TOP-Study (Tacrolimus Organ Perfusion): Treatment of Ischemia Reperfusion Injury in Marginal Organs With an ex Vivo Tacrolimus Perfusion
NCT01564095 · Status: TERMINATED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2017-03-23
Summary
Utilisation of extended criteria donors due to critical organ shortage contributes to increased ischemia reperfusion injury as well as mortality following liver transplantation. Experimental data show protective effects on hepatic ischemia reperfusion injury (IRI) using the calcineurin inhibitor Tacrolimus applied intravenously or directly as a hepatic rinse. Moreover clinical data indicate a protective role of a Tacrolimus rinse in human liver transplantation when using normal, healthy grafts. The effects of Tacrolimus on hepatic injury in extended donor criteria (EDC) liver grafts remain unclear. Therefore, the aim of the present study is to examine the effects of a Tacrolimus ex vivo rinse (20 ng/ml) on cellular injury after transplantation of marginal liver grafts exhibiting 2 or more EDCs according to Eurotransplant's definition of EDC grafts.
Conditions
- Terminal Liver Disease
- Ischemia Reperfusion Injury
- Graft Dysfunction
- Graft Failure
- Poor Graft Quality
Interventions
- DRUG
-
Marginal liver grafts are flushed with Tacrolimus (20ng/ml) solved in 1000 ml HTK preservation solution (duration: 15 min) ex vivo at the end of backtable preparation in the experimental group.
- DRUG
-
HTK/Placebo
Marginal liver grafts are flushed with 1000 ml HTK preservation solution(duration: 15 min) ex vivo at the end of backtable preparation in the placebo group.
Sponsors & Collaborators
-
Ludwig-Maximilians - University of Munich
lead OTHER
Principal Investigators
-
Martin Angele, M.D. · Ludwig-Maximilians-University, Department of Surgery, Munich, Germany
-
Sebastian Pratschke, M.D. · Ludwig-Maximilians-University, Department of Surgery, Munich, Germany
-
Karl-Walter Jauch, M.D. · Ludwig-Maximilians-University, Department of Surgery, Munich, Germany
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-10-31
- Primary Completion
- 2013-07-31
- Completion
- 2013-07-31
- FDA Drug
- Yes
Countries
- Germany
Study Locations
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