Biomarker-Guided Immunosuppression for Liver Transplant Recipients

(BRITRE Trial)

MT
TD
Overseen ByTracia Debnam, MS
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: University of Pennsylvania
Must be taking: Immunosuppressants
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

Researchers are interested in determining whether it is safe to reduce anti-rejection medication by approximately 50% after liver transplantation and whether special blood tests called biomarkers can identify early signs that the body is starting to attack the new liver before it gets hurt.

Who Is on the Research Team?

AS

Abraham Shaked, MD, PhD

Principal Investigator

University of Pennsylvania

Are You a Good Fit for This Trial?

This trial is for people who have received a liver transplant and are currently taking anti-rejection medication. Participants should not have any conditions that would make it unsafe to reduce their medication, as determined by the study doctors.

Inclusion Criteria

I have completed treatment for past or latent tuberculosis infection.
My vaccinations are current according to transplant trial guidelines.
I am over 18 years old.
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Exclusion Criteria

Any past or current medical history, physical exam findings, or lab results that may present additional risks, hinder compliance, or affect data quality or interpretation as judged by investigator
Inability or unwillingness to give documented informed consent or comply with study protocol
I have had a split liver transplant, but not one involving a right tri-segment.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo CNI dose reduction with immunosuppression minimization guided by either a miRNA-based biomarker or conventional biochemical monitoring

12 months

Follow-up

Participants are monitored for safety and effectiveness after treatment, focusing on allograft status and renal function

12 months

What Are the Treatments Tested in This Trial?

Trial Overview

The study compares two ways of reducing anti-rejection drugs after liver transplant: one uses special blood tests (biomarkers) to guide when it's safe to lower the dose, while the other relies on standard lab tests. The goal is to see which method works better and keeps patients safe.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: miRNA Biomarker-Guided Immunosuppression MinimizationExperimental Treatment1 Intervention
Group II: Conventional Biochemical Monitoring-Guided Immunosuppression MinimizationActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Pennsylvania

Lead Sponsor

Trials
2,118
Recruited
45,270,000+

National Institute of Allergy and Infectious Diseases (NIAID)

Collaborator

Trials
3,361
Recruited
5,516,000+