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Trial · NCT02251041

Combined Drug Approach to Prevent Ischemia-reperfusion Injury During Transplantation of Livers (CAPITL)

NCT02251041, Phase 2, Completed, Universitaire Ziekenhuizen KU Leuven; results first posted 2024-08-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Combined Drug Approach to Prevent Ischemia-reperfusion Injury During Transplantation of Livers (CAPITL). Trials, record NCT02251041. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02251041

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Combined Drug Approach to Prevent Ischemia-reperfusion Injury During Transplantation of Livers (CAPITL)
NCT number
NCT02251041
Status
Completed
Phases
Phase 2
Enrollment
143 participants, actual
Lead sponsor
Universitaire Ziekenhuizen KU Leuven
Conditions
Reperfusion Injury
Interventions
Antithrombin-III, Infliximab, Apotransferrin, Human recombinant erythropoietin, C1-Inhibitor, Glutathione, Alfa-tocopherol, Melatonin, Epoprostenol, Sodium chloride solution
First posted
2014-09-26
Last updated
2024-08-23
Results first posted
2024-08-23
Limitations and caveats
* Single center RCT~* Individual effects of each component of CDA in decreasing IRI were not assessed separately.~* Despite the fact that CDA components were administrated according to a specific timing in relation to their pharmacokinetics with the aim to reach a peak concentration during reperfusion, blood levels of each component were not determined.~* Although the study was powered to detect differences in peak AST, the small sample size did not allow a claim on the absence of an effect.

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPeak Aspartate Aminotransferase Within First 72h Post Transplantwithin 72 hours following liver transplantationpeak AST is defined as the highest value of serum AST within 72 hours following liver transplantation
SecondaryGraft Loss3 and 12 months after liver transplantationgraft loss at 3 and 12 months after liver transplantation
SecondaryRecipient Death3 and 12 months after liver transplantationrecipient death at 3 and 12 months after liver transplantation
SecondaryEarly Graft Dysfunctionwithin first 7 daysearly graft dysfunction as defined by Olthoff
SecondaryNumber of Participants Developing Biliary Strictureswithin 12 months post transplantation
Biliary strictures are the narrowing of the intrahepatic or extrahepatic biliary ductal system. Here we report the number of participants developing biliary strictures within 12 months post transplantation by MRCP (magnetic resonance cholangiopancreatography)
SecondaryIschemia Reperfusion Injury ScoreOne hour post reperfusionIschemia Reperfusion Injury score 1h post reperfusion by using the Suzuki score and Monbaliu et al. The score ranges from 0 (no injury) to 4 (severe injury).
SecondaryGraft Rejectiontill 1 year after transplantationa liver biopsy will be taken after transplantation and in case of clinical suspicion of acute rejection
SecondaryPatients With at Least 1 Severe Surgical Complicationswithin 1 year after liver transplantation
The ranking of surgical complications will be done by using Clavien-Dindo classification Grade I Any deviation from the normal post-operative course not requiring surgical, endoscopic or radiological intervention. This includes the need for certain drugs (e.g. antiemetics, antipyretics, analgesics, diuretics and electrolytes), treatment with physiotherapy and wound infections that are opened at the bedside Grade II Complications requiring drug treatments other than those allowed for Grade I complications; this includes blood transfusion and total parenteral nutrition (TPN) Grade III Complications requiring surgical, endoscopic or radiological intervention Grade IV Life-threatening complications; this includes CNS complications (e.g. brain haemorrhage, ischaemic stroke, subarachnoid haemorrhage) which require intensive care, but excludes transient ischaemic attacks (TIAs) Grade V Death of the patient A severe surgical complication is defined as Grade III or higher.
SecondaryNon-anastomotic Biliary Stricture1 yearNon-anastomotic biliary stricture at 1 year
SecondaryAcute Kidney Injury Score48h
An acute kidney injury score of 1 indicates risk; 2, injury; and 3, failure. According to RIFLE (Risk, Injury, Failure, Loss of kidney function, and End-stage kidney disease) Minimum score is 0 meaning there is no injury, maximum score is 3 meaning failure of the organ.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPeak Aspartate Aminotransferase Within First 72h Post Transplantwithin 72 hours following liver transplantationU/LGEOMETRIC_MEAN
SECONDARYGraft Loss3 and 12 months after liver transplantationDeath-censored graft survivalParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYRecipient Death3 and 12 months after liver transplantationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYEarly Graft Dysfunctionwithin first 7 daysParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Developing Biliary Strictureswithin 12 months post transplantationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIschemia Reperfusion Injury ScoreOne hour post reperfusionscoreMEDIAN
SECONDARYGraft Rejectiontill 1 year after transplantationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPatients With at Least 1 Severe Surgical Complicationswithin 1 year after liver transplantationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNon-anastomotic Biliary Stricture1 yearParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAcute Kidney Injury Score48hParticipantsCOUNT_OF_PARTICIPANTS

Results by group34

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Peak Aspartate Aminotransferase Within First 72h Post TransplantCombined Drug Approach1262.995% Confidence Interval 946.3 to 1685.4U/L
Peak Aspartate Aminotransferase Within First 72h Post TransplantControles1451.295% Confidence Interval 1087.4 to 1936.7U/L
Graft LossCombined Drug Approach3-months2Participants
Graft LossControles3-months0Participants
Graft LossCombined Drug Approach12-months3Participants
Graft LossControles12-months0Participants
Recipient DeathCases3 months3Participants
Recipient DeathControles3 months1Participants
Recipient DeathCases12 months4Participants
Recipient DeathControles12 months3Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCombined Drug Approach53
Overall StudySTARTEDControles40
Overall StudyCOMPLETEDCombined Drug Approach38
Overall StudyCOMPLETEDControles36
Overall StudyNOT COMPLETEDCombined Drug Approach15
Overall StudyNOT COMPLETEDControles4

Adverse events46

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPost-operative deliriumGeneral disordersCombined Drug Approach936
otherPost-operative deliriumGeneral disordersControles1136
otherAcute kidney injuryRenal and urinary disordersCombined Drug Approach1236
otherAcute kidney injuryRenal and urinary disordersControles936
otherRespiratory failure post-opRespiratory, thoracic and mediastinal disordersCombined Drug Approach136
otherRespiratory failure post-opRespiratory, thoracic and mediastinal disordersControles436
otherUrinary tract infectionsRenal and urinary disordersCombined Drug Approach236
otherUrinary tract infectionsRenal and urinary disordersControles536
otherDe novo diabetes mellitusEndocrine disordersCombined Drug Approach336
otherDe novo diabetes mellitusEndocrine disordersControles236

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCombined Drug Approach436
Total, all-cause mortalityControles336
Total, other adverse eventsCombined Drug Approach3336
Total, other adverse eventsControles3136
Total, serious adverse eventsCombined Drug Approach636
Total, serious adverse eventsControles436

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
19826248BACKGROUNDPubMed
21987442BACKGROUNDPubMed
36853611DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons8

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Combined Drug Approach vs Controles: Patients With at Least 1 Severe Surgical ComplicationsTrial comparisons
Combined Drug Approach vs Controles: Number of Participants Developing Biliary StricturesTrial comparisons
Combined Drug Approach vs Controles: Post-Reperfusion SyndromeTrial comparisons
Combined Drug Approach vs Controles: Graft RejectionTrial comparisons
Cases vs Controles: Early Graft DysfunctionTrial comparisons
Combined Drug Approach vs Controles: Non-anastomotic Biliary StrictureTrial comparisons
Combined Drug Approach vs Controles: deaths from any causeTrial comparisons
Combined Drug Approach vs Controles: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02251041

GET https://conductscience.org/api/trials/v1/NCT02251041/results?page=2