Liver Transplantation Clinical Trial
Official title:
Prophylactic Therapy for Cytomegalovirus in Liver Transplant Recipients: A Single Center Experience With Oral Ganciclovir Versus Valganciclovir
Null Hypothesis:
There is no significant difference in the incidence of CMV infection when using oral
valganciclovir or ganciclovir as prophylactic anti-viral therapy.
Alternate Hypothesis:
There exists a significant difference in the incidence of CMV infection when oral
valganciclovir is used for CMV prophylaxis rather than oral ganciclovir. A formal hypothesis
to be tested should be defined.
The objective for this retrospective clinical study is to describe the incidence of CMV
infection in orthoptic liver transplant recipients who receive oral valganciclovir or
ganciclovir as their CMV prophylactic anti-viral therapy.
Endpoints:
Primary Endpoint
CMV infection will be characterized as viremia, syndrome or disease by the abovementioned
methods for up to one year post-transplantation.
Secondary Endpoints
1. Patient and allograft survival based on donor/recipient CMV status
2. Incidence of graft rejection and loss associated with CMV infection
3. Time to hepatitis C virus (HCV) occurrence
4. Incidence of HSV, EBV and VZV reactivations
5. Severity of HCV occurrence based on biopsy reports based on the Knodell score
6. Safety and tolerability of oral valganciclovir and ganciclovir
;
Observational Model: Defined Population, Time Perspective: Cross-Sectional
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