Multi-center Study to Transplant Hepatitis-C Infected Kidneys
Purpose
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.
Conditions
- Renal Failure Chronic
- Hepatitis C
Eligibility
- Eligible Ages
- Between 21 Years and 65 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
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 Recipient
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 Donor Organ Inclusion Criteria - Deceased donor organ with kidney donor profile index (KDPI) ≤0.85 - HCV RNA-positive Donor Organ Exclusion Criteria - Known prior HCV treatment with direct acting antiviral medication - HIV RNA-positive - HBV Surface antigen-positive or HBV DNA-positive
Study Design
- Phase
- Phase 4
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Prevention
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Treatment with glecaprevir/pibrentasvir Fixed Dose Combination |
8 weeks of HCV treatment with combination tablet of glecaprevir and pibrentasvir |
|
More Details
- Status
- Completed
- Sponsor
- Raymond Chung
Study Contact
Detailed Description
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.