Evaluation of Orthohepevirus C Infection as an Emerging Cause of Zoonotic Origin Disease
NCT ID: NCT05062967
Last Updated: 2021-09-30
Study Results
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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UNKNOWN
3257 participants
OBSERVATIONAL
2022-01-01
2024-12-01
Brief Summary
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Detailed Description
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Primary objective is to assess the prevalence of Ortho-C infection in patients with acute hepatitis of no identified origin
Secondary objectives are:
1. To evaluate the prevalence and risk factors of Ortho-C infection in patients with solid organ transplant.
2. To evaluate the prevalence and risk factors of Ortho-C infection in patients with HIV infection.
3. To assess the presence of Ortho-C infection in patients with the presence of antibodies (IgM) against HEV and absence of HEV-RNA
4. To evaluate the prevalence of infection by Ortho-C in wild and periurban rodents.
5. To evaluate the prevalence of infection by Ortho-C in domestic rodents and mustelids.
6. To evaluate the prevalence of infection by Ortho-C in wild carnivores
7. To molecularly characterize and evaluate the degree of homology of Ortho-C viral sequences found in humans and animals
Conditions
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Keywords
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Study Design
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COHORT
CROSS_SECTIONAL
Study Groups
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HAOD Cohort
This cohort includes patients with acute hepatitis of unknown origin, meaning its origin could not be determined after screening of (at least) HAV, HAB, HAC, HAE, Epstein-Barr virus and cytomegalovirus. Patients will be recruited in 17 centres nationwide.
The research group will receive a 1mL plasma / serum sample from each patient to study the presence of Ortho-C infection
No interventions assigned to this group
OrthoC-Tx Cohort
This cohort includes liver or kidney transplant patients under follow-up. The research group will receive a 1mL plasma / serum sample every year from each patient to study the presence of Ortho-C infection
No interventions assigned to this group
Ortho-CoRIS Cohort
This cohort includes VIH positive patients who are in follow-up by the Spanish Network of AIDS Research.
The research group will receive a plasma / serum sample every year from each patient to study the presence of Ortho-C infection.
No interventions assigned to this group
TrazHE Cohort
This cohort includes patients whose clinical picture is compatible with HAE infection.
The presence of Ortho-C infection will be studied in patients with positive IgM for HAE and absence of RNA-HAE.
No interventions assigned to this group
Ortho-C-Rodent Cohort
This cohort includes wild rats. Feces and liver samples will be taken in order to determine the prevalence of Ortho-C in wild rats (Ortho-C's main reservoir).
No interventions assigned to this group
Ortho-C-Domestic Rodent Cohort
This cohort includes domestic rats and mustelids. Feces and liver samples will be taken in order to determine the prevalence of Ortho-C in domestic rats and mustelids.
No interventions assigned to this group
Ortho-C-Carnivore Cohort
This cohort includes 236 wild carnivores that feed off rodents. Carnivores' cause of death is they were run over.
Feces, liver and serum samples will be taken to study the transmission of Ortho-C.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Patients older than 18 years with acute hepatitis of unknown origin (HAOD)
2\. OrthoC-Tx cohort (HEV Screening Cohort in Transplant Patients):
* Kidney or liver transplant subjects
3\. Ortho-CoRIS Cohort (derived from the AIDS Research Network Cohort (CoRIS))
* HIV-infected patients being monitored by the Spanish AIDS Research Network (RIS)
4\. TrazHE Cohort (Traceability cohort of Hepatitis E infections)
* Patients with the presence of antibodies (IgM) against HEV and absence of HEV-RNA
5\. Ortho-C-Rodent Collection:
* Wild and peri-urban rodents (rats) from different areas of Spain
6\. Ortho-C-Domestic Rodent Collection:
* Domestic rodents and mustelids under follow-up in veterinary clinics of different Spanish municipalities.
7\. Ortho-C-Carnivore Collection:
* Wild carnivores that eat rodents collected by the research team since 2020 in 4 autonomous communities (Extremadura, Andalusia, Murcia and Castilla la Mancha)
18 Years
ALL
No
Sponsors
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Maimónides Biomedical Research Institute of Córdoba
OTHER
Responsible Party
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Principal Investigators
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ANTONIO RIVERO ROMÁN
Role: PRINCIPAL_INVESTIGATOR
Hospital Universitario Reina Sofía
Locations
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Hospital de Jerez de La Frontera
Jerez de la Frontera, Cádiz, Spain
Hospital de Puerto Real
Puerto Real, Cádiz, Spain
Fundacion Instituto de Investigacion Sanitaria de Santiago de Compostela
Santiago de Compostela, Galicia, Spain
Instituto de Investigacion En Recursos Cinegeticos (Irec)
Ciudad Real, , Spain
Facultad de Veterinaria de Cordoba
Córdoba, , Spain
Fundacion Investigacion Biomedica de Cordoba (Fibico)
Córdoba, , Spain
Instituto Maimonides de Investigacion Biomedica de Cordoba (Imibic)
Córdoba, , Spain
Hospital Universitario San Cecilio
Granada, , Spain
Clinica Universidad de Navarra
Madrid, , Spain
Complejo Hospitalario de Especialidades Virgen de La Victoria
Málaga, , Spain
Countries
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Central Contacts
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Facility Contacts
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JUAN CARLOS ALADOS ARBOLEDAS
Role: primary
CAROLINA FREYRE CARRILLO
Role: primary
ANTONIO AGUILERA GUIRAO
Role: primary
JOSE FRANCISCO RUIZ FONS
Role: primary
DAVID CANO TERRIZA
Role: primary
ANTONIO RIVERO ROMAN
Role: primary
ANA FUENTES LOPEZ
Role: primary
GABRIEL REINA GONZALEZ
Role: primary
ISABEL VICIANA RAMOS
Role: primary
References
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Caballero-Gomez J, Casares-Jimenez M, Gallo-Marin M, Pereira-Pardo S, Beato-Benitez A, Poyato A, Guerra R, Avellon A, Schilling-Loeffler K, Freyre-Carrillo C, Garcia-Bocanegra I, Jimenez-Martin D, Corona-Mata D, Viciana I, Fajardo T, Munoz-Chimeno M, Quevedo MA, Rios-Munoz L, Perez AB, Cano-Terriza D, Macias J, Fuentes A, Johne R, Rivero-Juarez A, Rivero A; GEHEP-014 Study Group. Rat hepatitis E virus as an aetiological agent of acute hepatitis of unknown origin. J Hepatol. 2025 Sep;83(3):662-669. doi: 10.1016/j.jhep.2025.02.027. Epub 2025 Feb 26.
Other Identifiers
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PI21/00793
Identifier Type: -
Identifier Source: org_study_id