At a glance
ClinicalIndex Comparison Record- ✓Age 18 or older
- ✓Living donor liver transplant (LDLT) candidate
- ✓HCV RNA positive
- ✓Expected treatment duration of at least 12 weeks
- ✕Severe cytopenia: PMN <750/mm³, hemoglobin <10 g/dL, or platelets <35,000/mm³
- ✕Uncontrolled depression or psychiatric disease with current symptoms or medication increase within past 3 months
- ✕Uncontrolled cardiopulmonary disease: MI, CABG, PCI, or unstable angina within past 3 months
- ✕Uncontrolled autoimmune disease with current symptoms or medication increase within past 3 months
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
The Adult-to-adult Living Donor Liver Transplantation Cohort Study (A2ALL) Low Accelerated Dosing Regimen (LADR) Protocol: Pre-Transplant Treatment to Prevent Recurrence of Hepatitis C Virus (HCV) After Liver Transplantation
In Brief
A Phase 2 clinical trial evaluating LADR Treatment for Hepatitis C. Completed, enrolled 79 participants across 8 sites.
Detailed Summary
The purpose of this study is to learn if pre-liver transplant treatment, using peginterferon plus ribavirin, will clear hepatitis C virus (HCV) RNA from the blood in HCV-infected recipients and reduce the risk of recurrent HCV and allograft hepatitis following liver transplant.
Study Details
Timeline
Interventions
PEG-Intron (peginterferon alfa-2b (PEGIFN)) Redipen; Rebetol (ribavirin (RBV) United States Pharmacopeia (USP)) Capsules: Treatment was initiated with PEGIFN 0.75 µg/kg/week and RBV 600 mg/day. Dose escalations were performed at weeks 1 (PEGIFN 1.5 µg/kg/week and RBV 800 mg/day), 2 (RBV 1.0 g/day), and 3 (RBV 1.2 g/day for patients who weighed more then 75 kg) based upon patient tolerance and weekly blood counts. Once a patient reached the target RBV dose of 1-1.2 g/day (approximately 10.6 to 13.2 mg/kg/day), no further increases in RBV dose were made. Subsequent doses of PEGIFN and RBV were adjusted based upon adverse events, patient tolerability, and blood counts. If the highest tolerated dose of PEGIFN was \<0.5 ug/kg, PEGIFN was permanently discontinued.