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Uses of Immunosuppression Therapy in Patients With Liver Transplantation

This study has been completed.
Information provided by (Responsible Party):
Chien-Ning Hsu, Chang Gung Memorial Hospital Identifier:
First received: April 11, 2013
Last updated: February 15, 2015
Last verified: February 2015
Conventionally, the outcome of liver transplantation is usually reported in terms of graft and patient survival, medical and surgical complications, but lack of health-related quality of life (HRQOL) that might be associated with immunosuppression complications (e.g., diabetes, hypertension, dyslipidemia, obesity, metabolic syndrome, cardiovascular disease, renal dysfunction, osteoporosis, and de novo malignancy), disease recurrence, and rejections after transplantation.

Evidence of Liver Transplantation

Study Type: Observational
Study Design: Observational Model: Cohort
Official Title: Trends of Immunosuppression Therapy and Their Effectiveness in Patients With Liver Transplantation

Resource links provided by NLM:

Further study details as provided by Chien-Ning Hsu, Chang Gung Memorial Hospital:

Primary Outcome Measures:
  • incidence of graft and patient mortality, treatment-related complications [ Time Frame: 5 years ]
    Patient will be followed from the date of liver transplantation to the occurence of outcome event for 5 years

Secondary Outcome Measures:
  • health-related quality of life [ Time Frame: 5 years ]
    health-related quality of life will be measured by EQ-5D-5L and 15D

Other Outcome Measures:
  • quality-adjusted life expectancy (QALE), loss-of-QALE [ Time Frame: 5 years ]

    QALE:quality-adjusted weight for each health status (measured by EQ-5D)will be multiplied by the survival time and then summed to calculate the number of QALE.

    Loss-of QALE: the life time expectancy (survival function) for thes study cohort will be compared with Taiwan general population of subjects who are age- and gender-matched with study subjects.

Biospecimen Retention:   None Retained
no biospecimens are to be retained

Enrollment: 314
Study Start Date: April 2013
Study Completion Date: December 2014
Primary Completion Date: December 2014 (Final data collection date for primary outcome measure)
liver transplantation recipients
adult liver transplantation recipients (>=20 years at the date of surgery)

Detailed Description:

Specific aims are proposed to achieve in this study:

  1. To compare graft and patient survival rate, incidence of treatment-related adverse effects between different patterns of immunosuppression combination among patients received post-liver transplant care in Kaohsiung Chang Gung Memorial Hospital (KCGMH), Taiwan.
  2. To quantify the long-term health impacts of immunosuppressive regimens on quality-adjusted life expectancy (QALE), the loss-of-QALE relating to immunosuppression therapy, and types of transplantation.

Ages Eligible for Study:   20 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Study subjects: Patients who had liver transplantation in Kaohsiung Chang Gung Memorial Hospital

Aim 1:

Inclusion Criteria:

  • age at liver transplantation is at least 20 years

Aim 2:

Inclusion Criteria:

  • age at liver transplantation is at least 20 years

Exclusion Criteria:

  • deceased patient
  • cannot obtain inform consent
  • age <20 years
  Contacts and Locations
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Please refer to this study by its identifier: NCT01834690

Kaohsiung Chang Gung Memorial Hospital
Kaohsiung, Taiwan, 833
Sponsors and Collaborators
Chang Gung Memorial Hospital
Principal Investigator: Chien-Ning Hsu, PhD Chang Gung Memorial Hospital
  More Information

Responsible Party: Chien-Ning Hsu, Clinical Pharmacist, Chang Gung Memorial Hospital Identifier: NCT01834690     History of Changes
Other Study ID Numbers: 102-0582C
Study First Received: April 11, 2013
Last Updated: February 15, 2015

Keywords provided by Chien-Ning Hsu, Chang Gung Memorial Hospital:
Liver transplantation/epidemiology
Liver transplantation/pharmacology
Health status/drug effects
Agents, immunosuppressive agents

Additional relevant MeSH terms:
Liver Extracts
Hematinics processed this record on May 25, 2017