Quality of life in kidney transplant recipients with Hepatitis C Virus (HCV) infection

ISRCTN ISRCTN97560076
DOI https://doi.org/10.1186/ISRCTN97560076
Secondary identifying numbers 290/15
Submission date
01/08/2018
Registration date
08/08/2018
Last edited
11/03/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
There is an association between kidney disease and infection with hepatitis C virus (HCV) - sometimes, patients may develop kidney disease as a result of HCV infections; sometimes, they may develop HCV infection through their kidney disease.
Recently, there has been introduction of direct anti-HCV drugs that have radically changed the course of this infection in patients with kidney disease. HCV infection can cause physical and psychological issues for patients. The aim of this study is to determine whether these anti-HCV drugs can improve quality of life for patients with HCV infection after kidney transplantation through eradication of HCV.

Who can participate?
Adult kidney transplant recipients who are infected with HCV and are being treated in the Nephrology and Transplant Unit of the University Federico II of Naples, Italy

What does the study involve?
Participants will be asked to complete 2 questionnaires about quality of life before starting anti-HCV therapy, after its completion (12 weeks after beginning therapy) and 1 year after its completion.

What are the possible benefits and risks of participating?
The benefit to participants taking part in this study is that the anti-HCV treatment will treat the infection and therefore should improve quality of life. The possible risks of participating are the minimal side effects associated with the anti-HCV therapy used, including headaches and gastrointestinal symptoms.

Where is the study run from?
University Federico II, Naples, Italy

When is the study starting and how long is it expected to run for?
October 2015 to February 2018

Who is funding the study?
This study is self-funded

Who is the main contact?
Prof Massimo Sabbatini
sabbatin@unina.it

Contact information

Prof Massimo Sabbatini
Public

University Federico II of Naples
Naples
80131
Italy

ORCiD logoORCID ID 0000-0003-1339-9228
Phone +30 081 746 2614
Email sabbatin@unina.it

Study information

Study designObservational longitudinal case series
Primary study designObservational
Secondary study designLongitudinal study
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet No participant information sheet available
Scientific titleEradication of HCV in Renal Transplant Recipients and its effects on Quality of Life
Study objectivesTo test the effects of HCV eradication on quality of life (QoL) in renal transplant recipients (RTR)
Ethics approval(s)Ethical Committee of “Federico II” University, 26/02/2016, 290/15
Health condition(s) or problem(s) studiedHepatitis C Virus in long term renal transplant recipients
InterventionParticipants will be asked to complete 2 different quality of life questionnaires (36-item Short Form Survey (SF36) and Chronic Liver Disease Questionnaire (CLDQ)) at the baseline, at the end of antiviral therapy (12 weeks) and 1 year after its completion. The anti-HCV therapy will be a sofosbuvir-based regimen.
Intervention typeOther
Primary outcome measureImprovements in the different domains (physical and emotional) of quality of life after viral eradication, assessed at the end of HCV antirviral therapy (12 weeks) and 1 year after its completion using the following:
1. 36-item Short Form Survey (SF36)
2. Chronic Liver Disease Questionnaire (CLDQ)
Secondary outcome measuresKidney function, assessed by the stability of calculated glomerular filtration rate (eGFR), calculated using the CKD-EPI creatinine equation at the baseline, at the end of antiviral therapy (12 weeks) and 1 year after its completion.
Overall study start date01/10/2015
Completion date10/02/2018

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsAll the renal transplant patients of our Unit affected by C Virus Hepatitis
Total final enrolment16
Key inclusion criteria1. Aged 18 years or older
2. Stable eGFR > 30 ml/min
3. Moderate liver stiffness (measured by elastography)
4. Replicating HCV infection
Key exclusion criteria1. Decompensated liver cirrhosis
2. Chronic hepatitis B
3. Human immunodeficiency virus infection
4. Presence of specific intercurrent clinical problems
Date of first enrolment01/06/2016
Date of final enrolment31/12/2017

Locations

Countries of recruitment

  • Italy

Study participating centre

University Federico II
Via S. Pansini 5
Naples
80131
Italy

Sponsor information

Comitato Etico "Carlo Romano", Università Federico II di Napoli
University/education

Via S. Pansini 5
Naples
80131
Italy

ROR logo "ROR" https://ror.org/05290cv24

Funders

Funder type

Not defined

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/09/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planWe plan to publish in a monothematic issue of BioMed Research International entitled Renal Transplantation: What Has Changed In Recent Years?
IPD sharing planThe datasets generated and analyses during the current study are available upon reasonable request from Prof. Massimo Sabbatini (sabbatin@unina.it) for the next 12 months, for evaluation of both raw data and of statistical analysis, to discuss together. Patients gave their informed consent to anonymous divulgation of their data.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 30/08/2018 11/03/2019 Yes No

Editorial Notes

11/03/2019: The following changes have been made:
1. Publication reference added.
2. The Total final enrolment number has been added from the results publication.