Transplantation Clinical Trial
— HEVOfficial title:
Hepatitis E Virus Infection in Pediatric Transplantation, a Prevalence Study
Hepatitis E virus (HEV) is an emerging disease. The genotype 1 and 2 are predominant in Asia
and Africa, and are responsible for recurrent epidemics. Genotype 3 is the main genotype
found in Europe and North America and is responsible for sporadic infections except for
travel associated diseases.
HEV had a principally asymptomatic form. However, it was recently demonstrated that it could
lead to a chronic form, especially in immunosuppressed patients. Moreover, in liver
transplanted patients the infection could mimic a rejection and lead to the loss of the
transplant. In other immunosuppressed patients, chronic hepatitis lead to cirrhosis and its
well-known complications (ascitis, digestive hemorrhage, liver failure...). There is a lack
of information about the prevalence of this disease.
In Canada the incidence of HEV infection was high (15-86% for liver transplanted children
with liver tests disturbed). In Germany the prevalence was lower: 3,2% in liver & kidney
transplanted children whereas 7,4% in control. It was shown in a retrospective study that in
liver (and liver+kidney) transplanted children the prevalence in Lyon was around 8,3%.
This study will determined in a prospective approach the HEV prevalence in kidney, lung,
heart and bone marrow transplanted children in Lyon.
Status | Recruiting |
Enrollment | 226 |
Est. completion date | December 19, 2017 |
Est. primary completion date | December 19, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 18 Years |
Eligibility |
Inclusion Criteria: - <18 years old - transplantation (heart, kidney, lung or bone marrow) - protocol acceptance by family - social security available Exclusion Criteria: - protocol rejection by family |
Country | Name | City | State |
---|---|---|---|
France | Hospices Civils de Lyon | Bron |
Lead Sponsor | Collaborator |
---|---|
Hospices Civils de Lyon |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hepatitis E virus prevalence in pediatric transplanted patients | Day 1 | ||
Primary | Hepatitis E virus prevalence in pediatric transplanted patients | Hepatitis E virus (HEV) serology : IgG & IgM, and PCR HEV. If serology is positive a second serology will be performed 6 months after in order to detect chronic infection. | 6 months | |
Secondary | Correlation between HEV prevalence and the different types of transplantation | Day 1 | ||
Secondary | Correlation between HEV prevalence and the different types of transplantation | 6 months |
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