Multi-center Study to Transplant Hepatitis-C Infected Kidneys

NCT ID: NCT03781726

Last Updated: 2022-01-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-10

Study Completion Date

2021-12-31

Brief Summary

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Open label multi center study for the donation of HCV positive kidneys to HCV negative recipients with interventional treatment to prevent HCV transmission upon transplantation.

Detailed Description

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The study objective is to determine if the administration of the direct acting antiviral glecaprevir/pibrentasvir for 8 weeks after kidney transplantation is both safe and effective at preventing the spread of HCV infection from donor kidney with known HCV infection (all genotypes) to an HCV negative recipient as evidenced by a negative HCV viral RNA at 12 weeks post treatment.

Conditions

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Renal Failure Chronic Hepatitis C

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Treatment with glecaprevir/pibrentasvir Fixed Dose Combination

8 weeks of HCV treatment with combination tablet of glecaprevir and pibrentasvir

Group Type EXPERIMENTAL

glecaprevir/pibrentasvir treatment

Intervention Type DRUG

combination treatment with glecaprevir and pibrentasvir fixed dose tablet.

Interventions

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glecaprevir/pibrentasvir treatment

combination treatment with glecaprevir and pibrentasvir fixed dose tablet.

Intervention Type DRUG

Other Intervention Names

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Mavyret treatment

Eligibility Criteria

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Inclusion Criteria

* Estimated glomerular filtration rate(eGFR) \< 15 ml/min/1.73 m2
* Listed for an isolated kidney transplantation
* Able to understand and adhere to the study visit schedule and all other protocol requirements, and must voluntarily sign and date an informed consent
* No available medically acceptable, compatible living kidney donor
* Subject must agree to use an effective method of birth control per protocol specifications


* Deceased donor organ with kidney donor profile index (KDPI) ≤0.85
* HCV RNA-positive

Exclusion Criteria

* History of severe, life-threatening or other significant sensitivity to immunosuppressants utilized in kidney transplant
* Female who is pregnant, breastfeeding, or is planning to become pregnant during the course of the study
* History of HIV
* HCV RNA positive
* HBV surface Ag-positive or detectable HBV DNA
* Primary focal segmental glomerulosclerosis (FSGS) or disease process with increased risk of causing early graft failure as assessed by the transplant nephrologist and/or investigator team
* Presence of clinically significant liver disease
* Transplant candidate requiring antibody desensitization protocol for transplantation
* Most recent calculated panel reactive antibody (cPRA) \>80%.
* Prior recipient of a non-renal solid organ transplant


* Known prior HCV treatment with direct acting antiviral medication
* HIV RNA-positive
* HBV Surface antigen-positive or HBV DNA-positive
Minimum Eligible Age

21 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role collaborator

University of Cincinnati

OTHER

Sponsor Role collaborator

Weill Medical College of Cornell University

OTHER

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role collaborator

Raymond Chung

OTHER

Sponsor Role lead

Responsible Party

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Raymond Chung

Director of Hepatology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Raymond T Chung, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Northwestern Medicine

Chicago, Illinois, United States

Site Status

John Hopkins

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan

Ann Arbor, Michigan, United States

Site Status

Weill Cornell Medical Center

New York, New York, United States

Site Status

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Sise ME, Goldberg DS, Schaubel DE, Fontana RJ, Kort JJ, Alloway RR, Durand CM, Blumberg EA, Woodle ES, Sherman KE, Brown RS Jr, Friedewald JJ, Desai NM, Sultan ST, Levitsky J, Lee MD, Strohbehn IA, Landis JR, Fernando M, Gustafson JL, Chung RT, Reese PP. One-Year Outcomes of the Multi-Center StudY to Transplant Hepatitis C-InfeCted kidneys (MYTHIC) Trial. Kidney Int Rep. 2021 Dec 1;7(2):241-250. doi: 10.1016/j.ekir.2021.11.022. eCollection 2022 Feb.

Reference Type DERIVED
PMID: 35155863 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018P003140

Identifier Type: -

Identifier Source: org_study_id

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