The purpose of the study is to test the safety and effectiveness of IDN-6556 in preventing liver damage that normally occurs when livers are transported before being transplanted and in the immediate post-transplant period.
The occurrence of apoptosis in liver ischemia/reperfusion injury has been well characterized in animal models. In this context apoptosis has specifically been observed in sinusoidal endothelial cells and hepatocytes, and this has also been associated with an increase in activated caspase-3 in liver tissue extracts. The use of caspase inhibitors to prevent apoptosis during liver storage and transplantation may reduce ischemia/reperfusion injury and hence improve graft function after transplantation. Suppression of apoptosis by caspase inhibitors may also allow for longer ischemic times allowing organs to be transported greater distances. In addition, suppression of apoptosis may lower the risk involved in using suboptimal donor organs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
99
Mayo Clinic Scottsdale
Phoenix, Arizona, United States
University of California Los Angeles
Los Angeles, California, United States
Peak absolute change in alanine aminotransferase (ALT) values measured from baseline to up to 3 days post-transplantation
Peak absolute change in aspartate transaminase (AST) values measured from baseline to up to 3 days post-transplantation
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University of California San Francisco
San Francisco, California, United States
Indiana University Medical Center
Indianapolis, Indiana, United States
Tulane University Hospital and Clinic
New Orleans, Louisiana, United States
Mayo Clinic Rochester
Rochester, Minnesota, United States
Mount Sinai School of Medicine
New York, New York, United States
University of Cincinnati
Cincinnati, Ohio, United States
Baylor Regional Transplant Institute, Baylor University Medical Center
Dallas, Texas, United States
The University of Texas Health Science Center at San Antonio
San Antonio, Texas, United States
...and 3 more locations