR were collected.
* Pathological data of allograft biopsy at month 12 and 24 were retrieved.

Outcomes:

* Primary outcome: hepatitis B transmission rate.
* Secondary outcome: graft survival, patient survival.

Conditions

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HBsAg(+) Donor Kidney Allograft HBsAg(-) Donor Kidney Allograft

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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HBsAg negative kidney allograft donor

No interventions assigned to this group

HBsAg positive kidney allograft donor

HBsAg positive kidney allograft donor

HBsAg positive kidney allograft donor

Intervention Type BIOLOGICAL

Interventions

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HBsAg positive kidney allograft donor

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* All kidney allograft recipients who received at least one month after transplantation.
* All kidney recipients who already had the protective antibody against hepatitis B virus infection defined by anti-HBs titer above 100 mIU/mL at pre-transplantation period.

The exclusion criterion was:

* The recipients with positive hepatitis C virus antibody.
* The recipients who had received a previous or simultaneous non-kidney solid organ transplant.
* The recipients those lost to follow-up.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chulalongkorn University

OTHER

Sponsor Role lead

Responsible Party

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Wiwat Chancharoenthana

Division of Nephrology, Department of Medicine, Faculty of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wiwat Chancharoenthana, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

Chulalongkorn University

Locations

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Wiwat Chancharoenthana

Bangkok, Bangkok, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Wiwat Chancharoenthana, MD, MSc

Role: CONTACT

Facility Contacts

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Wiwat Chancharoenthana, MD, Msc

Role: primary

References

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Chancharoenthana W, Townamchai N, Pongpirul K, Kittiskulnam P, Leelahavanichkul A, Avihingsanon Y, Suankratay C, Wattanatorn S, Kittikowit W, Praditpornsilpa K, Tungsanga K, Eiam-Ong S. The outcomes of kidney transplantation in hepatitis B surface antigen (HBsAg)-negative recipients receiving graft from HBsAg-positive donors: a retrospective, propensity score-matched study. Am J Transplant. 2014 Dec;14(12):2814-20. doi: 10.1111/ajt.12921. Epub 2014 Nov 13.

Reference Type DERIVED
PMID: 25395260 (View on PubMed)

Other Identifiers

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WWC-001

Identifier Type: -

Identifier Source: org_study_id

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