Expanding the Pool in Lung Transplantation

NCT ID: NCT03377478

Last Updated: 2022-12-16

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

PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-30

Study Completion Date

2022-04-01

Brief Summary

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To perform a study (20 patients) utilizing Hepatitis C positive (HCV Ab+/NAT -) donor lungs for hepatitis C negative recipients with post-operative surveillance and treatment only if a recipient infection occurs.

Detailed Description

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The investigators are proposing a study of efficacy, in which positive donors will be used for HCV negative patients. Following lung transplantation patients will undergo HCV antibody, virus PCR, and liver function testing. Recipients whom test positive for HCV viremia for 2 consecutive tests at any point will complete 12 weeks of Sofosbuvir/velpatasvir therapy.

This initial study would enroll 20 patients and utilize donors that are young, otherwise healthy whom are Hepatitis C antibody positive but Nucleic Acid Amplification Testing (NAT) negative (HCV Ab+/NAT-). The recipients would be limited to those patients who have previously consented to receive a high risk lung transplant, consented to participant in this study, and who are physiologically optimized for transplantation (e.g., low risk for lung transplantation).

Conditions

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Hepatitis C Lung Transplant

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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Lung Transplant

Patients will be transplanted with HCV positive lung. Recipients whom test positive for HCV viremia for 2 consecutive tests at any point will complete 12 weeks of Epclusa (Sofosbuvir/velpatasvir).

Group Type EXPERIMENTAL

Epclusa

Intervention Type DRUG

Patients testing positive for HCV viremia will receive 12 weeks of Epclusa.

Interventions

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Epclusa

Patients testing positive for HCV viremia will receive 12 weeks of Epclusa.

Intervention Type DRUG

Other Intervention Names

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Procedure Sofosbuvir/velpatasvir

Eligibility Criteria

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Inclusion Criteria

* Patients who sign the informed consent for this study
* Patients whom agree to receive a PHS high risk organ
* Patients listed for heart transplantation
* Age 18-65

Exclusion Criteria

* Patients who do not sign informed consent for this study
* HIV Seropositivity
* HBV Seropositivity (HBcAb and/or HBsAg positive)
* Abnormal liver enzymes - 3 times the normal liver function values (Bilirubin, INR, AST, ALT)
* Acute or chronic renal insufficiency (creatinine clearance \<50 ml/min) or history of dialysis
* Patients on ECMO
* Respiratory insufficiency requiring mechanical respiratory support (ventilator, BiPAP)
* Liver insufficiency
* Prior history of hepatitis C
* Allergy to Sofosbuvir/velpatasvir
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pablo Sanchez

OTHER

Sponsor Role lead

Responsible Party

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Pablo Sanchez

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Pablo Sanchez, MD

Role: PRINCIPAL_INVESTIGATOR

Assistant Professor of Surgery/University of Pittsburgh

Locations

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UPMC

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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STUDY19030435

Identifier Type: -

Identifier Source: org_study_id