Liver Transplantation Clinical Trial
Official title:
A Phase II Randomized, Double-Blind, Placebo Controlled Study of the Clinical Effectiveness of a Human Monoclonal Antibody Against Hepatitis C Virus E2 Glycoprotein (MBL-HCV1) in Hepatitis C Infected Patients Undergoing Liver Transplantation
The purpose of this study is to determine whether a human monoclonal antibody against Hepatitis C (MBL-HCV1) is effective in preventing detectable levels of Hepatitis C virus in patients undergoing liver transplantation due to chronic HCV infection. The study will also determine if MBL-HCV1 is effective in delaying or reducing the amount of detectable HCV in patients after transplant.
This is a Phase 2, randomized, double-blind, placebo controlled study in Hepatitis C (HCV)
infected patients undergoing liver transplantation. Chronically infected patients with HCV
genotype 1a scheduled to receive a liver transplant from either a deceased or living donor
who satisfy all study inclusion or exclusion criteria will be approached to participate. The
study will be conducted in two parts to test a human monoclonal antibody against Hepatitis C
(MBL-HCV1). In Part 1, sixteen eligible patients will be randomized 1:1 to receive 50 mg/kg
MBL-HCV1 or 0.9% sodium chloride placebo intravenously. Eleven doses will be given during
the first 14 days post transplantation. Patients will be evaluated through day 56 for safety
and clinical outcomes that include measurement of anti-HCV antibodies, anti-drug antibody
and HCV viral load. On study visit day 42, a liver biopsy will be performed for evaluation
of hepatitis. Physical examination, vital sign measurements, emergence of adverse events and
concomitant medication usage will be assessed at scheduled visits and as needed during the
56 day study period.
The Data Safety and Monitoring Board will perform a futility analysis after the first 16
patients have been enrolled and completed study follow-up through study visit day 42 post
transplant. Based on the results of the interim analysis, the dose of MBL-HCV1 for part 2 of
the study will be determined. Part 2 of the study will be conducted in the same manner as
Part 1.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
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