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Taking into account that 5 out of 22 patients in the Reparixin group experienced EAD during the first stage of the study, according to the Protocol and the DMC conclusion, it was decided on the early termination of the study
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The objective of the study is to evaluate the efficacy and safety of Reparixin treatment (2.772 mg/kg body weight/hour intravenous continuous infusion for 7 days) based on incidence of early allograft dysfunction within the first 7 days after orthotopic liver transplantation (OLT) and overall indicators of allograft dysfunction in the early postoperative period (within 14 days after the OLT).
The study is a phase 2, multicenter, open-label, randomized pilot study to evaluate the efficacy and safety of Reparixin for prevention of early allograft dysfunction in patients undergoing orthotopic liver transplantation.
All the patients who participated in the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation (2013). The study was planned to be conducted at 5-8 transplantation sites in Russia and Belarus. Recruitment was competitive among the study sites so that patients were screened and if eligible, randomized consecutively until the randomization was stopped.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Reparixin | Experimental | Patients in the group of the study therapy received Reparixin at dose of 2.772 mg/kg/hour for 7 days (168 hours). The prepared solution of Reparixin 11 mg/ml was administered as a continuous infusion into a central vein using an automatic infusion pump that provides a constant rate of infusion. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. |
|
| Control | Other | The patients, who were randomized in the control group, did not receive any study therapy. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reparixin | Drug | Reparixin was administered as a continuous intravenous infusion for 7 days (Day 0 to Day 6) (168 hours). Reparixin was provided as 33 mg/ml concentrated solution to be diluted for i.v. infusion, packaged into 250 mL clear glass vials. To give a final concentration of 11 mg/mL, the content of a vial (250 ml) was diluted with 500 ml of 0.9% sterile saline to a total volume of 750 ml. The dosing solution was placed in a 1000 ml sterile empty Infusion Bag. Dosing solutions were to be used within 72 h from preparation, unless more restrictive rules. Reparixin infusion started approximately 60-90 minutes before the anticipated time of OLT. Infusion interruption was allowed for no more than 60 min. All patients received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Patients and allograft survival were monitored up to 1 year after OLT. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of EAD (Early Allograft Dysfunction) Within 7 Days After OLT (PP Population) | Assessment of the frequency of early allograft disfunction (EAD) after orthotopic liver transplantation (OLT) (Day 7 of Week 1) among patients who received Reparixin and patients in the control group. EAD was defined according to standard criteria as maximum Alanine Transferase (ALT) or Aspartate Transferase (AST) levels on days 1-7 of >2000 U/L, day 7 Bilirubin level โฅ10 mg/dl, or a day 7 International Normalized ratio (INR) โฅ1.6. Taking into account that 5 out of 22 patients in the Reparixin group experienced EAD during the first stage of the study, according to the Protocol and the DMC conclusion, it was decided on the early termination of the study. | within 7 day after the OLT |
| Incidence of EAD (Early Allograft Dysfunction) Within 7 Days After OLT (mITT Population) | Assessment of the frequency of early allograft disfunction after orthotopic liver transplantation (OLT) (Day 7 of Week 1) among patients who received Reparixin and patients in the control group. EAD was defined according to standard criteria as maximum Alanine Transferase (ALT) or Aspartate Transferase (AST) levels on days 1-7 of >2000 U/L, day 7 Bilirubin level โฅ10 mg/dl, or a day 7 International Normalized ratio (INR) โฅ1.6. Please note that taking into account that 5 out of 22 patients in the Reparixin group experienced EAD during the first stage of the study, according to the Protocol and the DMC conclusion, it was decided on the early termination of the study. | within 7 day after the OLT |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Patients With/Without Primary Allograft Nonfunction Within 7 Days After OLT | The number of patients in which: a) the primary allograft nonfunction within 7 day after the OLT was determined and not determined, and the number of patients in which 2)Appropriate data was not available in each of the two arms are reported. | Within 7 days after OLT |
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Inclusion Criteria:
Exclusion Criteria:
Patients with any of the following conditions shall not be included in the study:
Split-liver transplantation or transplantation from a living donor.
Re-transplantation or multivisceral transplantation.
The presence of extrahepatic tumor foci or sepsis.
Gastrointestinal bleeding caused by portal hypertension within 3 months prior to screening.
BMI less than 18.5 or more than 40 kg/m2.
HIV infection.
Significant cardiovascular disease at the present time or within 6 months prior to screening, including: class III or IV chronic heart failure (the New York Heart Association), myocardial infarction, unstable angina, hemodynamically significant cardiac arrhythmias, ischemic or hemorrhagic stroke, uncontrolled arterial hypertension.
Preoperative renal impairment (glomerular filtration rate estimated with the Cockcroft-Gault formula โค 45 mL/min).
Significant, in the opinion of the Investigator, drug or alcohol abuse within 6 months prior to screening.
Hypersensitivity to:
Pregnant or lactating women, or women planning a pregnancy during the clinical study, fertile women not using adequate contraception methods.
Participation in another clinical study currently or within 30 days prior to screening, use of any investigational drug within 30 days or 5 half-lives (whichever is longer) prior to screening.
The patient's and his/her relatives' failure to understand the need for lifelong immunosuppressive therapy, as well as the risk and difficulty of the pending operation and the subsequent dynamic treatment.
Inability to read or write; unwillingness to understand and comply with the procedures of the study protocol; failure to comply with the treatment, which, in opinion of the Investigator, may affect the results of the study or the patient's safety and prevent the patient from further participation in the study; any other associated medical or serious mental conditions that make the patient unsuitable for participation in the clinical study, limit the validity of informed consent or may affect the patient's ability to participate in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Sergey Vladimirovich Zhuravel, MD | Moscow Scientific Research Institute of Emergency, NV Sklifosovskiy of Moscow Healthcare Department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Healthcare Organization "9th City Clinical Hospital" | Minsk | 220045 | Belarus | |||
| State Budgetary Health Institution "Scientific Research Institute - Regional Clinical Hospital # 1 n.a. professor S.V. Ochapovskiy" of the Ministry of Health of the Krasnodar Territory |
Patients admitted to the transplant center immediately before OLT surgery who signed the Patient Informed Consent Form underwent screening procedures (Day -1). Screening can be carried out within 24 hours before planned surgery. The results at screening were considered as baseline values.
During the screening physical examination, patients fulfilling all the inclusion criteria and none of the exclusion criteria were randomized.
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| ID | Title | Description |
|---|---|---|
| FG000 | Reparixin | Patients in the group of the study therapy received Reparixin at dose of 2.772 mg/kg/hour for 7 days (168 hours). The prepared solution of Reparixin 11 mg/ml was administered as a continuous infusion into a central vein using an automatic infusion pump that provides a constant rate of infusion. Reparixin infusion started 60-90 minutes before OLT. Infusion interruption was allowed for no more than 60 minutes. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Reparixin: Reparixin was administered as a continuous intravenous infusion for 7 days (Day 0 to Day 6) (168 hours). Infusion of the study drug started approximately 60-90 minutes before the anticipated time of OLT (Orthotopic liver transplantation).The status of patients and allograft survival was monitored up to 1 year after OLT. |
| FG001 | Standard Care Procedures | The patients, who were randomized in the control group, did not receive any study therapy. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Standard care procedures: The patients, who were randomized in the control group, did not receive any study therapy. The patients of both groups received the standard immunosuppressive therapy with Tacrolimus only or together with mycophenolates, or a combination of Tacrolimus/Cyclosporine with mycophenolates and/or glucocorticosteroids. The patients with hepatocellular carcinoma and impaired renal function could receive a combination of drugs that includes everolimus. Basiliximab in association with methylprednisolone was used for the induction of immunosuppression. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. Two patients in the SoC arm didn't, so demographic characteristics of patients are listed for this population (n=22 in the Reparixin group and n=16 in the SoC group, for a total of n=38 patients instead of 40).
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| ID | Title | Description |
|---|---|---|
| BG000 | Reparixin - mITT | Patients in the group of the study therapy received Reparixin at dose of 2.772 mg/kg/hour for 7 days (168 hours). The prepared solution of Reparixin 11 mg/ml was administered as a continuous infusion into a central vein using an automatic infusion pump that provides a constant rate of infusion. Reparixin infusion started 60-90 minutes before OLT. Infusion interruption was allowed for no more than 60 minutes. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Reparixin: Reparixin was administered as a continuous intravenous infusion for 7 days (Day 0 to Day 6) (168 hours). Infusion of the study drug started approximately 60-90 minutes before the anticipated time of OLT (Orthotopic liver transplantation).The status of patients and allograft survival was monitored up to 1 year after OLT. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Incidence of EAD (Early Allograft Dysfunction) Within 7 Days After OLT (PP Population) | Assessment of the frequency of early allograft disfunction (EAD) after orthotopic liver transplantation (OLT) (Day 7 of Week 1) among patients who received Reparixin and patients in the control group. EAD was defined according to standard criteria as maximum Alanine Transferase (ALT) or Aspartate Transferase (AST) levels on days 1-7 of >2000 U/L, day 7 Bilirubin level โฅ10 mg/dl, or a day 7 International Normalized ratio (INR) โฅ1.6. Taking into account that 5 out of 22 patients in the Reparixin group experienced EAD during the first stage of the study, according to the Protocol and the DMC conclusion, it was decided on the early termination of the study. | Per protocol population (PP) includes all patients who have received at least 70% of the dose of the study drug, with data sufficient for the primary efficacy analysis, and who are considered compliant. Patients are considered compliant in case of absence of any major protocol violations during the study. In the group of the study therapy the patients who received not less than 70% of the study drug dose will be considered compliant. | Posted | Number | 95% Confidence Interval | percentage of participants with EAD | within 7 day after the OLT |
The specific period of time over wich adverse events data were collected was up to 12 weeks after the OLT and 1 year after OLT. Herein the summary of Adverse Events up to 1 year after OLT was reported.
An Adverse Event (AE) was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Reparixin - SAF | Patients in the group of the study therapy received Reparixin at dose of 2.772 mg/kg/hour for 7 days (168 hours). The prepared solution of Reparixin 11 mg/ml was administered as a continuous infusion into a central vein using an automatic infusion pump that provides a constant rate of infusion. Reparixin infusion started 60-90 minutes before OLT. Infusion interruption was allowed for no more than 60 minutes. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Reparixin: Reparixin was administered as a continuous intravenous infusion for 7 days (Day 0 to Day 6) (168 hours). Infusion of the study drug started approximately 60-90 minutes before the anticipated time of OLT (Orthotopic liver transplantation).The status of patients and allograft survival was monitored up to 1 year after OLT. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Myocardial infarction | Cardiac disorders | MedDRA (20.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (20.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Development & Operations | Dompรฉ farmaceutici s.p.a. | +39 02 583831 | clinical.trials@dompe.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 13, 2015 | Jan 24, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 12, 2017 | Oct 2, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D015427 | Reperfusion Injury |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| C490707 | reparixin |
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|
| Control | Other | The patients who were randomized in the control group, did not receive any study therapy. The patients of both groups received the standard immunosuppressive therapy with Tacrolimus only or together with mycophenolates, or a combination of Tacrolimus/Cyclosporine with mycophenolates and/or glucocorticosteroids. The patients with hepatocellular carcinoma and impaired renal function could receive a combination of drugs that includes everolimus. Basiliximab in association with methylprednisolone was used for the induction of immunosuppression. |
|
| Number of Patients With/Without Overall Indicators of Allograft Dysfunction During the Early Postoperative Period | The number of patients in which: a) the primary allograft dysfunction within 14 day after the OLT was determined and not determined, and the number of patients in which 2)Appropriate data was not available in each of the two arms are reported. The term "early allograft dysfunction" (EAD) identifies liver transplant (LT) allografts with initial poor function and portends poor allograft and patient survival. | Within 14 days after OLT |
| Overall Indicators of the Allograft Dysfunction During the Early Postoperative Period - Extracorporeal Detoxification | Cumulative incidence of extracorporeal detoxification as an indicator of liver allograft dysfunction in early postoperative period within 2 weeks after OLT is reported. Extracorporeal liver support describes all measures of extracorporeal blood treatments, which are aimed at supporting any functions of the liver in order to reduce the number of failing organs as a consequence of liver failure. The ultimate goal of extracorporeal liver support is to prolong the survival time of patients with liver failure by preventing progression of secondary organ failure. | Within 14 days after OLT |
| Frequency of Identification of Laboratory Examination Values | The frequency of identification of laboratory examination values corresponding to early allograft dysfunction within 3 days after the operation (Day 4 of the study drug administration) | within 3 day after the OLT |
| Number of Patients With Early Allograft Dysfunction (EAD) in Case of Transplantation of Donor Organs, by the Degree of Steatosis | Incidence of early allograft dysfunction in case of transplantation of donor organs differing by the degree of steatosis was reported. The investigators evaluated organ suitability for transplantation relying on histopathologic findings from biopsy. In this clinical setting, grafts with macrovesicular steatosis degree >50% were considered as non-suitable for transplantation. Steatosis or fatty liver disease (NAFLD) is characterised by hepatic lipid accumulation. Nominal data for the MITT are reported. | Within 14 days after OLT |
| Number of Patients With EAD in Case of Transplantation of Donor Organs Differing by the Time (in Hours) of Allograft Removal From the Donor and up to Its Reperfusion (Duration of Cold Ischemia) | Number of patients with EAD in case of transplantation of donor organs by the time of allograft removal from the donor and up to its reperfusion after engraftment (duration of cold ischemia) was assessed. Cold ischemia time during procurement is defined as the time after clamping of aorta until excision of the organ, which can last some hours. Prolonged cold ischemia time is an independent risk factor for the development of delayed function and primary nonfunction of the allograft. Although the exact mechanism is unknown, cold ischemia time is believed to affect graft function by contributing to ischemia-reperfusion injury. Nominal data for the MITT are reported. | Within 14 days after OLT |
| Number of Patients With EAD in Case of Transplantation of Donor Organs Differing by the Duration (in Min) of Warm Ischemia | The number of EAD patients in case of transplantation of donor organs differing by the time of allograft removal from the donor and up to its reperfusion after engraftment (duration of warm ischemia) was assessed. In surgery, warm ischemia is the time a tissue, organ, or body part remains at body temperature after its blood supply has been reduced or cut off but before it is cooled or reconnected to a blood supply. In the transplant setting, this term is used to describe two physiologically distinct periods of ischaemia: (1) Ischemia during implantation, from removal of the organ from ice until reperfusion, and (2) Ischemia during organ retrieval, from the time of cross clamping (or of asystole in non-heart-beating donors), until cold perfusion is commenced. Nominal data for the MITT are reported. | Within 14 days after OLT |
| Number of Patients With EAD in Transplantation From Donors Having Additional Adverse Factors | The number of patients with early allograft dysfunction in transplantation from donors having additional adverse factors like infectious complication, death of the brain, hypotension, etc. was reported. The correlation between EAD and additional adverse factors are showed. Nominal data for the MITT are reported. | Within 14 days after OLT |
| Number of Patients With EAD in Transplantation With Regard to the Interval (in Hours) Between the Diagnosis of Brain Death and Removal of the Liver Graft From a Donor | The number of patients with allograft dysfunction in transplantation with regard to the interval between the diagnosis of brain death and removal of the liver graft from a donor (in the case of a brain-dead donor). This interval can last hours. Nominal data for the mITT are reported. | Within 14 days after OLT |
| Number of Patients With EAD in Transplant Recipients With Each of the Different Liver Disease Etiology | The number of patients with EAD in transplant recipients with liver diseases of different etiology (viral, alcoholic, autoimmune, etc.) was assessed. | Within 14 days after OLT |
| Incidence of Early Allograft Dysfunction (EAD) in Transplant Recipients With Liver Diseases of Different Etiology and With Different Baseline Characteristics | The incidence of early allograft dysfunction in transplant recipients with liver diseases of different etiology and with different baseline characteristics. Herein the intent is reporting the number/percentage of subjects with EAD within 14 days after OLT, without distinction for disease etiology and baseline characteristics. | Within 14 days after OLT |
| The Number of Patients With EAD in Transplant Recipients With Liver Diseases (HBV and HCV Virus) and With Different Baseline Characteristics | The number of EAD patients in transplant recipients with liver diseases detected, and with different baseline characteristics was assessed. Herein HBV and HCV viral load at screening visit are reported. | Within 14 days after OLT |
| Incidence of Early Allograft Dysfunction in Transplant Recipients (Creatinine Clearance, ClCr) | The incidence of early allograft dysfunction in transplant recipients with different baseline characteristics. Herein Creatinine clearance at screening Day - 1 (mL/min). Creatinine clearance (CrCl) is the volume of blood plasma cleared of creatinine per unit time. It is a rapid and cost-effective method for the measurement of renal function. the normal range of CrCl is 110 to 150mL/min in males and 100 to 130mL/min in females. Serum creatinine level for men with normal kidney function is approximately 0.6 to 1.2mg/dL and between 0.5 to 1.1 mg/dL for women. Creatine levels above the normal range indicate renal dysfunction. | Within 14 days after OLT |
| Incidence of Early Allograft Dysfunction in Transplant Recipients - Severity of Recipient's Liver Disease Through MELD Index | The incidence of early allograft dysfunction in transplant recipients with different score in scales of end-stage liver disease. The MELD score estimates a patient's chances of surviving their disease during the next three months. Practically, MELD is a reliable measure of mortality risk in patients with end-stage liver disease. It is used as a disease severity index to determine prognosis and help prioritize patients for organ allocation by estimating 3-month mortality risk. The MELD score ranges from 6 to 40 and is based on results from several lab tests. The higher the number, the more likely the subject is to receive a liver from a deceased donor when an organ becomes available. MELD Score= 11.2 x In INR + 9.57 x In Creatinine (mg/dL) + 3.78 (if the patient had dialysis at least twice in the past week, the value for serum creatinine needs to be adjusted to 4.0) x In Bilirubine (mg/dL) + 6.43 | Within 14 days after OLT |
| Number of Patients With EAD in Transplant Recipients Via Child-Turcotte-Pugh Score (CTP) | The incidence of early allograft dysfunction in transplant recipients with different allograft dysfunction based on CTP. This score assesses the severity of the disease, the risk of lethal outcome (during surgeries) and the prognosis in patients with cirrhosis. The CTP scoring system incorporates five parameters: serum bilirubin, serum albumin, prothrombin time, ascites, and grade of encephalopathy. Each of them can score between 1 and 3. Based on the sum of the points from these five parameters, the patient is categorized into one of three CTP classes/grades: A, B, or C. Score: โข 5-6 points - Grade A (least severe liver disease)
| Within 14 days after OLT |
| Time to Liver Function Normalization of Liver Function Parameters | Time to normalization of liver function parameters (alanine aminotransferase, aspartate aminotransferase and bilirubin levels, gamma-glutamyltransferase, lactate dehydrogenase, etc.) after the OLT was assessed. Please note the upper limit of IC is not available due to insufficient number of participants with events. | Within 1 Year after OLT |
| Patient Survival Within 1 Year After OLT | Patient survival within 1 year after OLT was assessed. Please note the data are not available due to insufficient number of participants with events. | within 1 year after OLT |
| Mortality Within 1 Year After the OLT | Number of deaths within 1 year after the OLT was assessed. | Within 1 Year after OLT |
| The Incidence of Hyperacute, Acute and Chronic Liver Allograft Rejection . | Hyperacute or acute transplant rejection were determined by biopsy; chronic transplant rejection was defined by histological evaluation in both treatment groups. | Within 1 Year after OLT |
| Summary of Adverse Events up to 1 Year After the OLT | An Adverse Event (AE) was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. | up to 1 year after the OLT |
| Krasnodar |
| Krasnodar Territory |
| 350086 |
| Russia |
| State Budgetary Educational Institution of Higher Professional Education "First Saint Petersburg State Medical University n.a. I.P. Pavlov" of the Ministry of Health of the Russian Federation | Saint Petersburg | Sankt-Peterburg | 197022 | Russia |
| Federal State Budgetary Institution "Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs" Ministry of Health of the Russian Federation | Moscow | 123182 | Russia |
| Federal State Budgetary Institution "State Research Centre of the Russian Federation - Federal Medical Biophysical Centre n.a. A.I. Burnazyan" | Moscow | 123182 | Russia |
| State Budgetary Health Institution of Moscow "Scientific Research Institute of Emergency n.a. N.V. Sklifosovskiy of Moscow Healthcare Department" | Moscow | 129090 | Russia |
| State Budgetary Health Institution of Novosibirsk Region "State Novosibirsk Regional Clinical Hospital" | Novosibirsk | 630087 | Russia |
| Lost to Follow-up |
|
| Withdrawal by Subject |
|
| Protocol entry criteria not met |
|
| Cancel the operation |
|
| BG001 | Standard Care Procedures - mITT | The patients, who were randomized in the control group, did not receive any study therapy. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Standard care procedures: The patients, who were randomized in the control group, did not receive any study therapy. The patients of both groups received the standard immunosuppressive therapy with Tacrolimus only or together with mycophenolates, or a combination of Tacrolimus/Cyclosporine with mycophenolates and/or glucocorticosteroids. The patients with hepatocellular carcinoma and impaired renal function could receive a combination of drugs that includes everolimus. Basiliximab in association with methylprednisolone was used for the induction of immunosuppression. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | Reparixin - PP | Patients in the group of the study therapy received Reparixin at dose of 2.772 mg/kg/hour for 7 days (168 hours). The prepared solution of Reparixin 11 mg/ml was administered as a continuous infusion into a central vein using an automatic infusion pump that provides a constant rate of infusion. Reparixin infusion started 60-90 minutes before OLT. Infusion interruption was allowed for no more than 60 minutes. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Reparixin: Reparixin was administered as a continuous intravenous infusion for 7 days (Day 0 to Day 6) (168 hours). Infusion of the study drug started approximately 60-90 minutes before the anticipated time of OLT (Orthotopic liver transplantation).The status of patients and allograft survival was monitored up to 1 year after OLT. |
| OG001 | Control - PP | The patients, who were randomized in the control group, did not receive any study therapy. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Control: The patients, who were randomized in the control group, did not receive any study therapy. The patients of both groups received the standard immunosuppressive therapy with Tacrolimus only or together with mycophenolates, or a combination of Tacrolimus/Cyclosporine with mycophenolates and/or glucocorticosteroids. The patients with hepatocellular carcinoma and impaired renal function could receive a combination of drugs that includes everolimus. Basiliximab in association with methylprednisolone was used for the induction of immunosuppression. |
|
|
|
| Primary | Incidence of EAD (Early Allograft Dysfunction) Within 7 Days After OLT (mITT Population) | Assessment of the frequency of early allograft disfunction after orthotopic liver transplantation (OLT) (Day 7 of Week 1) among patients who received Reparixin and patients in the control group. EAD was defined according to standard criteria as maximum Alanine Transferase (ALT) or Aspartate Transferase (AST) levels on days 1-7 of >2000 U/L, day 7 Bilirubin level โฅ10 mg/dl, or a day 7 International Normalized ratio (INR) โฅ1.6. Please note that taking into account that 5 out of 22 patients in the Reparixin group experienced EAD during the first stage of the study, according to the Protocol and the DMC conclusion, it was decided on the early termination of the study. | Modified population of patients who received treatment (MITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | 95% Confidence Interval | percentage of participants with EAD | within 7 day after the OLT |
|
|
|
|
| Secondary | Number of Patients With/Without Primary Allograft Nonfunction Within 7 Days After OLT | The number of patients in which: a) the primary allograft nonfunction within 7 day after the OLT was determined and not determined, and the number of patients in which 2)Appropriate data was not available in each of the two arms are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Count of Participants | Participants | Within 7 days after OLT |
|
|
|
|
| Secondary | Number of Patients With/Without Overall Indicators of Allograft Dysfunction During the Early Postoperative Period | The number of patients in which: a) the primary allograft dysfunction within 14 day after the OLT was determined and not determined, and the number of patients in which 2)Appropriate data was not available in each of the two arms are reported. The term "early allograft dysfunction" (EAD) identifies liver transplant (LT) allografts with initial poor function and portends poor allograft and patient survival. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | participants with allograft dysfunction | Within 14 days after OLT |
|
|
|
|
| Secondary | Overall Indicators of the Allograft Dysfunction During the Early Postoperative Period - Extracorporeal Detoxification | Cumulative incidence of extracorporeal detoxification as an indicator of liver allograft dysfunction in early postoperative period within 2 weeks after OLT is reported. Extracorporeal liver support describes all measures of extracorporeal blood treatments, which are aimed at supporting any functions of the liver in order to reduce the number of failing organs as a consequence of liver failure. The ultimate goal of extracorporeal liver support is to prolong the survival time of patients with liver failure by preventing progression of secondary organ failure. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Count of Participants | Participants | Within 14 days after OLT |
|
|
|
|
| Secondary | Frequency of Identification of Laboratory Examination Values | The frequency of identification of laboratory examination values corresponding to early allograft dysfunction within 3 days after the operation (Day 4 of the study drug administration) | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Count of Participants | Participants | within 3 day after the OLT |
|
|
|
| Secondary | Number of Patients With Early Allograft Dysfunction (EAD) in Case of Transplantation of Donor Organs, by the Degree of Steatosis | Incidence of early allograft dysfunction in case of transplantation of donor organs differing by the degree of steatosis was reported. The investigators evaluated organ suitability for transplantation relying on histopathologic findings from biopsy. In this clinical setting, grafts with macrovesicular steatosis degree >50% were considered as non-suitable for transplantation. Steatosis or fatty liver disease (NAFLD) is characterised by hepatic lipid accumulation. Nominal data for the MITT are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | Subjects with EAD | Within 14 days after OLT |
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| Secondary | Number of Patients With EAD in Case of Transplantation of Donor Organs Differing by the Time (in Hours) of Allograft Removal From the Donor and up to Its Reperfusion (Duration of Cold Ischemia) | Number of patients with EAD in case of transplantation of donor organs by the time of allograft removal from the donor and up to its reperfusion after engraftment (duration of cold ischemia) was assessed. Cold ischemia time during procurement is defined as the time after clamping of aorta until excision of the organ, which can last some hours. Prolonged cold ischemia time is an independent risk factor for the development of delayed function and primary nonfunction of the allograft. Although the exact mechanism is unknown, cold ischemia time is believed to affect graft function by contributing to ischemia-reperfusion injury. Nominal data for the MITT are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | number of participants | Within 14 days after OLT |
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| Secondary | Number of Patients With EAD in Case of Transplantation of Donor Organs Differing by the Duration (in Min) of Warm Ischemia | The number of EAD patients in case of transplantation of donor organs differing by the time of allograft removal from the donor and up to its reperfusion after engraftment (duration of warm ischemia) was assessed. In surgery, warm ischemia is the time a tissue, organ, or body part remains at body temperature after its blood supply has been reduced or cut off but before it is cooled or reconnected to a blood supply. In the transplant setting, this term is used to describe two physiologically distinct periods of ischaemia: (1) Ischemia during implantation, from removal of the organ from ice until reperfusion, and (2) Ischemia during organ retrieval, from the time of cross clamping (or of asystole in non-heart-beating donors), until cold perfusion is commenced. Nominal data for the MITT are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. While 3 patients in the SoC are reported to develop EAD, data regarding the duration of warm ischemia are available for only 2 patients in the SoC arm. | Posted | Number | number of participants | Within 14 days after OLT |
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| Secondary | Number of Patients With EAD in Transplantation From Donors Having Additional Adverse Factors | The number of patients with early allograft dysfunction in transplantation from donors having additional adverse factors like infectious complication, death of the brain, hypotension, etc. was reported. The correlation between EAD and additional adverse factors are showed. Nominal data for the MITT are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | patients with additional adverse fact | Within 14 days after OLT |
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| Secondary | Number of Patients With EAD in Transplantation With Regard to the Interval (in Hours) Between the Diagnosis of Brain Death and Removal of the Liver Graft From a Donor | The number of patients with allograft dysfunction in transplantation with regard to the interval between the diagnosis of brain death and removal of the liver graft from a donor (in the case of a brain-dead donor). This interval can last hours. Nominal data for the mITT are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | participants | Within 14 days after OLT |
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| Secondary | Number of Patients With EAD in Transplant Recipients With Each of the Different Liver Disease Etiology | The number of patients with EAD in transplant recipients with liver diseases of different etiology (viral, alcoholic, autoimmune, etc.) was assessed. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | participants with liver diseases | Within 14 days after OLT | early allograft dysfunction detected | early allograft dysfunction detected |
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| Secondary | Incidence of Early Allograft Dysfunction (EAD) in Transplant Recipients With Liver Diseases of Different Etiology and With Different Baseline Characteristics | The incidence of early allograft dysfunction in transplant recipients with liver diseases of different etiology and with different baseline characteristics. Herein the intent is reporting the number/percentage of subjects with EAD within 14 days after OLT, without distinction for disease etiology and baseline characteristics. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Count of Participants | Participants | Within 14 days after OLT |
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| Secondary | The Number of Patients With EAD in Transplant Recipients With Liver Diseases (HBV and HCV Virus) and With Different Baseline Characteristics | The number of EAD patients in transplant recipients with liver diseases detected, and with different baseline characteristics was assessed. Herein HBV and HCV viral load at screening visit are reported. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | participants with viral load | Within 14 days after OLT |
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| Secondary | Incidence of Early Allograft Dysfunction in Transplant Recipients (Creatinine Clearance, ClCr) | The incidence of early allograft dysfunction in transplant recipients with different baseline characteristics. Herein Creatinine clearance at screening Day - 1 (mL/min). Creatinine clearance (CrCl) is the volume of blood plasma cleared of creatinine per unit time. It is a rapid and cost-effective method for the measurement of renal function. the normal range of CrCl is 110 to 150mL/min in males and 100 to 130mL/min in females. Serum creatinine level for men with normal kidney function is approximately 0.6 to 1.2mg/dL and between 0.5 to 1.1 mg/dL for women. Creatine levels above the normal range indicate renal dysfunction. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Mean | Standard Deviation | ml/min | Within 14 days after OLT |
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| Secondary | Incidence of Early Allograft Dysfunction in Transplant Recipients - Severity of Recipient's Liver Disease Through MELD Index | The incidence of early allograft dysfunction in transplant recipients with different score in scales of end-stage liver disease. The MELD score estimates a patient's chances of surviving their disease during the next three months. Practically, MELD is a reliable measure of mortality risk in patients with end-stage liver disease. It is used as a disease severity index to determine prognosis and help prioritize patients for organ allocation by estimating 3-month mortality risk. The MELD score ranges from 6 to 40 and is based on results from several lab tests. The higher the number, the more likely the subject is to receive a liver from a deceased donor when an organ becomes available. MELD Score= 11.2 x In INR + 9.57 x In Creatinine (mg/dL) + 3.78 (if the patient had dialysis at least twice in the past week, the value for serum creatinine needs to be adjusted to 4.0) x In Bilirubine (mg/dL) + 6.43 | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | recipients with liver disease via MELD | Within 14 days after OLT |
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| Secondary | Number of Patients With EAD in Transplant Recipients Via Child-Turcotte-Pugh Score (CTP) | The incidence of early allograft dysfunction in transplant recipients with different allograft dysfunction based on CTP. This score assesses the severity of the disease, the risk of lethal outcome (during surgeries) and the prognosis in patients with cirrhosis. The CTP scoring system incorporates five parameters: serum bilirubin, serum albumin, prothrombin time, ascites, and grade of encephalopathy. Each of them can score between 1 and 3. Based on the sum of the points from these five parameters, the patient is categorized into one of three CTP classes/grades: A, B, or C. Score: โข 5-6 points - Grade A (least severe liver disease)
| Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | participants | Within 14 days after OLT |
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| Secondary | Time to Liver Function Normalization of Liver Function Parameters | Time to normalization of liver function parameters (alanine aminotransferase, aspartate aminotransferase and bilirubin levels, gamma-glutamyltransferase, lactate dehydrogenase, etc.) after the OLT was assessed. Please note the upper limit of IC is not available due to insufficient number of participants with events. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Median | 95% Confidence Interval | hours | Within 1 Year after OLT |
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| Secondary | Patient Survival Within 1 Year After OLT | Patient survival within 1 year after OLT was assessed. Please note the data are not available due to insufficient number of participants with events. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. Please note data are not available due to insufficient number of participants with events. | Posted | Median | 95% Confidence Interval | days | within 1 year after OLT |
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| Secondary | Mortality Within 1 Year After the OLT | Number of deaths within 1 year after the OLT was assessed. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Count of Participants | Participants | Within 1 Year after OLT |
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| Secondary | The Incidence of Hyperacute, Acute and Chronic Liver Allograft Rejection . | Hyperacute or acute transplant rejection were determined by biopsy; chronic transplant rejection was defined by histological evaluation in both treatment groups. | Modified population of patients who received treatment (mITT = modified intent-to-treat) corresponds to all patients who received any dose of study drug. | Posted | Number | participants | Within 1 Year after OLT |
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| Secondary | Summary of Adverse Events up to 1 Year After the OLT | An Adverse Event (AE) was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a medicinal product and which did not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavourable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. | SAF= Set of patients called the Safety population; patients are grouped for analysis according to the treatment they actually received, as opposed to the treatment they were allocated to receive at randomization. | Posted | Number | participants with AE | up to 1 year after the OLT |
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| 4 |
| 22 |
| 16 |
| 22 |
| 20 |
| 22 |
| EG001 | Standard Care Procedures - SAF | The patients, who were randomized in the control group, did not receive any study therapy. All patients of the study received standard immunosuppressive therapy in accordance with the Russian Transplant Society Guidelines for liver transplantation. Standard care procedures: The patients, who were randomized in the control group, did not receive any study therapy. The patients of both groups received the standard immunosuppressive therapy with Tacrolimus only or together with mycophenolates, or a combination of Tacrolimus/Cyclosporine with mycophenolates and/or glucocorticosteroids. The patients with hepatocellular carcinoma and impaired renal function could receive a combination of drugs that includes everolimus. Basiliximab in association with methylprednisolone was used for the induction of immunosuppression. | 1 | 16 | 5 | 16 | 13 | 16 |
| Ascites | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hernial eventration | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Ileus | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Ileus spastic | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Inguinal hernia strangulated | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Intra-abdominal haemorrhage | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Rectal haemorrhage | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Small intestinal perforation | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Bile duct stenosis | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Biliary ischaemia | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hepatic artery thrombosis | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Jaundice | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Liver disorder | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Liver transplant rejection | Immune system disorders | MedDRA (20.0) | Systematic Assessment |
|
| Transplant rejection | Immune system disorders | MedDRA (20.0) | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Hepatitis C | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Parotitis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Peritonitis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Postoperative wound infection | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Septic shock | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Wound infection | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Biliary anastomosis complication | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Chemical peritonitis | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Complications of transplanted liver | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Transplant dysfunction | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Diabetic metabolic decompensation | Metabolism and nutrition disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hepatocellular carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (20.0) | Systematic Assessment |
|
| Hepatic encephalopathy | Nervous system disorders | MedDRA (20.0) | Systematic Assessment |
|
| Acute kidney injury | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Renal impairment | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Benign prostatic hyperplasia | Reproductive system and breast disorders | MedDRA (20.0) | Systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Deep vein thrombosis | Vascular disorders | MedDRA (20.0) | Systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | MedDRA (20.0) | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (20.0) | Systematic Assessment |
|
| Angina pectoris | Cardiac disorders | MedDRA (20.0) | Systematic Assessment |
|
| Myocardial ischaemia | Cardiac disorders | MedDRA (20.0) | Systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA (20.0) | Systematic Assessment |
|
| Tachycardia | Cardiac disorders | MedDRA (20.0) | Systematic Assessment |
|
| Ventricular extrasystoles | Cardiac disorders | MedDRA (20.0) | Systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Duodenal ulcer | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Gastritis erosive | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hyperthermia | General disorders | MedDRA (20.0) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (20.0) | Systematic Assessment |
|
| Systemic inflammatory response syndrome | General disorders | MedDRA (20.0) | Systematic Assessment |
|
| Biliary ischaemia | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hepatitis toxic | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hyperbilirubinaemia | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Portal vein stenosis | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Cytomegalovirus infection | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Hepatitis B | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Hepatitis C | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Herpes virus infection | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Peritonitis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Viraemia | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Wound abscess | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Anastomotic leak | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Biliary anastomosis complication | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Complications of transplanted liver | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Post concussion syndrome | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Post procedural bile leak | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Postoperative hernia | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Postoperative wound complication | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Radius fracture | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Suture related complication | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Suture rupture | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Transplant dysfunction | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Wound complication | Injury, poisoning and procedural complications | MedDRA (20.0) | Systematic Assessment |
|
| Blood urea increased | Investigations | MedDRA (20.0) | Systematic Assessment |
|
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA (20.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (20.0) | Systematic Assessment |
|
| Osteochondrosis | Musculoskeletal and connective tissue disorders | MedDRA (20.0) | Systematic Assessment |
|
| Encephalopathy | Nervous system disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hallucination | Psychiatric disorders | MedDRA (20.0) | Systematic Assessment |
|
| Sleep disorder | Psychiatric disorders | MedDRA (20.0) | Systematic Assessment |
|
| Anuria | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Chronic kidney disease | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Nephrolithiasis | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
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| Nephropathy toxic | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
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| Renal failure | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Renal impairment | Renal and urinary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Benign prostatic hyperplasia | Reproductive system and breast disorders | MedDRA (20.0) | Systematic Assessment |
|
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hydrothorax | Respiratory, thoracic and mediastinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Haematoma | Vascular disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA (20.0) | Systematic Assessment |
|
| Post thrombotic syndrome | Vascular disorders | MedDRA (20.0) | Systematic Assessment |
|
| Hernial eventration | Gastrointestinal disorders | MedDRA (20.0) | Systematic Assessment |
|
| Bile duct stenosis | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Liver disorder | Hepatobiliary disorders | MedDRA (20.0) | Systematic Assessment |
|
| Postoperative wound infection | Infections and infestations | MedDRA (20.0) | Systematic Assessment |
|
| Diabetic metabolic decompensation | Metabolism and nutrition disorders | MedDRA (20.0) | Systematic Assessment |
|
Not provided
Not provided
| D013568 | Pathological Conditions, Signs and Symptoms |
| No data |
|
| No data |
|
| AST and ALT > 2000 U/L |
|
| participants with allograft steatosis within 30 - 50 % |
|
| patients who had a duration of cold ischemia of 6-7 hours |
|
| patients who had a duration of cold ischemia of more than 7 hours |
|
| patients who had a duration of warm ischemia of 46 - 60 minutes |
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| patients who had a duration of warm ischemia > 60 minutes |
|
| Hypotension - yes |
|
| Other - yes |
|
| 3,4 hours |
|
| 4,6 hours |
|
| 6,8 hours |
|
| more than 8 hours |
|
| recipients with Autoimmune disease etiology - yes |
|
| recipients with other disease etiology - Cirrhosis HCV + HCC in segment VII or Cryptogenic or toxic |
|
| HCV virus loading - detected |
|
| HCV virus loading - not detected |
|
| 20 - 29 - 19.6% mortality |
|
| 30 - 39 - 52.6% mortality |
|
| 10-15 points Grade ะก (most severe liver disease) |
|
| chronic |
|
| Number (%) of patients reporting at least one serious AE |
|