UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008754
Receipt number R000008281
Scientific Title An open-label study of the effects of intraoperative double filtration plasmapheresis and adoptive immunotherapy with liver allograft derived lymphocytes combination therapy for hepatitis C recurrence after living donor liver transplantation
Date of disclosure of the study information 2012/08/23
Last modified on 2016/02/29 18:52:08

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Basic information

Public title

An open-label study of the effects of intraoperative double filtration plasmapheresis and adoptive immunotherapy with liver allograft derived lymphocytes combination therapy for hepatitis C recurrence after living donor liver transplantation

Acronym

An open-label study of the effects of intraoperative double filtration plasmapheresis and adoptive immunotherapy with liver allograft derived lymphocytes combination therapy for hepatitis C recurrence after living donor liver transplantation

Scientific Title

An open-label study of the effects of intraoperative double filtration plasmapheresis and adoptive immunotherapy with liver allograft derived lymphocytes combination therapy for hepatitis C recurrence after living donor liver transplantation

Scientific Title:Acronym

An open-label study of the effects of intraoperative double filtration plasmapheresis and adoptive immunotherapy with liver allograft derived lymphocytes combination therapy for hepatitis C recurrence after living donor liver transplantation

Region

Japan


Condition

Condition

chronic hepatitis C

Classification by specialty

Hepato-biliary-pancreatic medicine Nephrology Hepato-biliary-pancreatic surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A combination therapy of intraoperative DFPP and adoptive immunotherapy with liver allograft derived lymphocytes are administered to HCV positive liver transplantation recipients with cirrhois. The aim of the study is to investigate the safety, immunological responses and anti hepatitis C virus activity.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I,II


Assessment

Primary outcomes

Evaluation of antivirus activity (recurrence rate of HCV RNA) of DFPP and adoptive immunotherapy combination therapy

Key secondary outcomes

1.Evaluation of virus reduction effect by DFPP and adoptive immunotherapy combination therapy
2.Adverse effects of DFPP and adoptive immunotherapy combination therapy


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

1)DFPP therapy
Transplant recipients receive DFPP therapy 3 days before and during living donor liver transplantation (for 4 hours and 10 hours, respectively) to remove hepatitis C virus.
2)Adoptive immunotherapy
Patients are intravenously injected 3 days after liver transplantation with liver allograft derived lymphocytes treated with IL-2 and the CD3-specific mAb.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The subjects must be satisfactory the following conditions.
1)Patients must consent to adoptive immunotherapy with liver allograft derived lymphocytes
2)Patients must have HCV liver cirrhosis for which liver transplantation is best indicated.
3)Patients must be equal to or more than 20 years old.
4)Written informed consent must be obtained from patients.

Key exclusion criteria

The following patients must be excluded.
1)Recipients with fluminant hepatitis
2)ABO blood type incompatible recipients
3)Recipients of re-transplantation
4)Recipients of deceased donor liver transplantation
5)Patients with the past history of severe shock reactions to any therapy using extracorporeal circulation.
6)Patients who have un-controlable heart disease
7)Patients who are participated in other clinical study within 3 months.
8)Patients who are during pregnancy, lactation expectant, and desiring future fertility.
9)Patients who are judged inappropriate for the clinical trial by doctors.
10)Patients with the past history of severe allergic reactions to nafamostat mesilate.

Target sample size

6


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideki Ohdan

Organization

HIroshima University

Division name

Hiroshima University Hospital, Department of surgery

Zip code


Address

1-2-3, Kasumi, Minami-ku, Hiroshima, Japan

TEL

082-257-5222

Email

hohdan@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takashi Onoe

Organization

Hiroshima University

Division name

Hiroshima University Hospital, Department of surgery

Zip code


Address

1-2-3, Kasumi, Minami-ku, Hiroshima, Japan

TEL

082-257-5222

Homepage URL


Email

tonoemd@gmail.com


Sponsor or person

Institute

Hiroshima University Hospital, Department of surgery

Institute

Department

Personal name



Funding Source

Organization

Hiroshima University Hospital, Department of surgery

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2012 Year 08 Month 23 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 01 Month 06 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2016 Year 03 Month 31 Day

Date of closure to data entry

2016 Year 03 Month 31 Day

Date trial data considered complete

2016 Year 03 Month 31 Day

Date analysis concluded

2016 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2012 Year 08 Month 23 Day

Last modified on

2016 Year 02 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008281


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name