Evaluation of Orthohepevirus C Infection as an Emerging Cause of Zoonotic Origin Disease

NCT ID: NCT05062967

Last Updated: 2021-09-30

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

UNKNOWN

Total Enrollment

3257 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-01

Study Completion Date

2024-12-01

Brief Summary

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The main objective of this study is to evaluate the prevalence and the clinical impact of Orthohepevirus C infection in different human populations, and to determine its zoonotic origin comparing the sequences obtained in both human and animal populations. This is an ambispective study where Orthohepevirus C infection will be evaluated in four high risk human population: i) patients with acute hepatitis, ii) patients with positive IgM antibody against Hepatitis E virus infection with undetectable viral load, iii) HIV infected individuals, and iv) solid organ transplant recipients. Furthermore, we will analyze three animal populations: i) suburban rodents, ii) domestic rodents, iii) wild carnivores. Viral sequences identified in both human and animal populations will be compared to evaluate the zoonotic origin of the infections.

Detailed Description

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To carry out the project a database will be created in electronic format, where the study team will integrate epidemiological, clinical and laboratory tests data of patients. Data will be anonymous and coded by a data manager.

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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Hepatitis Liver Diseases Acute Hepatitis Chronic Hepatitis Liver Disease Chronic

Keywords

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Orthohepevirus C Hepatitis Liver Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

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

1\. HAOD cohort (Cohort of patients with acute hepatitis of unknown origin)

* 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)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Maimónides Biomedical Research Institute of Córdoba

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Hospital de Puerto Real

Puerto Real, Cádiz, Spain

Site Status

Fundacion Instituto de Investigacion Sanitaria de Santiago de Compostela

Santiago de Compostela, Galicia, Spain

Site Status

Instituto de Investigacion En Recursos Cinegeticos (Irec)

Ciudad Real, , Spain

Site Status

Facultad de Veterinaria de Cordoba

Córdoba, , Spain

Site Status

Fundacion Investigacion Biomedica de Cordoba (Fibico)

Córdoba, , Spain

Site Status

Instituto Maimonides de Investigacion Biomedica de Cordoba (Imibic)

Córdoba, , Spain

Site Status

Hospital Universitario San Cecilio

Granada, , Spain

Site Status

Clinica Universidad de Navarra

Madrid, , Spain

Site Status

Complejo Hospitalario de Especialidades Virgen de La Victoria

Málaga, , Spain

Site Status

Countries

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Spain

Central Contacts

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ANTONIO RIVERO ROMÁN

Role: CONTACT

Phone: 957012421

Email: [email protected]

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.

Reference Type DERIVED
PMID: 40020930 (View on PubMed)

Other Identifiers

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PI21/00793

Identifier Type: -

Identifier Source: org_study_id