HIV Infections Clinical Trial
Official title:
Solid Organ Transplantation in HIV: Multi-Site Study
With improved anti-HIV drug therapy, HIV infected patients are now living longer. These patients are at risk for liver and kidney failure and may need organ transplants. However, little is know about the safety and effectiveness of organ transplants in patients with HIV. This study will evaluate organ transplantation in HIV infected patients undergoing liver and kidney transplants.
HIV infected people are at significant risk for end stage organ disease. Prior to the advent
of highly active antiretroviral therapy (HAART), these people were often not considered
transplant candidates based on concern about potential adverse effects of immunosuppressive
drugs on HIV disease progression. However, with the use of HAART, HIV infected people have
experienced significant improvements in morbidity and mortality. HIV infected people with
end stage kidney and liver disease are now potential candidates for transplantation, yet
patients and clinicians lack the necessary data to determine the safety and efficacy of
transplantation and immunosuppression in this group. This lack of conclusive data has led to
continued denial of care by many transplant centers and third party payers, resulting in
frustration and confusion for both patients and their health care providers.
This study will evaluate the safety and efficacy of solid organ transplantation in people
with HIV infection by following a prospective, multi-center cohort of HIV infected people
who undergo kidney or liver transplantation. The long-term goals are: 1) to provide patients
and clinicians with information regarding the HIV-specific risks of transplantation; 2) to
provide clinicians with information necessary to manage immunosuppressive and HAART
medications together; and 3) to understand underlying basic science mechanisms that explain
patient outcomes so that clinical management can be adjusted to improve outcomes.
Approximately 150 kidney and 125 liver transplant patients will be enrolled in this study
over a 3-year period at medical research centers throughout the United States. Participants
will be enrolled in the study for five years from the day of the transplant.
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Observational Model: Cohort, Time Perspective: Prospective
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