Fatty Acids Lipidome and Oxidative Stress in Liver Transplantation
1 other identifier
observational
320
1 country
3
Brief Summary
The purpose of this study is to determine lipid metabolism in chronic liver disease in the attempt to find a useful biomarker of liver function and of prognostic value of graft function in those patients who undergo liver transplant. The present study enrolls subjects with liver cirrhosis (with different ethiology), including subjects eligible for a full-size liver transplantation, and healthy controls.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2001
Longer than P75 for all trials
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2001
CompletedFirst Submitted
Initial submission to the registry
May 6, 2011
CompletedFirst Posted
Study publicly available on registry
July 7, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2016
CompletedDecember 11, 2015
December 1, 2015
14.8 years
May 6, 2011
December 10, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Post operative graft function after liver transplantation
• Multiple lipid metabolism biomarkers (fatty acids, cholesterol and oxysterols) are evaluated in the plasma of liver cirrhosis patients before liver transplantation. A logistic regression model is used to evaluate which of these biomarkers is an independent predictor of graft function
Change in graft function after 7 and 30 days after liver transplantation
Secondary Outcomes (1)
Early gene expression in the liver graft
30 days
Study Arms (3)
Liver Cirrhosis
Patient with liver cirrhosis undergoing liver transplant
Liver donors
Subjects eligible for organ explant
Healthy controls
Eligibility Criteria
1. 150 cirrhotic patients, including Hepatocellular Carcinoma (HCC), Hepatitis C Virus (HCV) positive patients 2. 80 healthy controls 3. 100 liver donors
You may qualify if:
- subjects with liver cirrhosis eligible for liver transplant, and one MELD score determination performed at least 3 months before liver transplantation
You may not qualify if:
- liver transplant contraindication and re-transplantation
- current use of antioxidants and fatty acids supplements
- Healthy controls are recruited recruited among the University personnel, after a review of their medical history.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Department of Clinical Medicine Division of Gastroenterology, Sapienza University of Rome
Rome, RM, 00161, Italy
Liver Transplant Center Paride Stefanini, Sapienza University of Rome
Rome, RM, 00161, Italy
Laboratory of Vascular Medicine, Department of Medical Sciences and Biotechnology, Sapienza University of Rome
Latina, 04100, Italy
Related Publications (8)
Poli G. Pathogenesis of liver fibrosis: role of oxidative stress. Mol Aspects Med. 2000 Jun;21(3):49-98. doi: 10.1016/s0098-2997(00)00004-2.
PMID: 10978499BACKGROUNDLoguercio C, Federico A. Oxidative stress in viral and alcoholic hepatitis. Free Radic Biol Med. 2003 Jan 1;34(1):1-10. doi: 10.1016/s0891-5849(02)01167-x.
PMID: 12498974BACKGROUNDIuliano L, Monticolo R, Straface G, Zullo S, Galli F, Boaz M, Quattrucci S. Association of cholesterol oxidation and abnormalities in fatty acid metabolism in cystic fibrosis. Am J Clin Nutr. 2009 Sep;90(3):477-84. doi: 10.3945/ajcn.2009.27757. Epub 2009 Jul 8.
PMID: 19587087BACKGROUNDAl Sibae MR, Cappell MS. Accuracy of MELD scores in predicting mortality in decompensated cirrhosis from variceal bleeding, hepatorenal syndrome, alcoholic hepatitis, or acute liver failure as well as mortality after non-transplant surgery or TIPS. Dig Dis Sci. 2011 Apr;56(4):977-87. doi: 10.1007/s10620-010-1390-3. Epub 2010 Sep 16.
PMID: 20844956BACKGROUNDCorradini SG, Micheletta F, Natoli S, Iappelli M, Di Angelantonio E, De Marco R, Elisei W, Siciliano M, Rossi M, Berloco P, Attili AF, Diczfalusy U, Iuliano L. High preoperative recipient plasma 7beta-hydroxycholesterol is associated with initial poor graft function after liver transplantation. Liver Transpl. 2005 Dec;11(12):1494-504. doi: 10.1002/lt.20524.
PMID: 16258953RESULTIuliano L, Micheletta F, Natoli S, Ginanni Corradini S, Iappelli M, Elisei W, Giovannelli L, Violi F, Diczfalusy U. Measurement of oxysterols and alpha-tocopherol in plasma and tissue samples as indices of oxidant stress status. Anal Biochem. 2003 Jan 15;312(2):217-23. doi: 10.1016/s0003-2697(02)00467-0.
PMID: 12531208RESULTCorradini SG, Elisei W, De Marco R, Siciliano M, Iappelli M, Pugliese F, Ruberto F, Nudo F, Pretagostini R, Bussotti A, Mennini G, Eramo A, Liguori F, Merli M, Attili AF, Muda AO, Natalizi S, Berloco P, Rossi M. Preharvest donor hyperoxia predicts good early graft function and longer graft survival after liver transplantation. Liver Transpl. 2005 Feb;11(2):140-51. doi: 10.1002/lt.20339.
PMID: 15666381RESULTGinanni Corradini S, Zerbinati C, Maldarelli F, Palmaccio G, Parlati L, Bottaccioli AG, Molinaro A, Poli E, Boaz M, Serviddio G, Mennini G, Corsi A, Bianco P, Rossi M, Iuliano L. Plasma fatty acid lipidome is associated with cirrhosis prognosis and graft damage in liver transplantation. Am J Clin Nutr. 2014 Aug;100(2):600-8. doi: 10.3945/ajcn.113.074427. Epub 2014 Jun 25.
PMID: 24965302DERIVED
Biospecimen
Blood samples and liver biopsy specimens
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stefano Corradini, M.D., Ph.D.
University of Roma La Sapienza
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D.
Study Record Dates
First Submitted
May 6, 2011
First Posted
July 7, 2011
Study Start
July 1, 2001
Primary Completion
May 1, 2016
Study Completion
September 1, 2016
Last Updated
December 11, 2015
Record last verified: 2015-12