Extracorporeal Photopheresis After Liver Transplant

NCT ID: NCT02090621

Last Updated: 2015-03-12

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

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2015-03-31

Brief Summary

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The purpose of this study is to determine the safety of photopheresis for prophylaxis of allograft rejection in patients who are being withdrawal immunosuppression after liver transplantation.

Detailed Description

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The photopheresis (ECP) is a therapeutic approach based on the biological effect of ultraviolet light A on mononuclear cells collected by apheresis, and reinfused into the patient.

Conditions

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Hepatic Insufficiency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Extracorporeal Photopheresis

Extracorporeal Photopheresis

Group Type EXPERIMENTAL

Extracorporeal photopheresis

Intervention Type PROCEDURE

Extracorporeal photopheresis with Methoxsalen(UVADEX)and immunosuppression reduction Extracorporeal photopheresis (ECP) is an immunomodulatory excellent technical tolerated initially designed for the treatment of cutaneous T-cell lymphoma and various autoimmune diseases, which has been proven effective in reversing episodes acute heart transplants, kidney and lung rejection, and in the treatment of Disease graft versus host both acute and chronic.

Interventions

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Extracorporeal photopheresis

Extracorporeal photopheresis with Methoxsalen(UVADEX)and immunosuppression reduction Extracorporeal photopheresis (ECP) is an immunomodulatory excellent technical tolerated initially designed for the treatment of cutaneous T-cell lymphoma and various autoimmune diseases, which has been proven effective in reversing episodes acute heart transplants, kidney and lung rejection, and in the treatment of Disease graft versus host both acute and chronic.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Liver transplantation 2 years ago
* \>18 years
* Treatment with immunosuppression (Cyclosporine or tacrolimus)
* Normal hepatic function during last year
* No acute or chronic rejection
* to have some secondary effect because of immunosuppressors
* Previous disease: alcoholic liver cirrhosis with or without hepatocarcinoma, metabolic disease, amyloid polyneuropathy, hepatitis,cryptogenic cirrhosis and non autoimmune causes
* Signing consent informed form

Exclusion Criteria

* Additional liver Transplantation
* hypersensitivity to methoxsalen
* Patients with melanoma ,cutaneous carcinoma
* Patients with aphakia
* Patients treated with oxsoralen
* Pregnant women, lactating women or fertile adults that they don´t use a effective anticonception method
* Involved in other assay.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jose Antonio Pons, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Clínco Universitario Virgen de la Arrixaca

Locations

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Jose Antonio Pons, MD

Murcia, El Palmar, Spain

Site Status

Countries

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Spain

References

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Pons JA, Yelamos J, Ramirez P, Oliver-Bonet M, Sanchez A, Rodriguez-Gago M, Navarro J, Bermejo J, Robles R, Parrilla P. Endothelial cell chimerism does not influence allograft tolerance in liver transplant patients after withdrawal of immunosuppression. Transplantation. 2003 Apr 15;75(7):1045-7. doi: 10.1097/01.TP.0000058472.71775.7D.

Reference Type BACKGROUND
PMID: 12698096 (View on PubMed)

Pons JA, Ramirez P, Revilla-Nuin B, Pascual D, Baroja-Mazo A, Robles R, Sanchez-Bueno F, Martinez L, Parrilla P. Immunosuppression withdrawal improves long-term metabolic parameters, cardiovascular risk factors and renal function in liver transplant patients. Clin Transplant. 2009 Jun-Jul;23(3):329-36. doi: 10.1111/j.1399-0012.2008.00944.x. Epub 2009 Feb 5.

Reference Type BACKGROUND
PMID: 19210687 (View on PubMed)

Pons JA, Revilla-Nuin B, Baroja-Mazo A, Ramirez P, Martinez-Alarcon L, Sanchez-Bueno F, Robles R, Rios A, Aparicio P, Parrilla P. FoxP3 in peripheral blood is associated with operational tolerance in liver transplant patients during immunosuppression withdrawal. Transplantation. 2008 Nov 27;86(10):1370-8. doi: 10.1097/TP.0b013e318188d3e6.

Reference Type BACKGROUND
PMID: 19034005 (View on PubMed)

Other Identifiers

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2012-000633-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

FEC-TH

Identifier Type: -

Identifier Source: org_study_id

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