Stratified vs Routine Prophylaxis in Living Kidney Transplantation From HBsAg+ Donors to HBsAg- Recipients

NCT ID: NCT04562051

Last Updated: 2023-11-29

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

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-10

Study Completion Date

2026-06-01

Brief Summary

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This is a multicenter, prospective, observational study to compare the efficacy and safety of stratified prophylaxis based on donors' and recipients' risk factors vs routine prophylaxis bases on clinical experience in living kidney transplantation from HBsAg+ donors to HBsAg- recipients. The follow-up period was 2 years after renal transplantation. The primary outcome was prevention failure of HBV transmission (any one of HBsAg - → +, HBV DNA - → +, HBeAg - → +, HBeAb - → +, HBcAb - → +, active liver function damage and death in the recipient).

Detailed Description

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Conditions

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Kidney Transplantation HBV

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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stratified prophylaxis group

The process of stratified prophylaxis was as follows. 1) If the recipient's HBsAb level is more than 100 IU/L and the donor is HBV DNA-, the recipient will not receive any preventive measures; 2) If the recipient's HBsAb is more than 100 IU/L and the donor is HBV DNA+, the recipient receives antiviral treatment for 1 month; 3) If the recipient's HBsAb is between 10 and 100 IU/L, the recipient is treated with single dose HBIG and antiviral treatment for 1 month regardless of the donor's HBV DNA status; 4) If the recipient's HBsAb is less than 10 IU/L, the recipient will receive single dose HBIG and antiviral treatment for 1 month regardless of the donor's HBV DNA status.

prophylaxis regimen

Intervention Type OTHER

All recipients were divided into two groups: stratified prophylaxis group based on donors' and recipients' characteristics and routine prophylaxis group based on clinical experience

Routine prophylaxis group

Transplant centers adopted routine prophylaxis based on clinical experience

prophylaxis regimen

Intervention Type OTHER

All recipients were divided into two groups: stratified prophylaxis group based on donors' and recipients' characteristics and routine prophylaxis group based on clinical experience

Interventions

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prophylaxis regimen

All recipients were divided into two groups: stratified prophylaxis group based on donors' and recipients' characteristics and routine prophylaxis group based on clinical experience

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. patients diagnosed with end-stage renal diseases and suitable for living kidney transplantation;
2. HBsAg+ donor was the only donor;
3. age and sex of donors and recipients were unrestricted;
4. ABO compatible or incompatible between the donor and recipient;
5. The living donor voluntarily donates one of their kidneys to the recipient free of charge;
6. The donor and recipient can understand the purpose and risk of living KT and sign informed consent;
7. Ethics committee approved.

Exclusion Criteria

1. preoperative abnormal liver dysfunction in the donor or recipient (ALT \> 60IU/L for females, and \>75 IU/L for males; or total bilirubin \> 34 umol/L); or preoperative ultrasonography in the donor or recipient reported hepatic cirrhosis;
2. positive complement-dependent cytotoxicity cross-match test;
3. combined HCV or HIV infection in the donor or recipient;
4. diagnosed with malignancy or had a history of malignancy in the past 5 years;
5. non-kidney transplantation history.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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West China Hospital

OTHER

Sponsor Role lead

Responsible Party

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Tao Lin

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xianding Wang, MD

Role: STUDY_DIRECTOR

Organ transplant center, Department of Urology, West China Hospital

Turun Song, MD

Role: PRINCIPAL_INVESTIGATOR

Organ Transplant Center, Department of Urology, West China Hospital

Yu Fan, MD

Role: PRINCIPAL_INVESTIGATOR

Organ Transplant Center, Department of Urology, West China Hospital

Zhongli Huang, MD

Role: PRINCIPAL_INVESTIGATOR

Organ Transplant Center, Department of Urology, West China Hospital

Saifu Yin, MB

Role: PRINCIPAL_INVESTIGATOR

Organ Transplant Center, Department of Urology, West China Hospital

Hongtao Liu, MD

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of USTC, University of Science and Technology of China

Wenjun Shang, MD

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Zhengzhou University

Honglan Zhou, MD

Role: PRINCIPAL_INVESTIGATOR

The First Hospital of Jilin University

Locations

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Tao Lin

Chengdu, Sichuan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Tao Lin, PhD

Role: CONTACT

+8618980602093

Facility Contacts

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Tao Lin, MD

Role: primary

+8618980602093

Other Identifiers

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WestChina-KT

Identifier Type: -

Identifier Source: org_study_id