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临床试验 NCT06153641 针对肝移植排斥,肝移植失败和排斥目前进行中(不再招募)。请查看临床试验雷达卡片视图和 AI 发现工具了解所有详情,或在此提出任何问题。
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Cytokeratin 18 Non-invasive Biomarker for Rejection in Liver Transplant Patients 70 无创 生物标志物驱动

进行中(不再招募)
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临床试验NCT06153641是一项针对肝移植排斥,肝移植失败和排斥观察研究试验,目前试验状态为进行中(不再招募)。试验始于2019年4月16日,计划招募70名患者。该研究由圣路易斯大学主导,预计于2026年3月31日完成。试验数据来源于ClinicalTrials.gov,最后更新时间为2025年12月10日
简要概括
Liver transplantation is a lifesaving procedure; however, there are chances that the body may reject the organ following liver transplantation, and this remains a significant concern. This rejection of the transplanted, healthy liver tissue further adds to the patient's illness and also increases the related costs of treatment. Currently, liver biopsy is the standard procedure used for diagnosing this rejection. Bein...显示更多
详细描述
Cellular rejection following liver transplantation is of worldwide occurrence and a major cause of morbidity affecting 15 to 20 percent of liver transplantation recipients. Elevation of serum aminotransferase may be suspicious of rejection and typically precedes clinical symptoms of fever and jaundice. However, such clinical signs as well biochemical parameters are neither specific nor sensitive for detection of reje...显示更多
官方标题

Cytokeratin 18 a Novel Non-invasive Biomarker for Rejection in Liver Transplant Patients

疾病
肝移植排斥肝移植失败和排斥
其他研究标识符
  • 29508
NCT编号
实际开始日期
2019-04-16
最近更新发布
2025-12-10
预计完成日期
2026-03-31
计划入组人数
70
研究类型
观察研究
试验状态
进行中(不再招募)
关键词
Liver Transplant
Stable post liver transplant
Post transplant liver biopsy
Healthy nontransplant without liver disease
试验组/干预措施
参与者组/试验组干预措施/治疗方法
Biopsy arm
Post-transplant patients undergoing standard of care liver biopsy (Biopsy arm).
N/A-Observational Study
N/A-Observational Study
Stable post-liver transplant arm
Stable post-liver transplantation patients without rejection (Stable post-liver transplant arm).
N/A-Observational Study
N/A-Observational Study
Healthy arm
Healthy non-transplant control patients without liver disease (Healthy arm).
N/A-Observational Study
N/A-Observational Study
主要终点
结果指标度量标准描述时间框架
Characterize baseline CK-18 levels in healthy non transplant control patients and 'stable' post transplantation patients without rejection.
Characterize baseline CK-18 levels in healthy non transplant control patients and 'stable' post transplantation patients without rejection.
through study completion, an average of 1 year
Determine cross-sectional relationship between CK-18 levels and severity of rejection.
Determine cross-sectional relationship between CK-18 levels and severity of rejection.
through study completion, an average of 1 year
Ultimate goal would be to determine if serial CK-18 assessment could longitudinally predict rejection and its progression.
Our ultimate goal would be to determine if serial CK-18 assessment could longitudinally
through study completion, an average of 1 year
参与助手
资格标准

适龄参与研究
儿童, 成人, 老年人
最低年龄要求
1 Year
适龄性别
全部
接受健康志愿者
  • Patients should be at least 1 year of age at enrollment.
  • There shall be no restrictions regarding sex, race or ethnicity
  • All Patients who have received a liver transplant will be approached for enrollment in the study.

Study Group-Specific Inclusion Criteria:

• The patients who are scheduled for a liver biopsy for suspicion of liver transplant rejection (Biopsy arm).

Note-1: If a patient gets a subsequent episode of rejection and the patient is scheduled for another liver biopsy after completing participation in the biopsy arm, it will make the patient eligible for re-enrollment in the study under the biopsy arm since this study captures the rejection events. The patient will be re-consented each time and given a new participant ID each time.

Note-2: If the patient gets stable in the study doctor's opinion after completing participation in the biopsy arm, it will make the patient eligible for re-enrollment in the study under the stable post-liver transplant arm. The patient will be re-consented and given a new participant ID.

Control Group specific inclusion Criteria:

• Healthy non transplant controls(Healthy arm).

Note-1: If a patient gets a liver transplant after completing participation in a healthy arm, it will make the patient eligible for re-enrollment in the study under other arms (stable post-liver transplant arm or biopsy arm). The patient will be re-consented each time and given a new participant ID each time.

• Liver transplant recipients without rejection: Patients who are 'stable' post liver transplantation would be approached (Stable post-liver transplant arm).

Note-1: If a patient gets an episode of rejection after completing participation in the stable arm, it will make the patient eligible for re-enrollment in the study under the biopsy arm since this study captures the rejection events. The patient will be re-consented each time and given a new participant ID each time.

  1. Known infectious hepatitis
  2. Patient non-compliant
  3. For patients with any unforeseen risk factors, all efforts will be made to not enroll them in the study. If a patient has exceeded the 50mL/3mL per kg limit clinically, the patient will not be enrolled in the study.
St. Louis University logo圣路易斯大学
Mid-America Transplant logoMid-America Transplant
研究责任方
Ajay Jain MD, 主要研究者, Division Director of Pediatric Gastroenterology and Hepatology, St. Louis University
没有联系数据。
1 位于 1 个国家/地区的研究中心

Missouri

SSM Health Cardinal Glennon Children's Hospital & Saint Louis University Hospital (SSM Health- SLU Hospital), St Louis, Missouri, 63104, United States