ClinicalTrials.gg
RecruitingNCT07778459Updated Aug 21, 2026

Expanding HOPE Liver

An observational study in HIV Infection and Liver Transplant, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
80
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,034 studies in HIV Infections by National Institute of Allergy and Infectious Diseases (NIAID) — 10 open to participants now, 15 under way, 1 of them phase 3. HIV Infections · National Institute of Allergy and Infectious Diseases (NIAID).

Planned enrollment
92nd of 136
80 · median 174
Started
2026
with 2 others
Observational
142 of 1,034
3 open now
Primary completion
2030-08
later than 12 of 12 live
Registered
1,034th of 1,034
by date

Among the 1,034 studies in HIV Infections by National Institute of Allergy and Infectious Diseases (NIAID), this one is the 92nd largest by planned enrollment of the 136 observational ones that give a count, is one of 3 that started in 2026, is one of 142 observational ones, reaches primary completion later than 12 of the 12 other live ones, and was the 1,034th registered.

HIV Infections

4,734 studies on the registry are indexed under HIV Infections; 244 are open to participants now.

Browse HIV Infections studies →

Open to participants now

10 of the 1,034 studies in HIV Infections by National Institute of Allergy and Infectious Diseases (NIAID) are open now, in 12 countries. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its studies:

All 10 open studies →

Who these studies take

Of the 158 HIV Infections studies recruiting now, 104 (66%) set no upper age limit and 41 (26%) stop at 75 or younger; 31 take children under 18; 60 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,034 studies in HIV Infections by National Institute of Allergy and Infectious Diseases (NIAID), or all of them as a file.
02

Study summary

This is a prospective, multicenter clinical study. The objective is to determine whether a liver transplant from a deceased donor with HIV is associated with an increased risk of opportunistic infection and cancer. Adults with Human Immunodeficiency Virus (HIV) in need of a liver or simultaneous liver-kidney (SLK) transplant who meet study-specified criteria will be offered enrollment in the study. The analytic plan includes an observational cohort of liver and SLK transplant recipients from prior HOPE in Action studies.

Read the detailed description

This is a prospective, multicenter observational study of liver transplantation from deceased donors with Human Immunodeficiency Virus (HIV) to recipients with HIV. The primary objective is to determine whether liver transplantation (LT) from donors with HIV to recipients with HIV (HIV D+/R+) is associated with an increased risk of opportunistic infections or cancer compared with LT from donors without HIV to recipients with HIV (HIV D-/R+).

Adults with HIV who require a liver transplant or simultaneous liver-kidney (SLK) transplant and meet study eligibility criteria will be enrolled. Participants who receive a liver or SLK transplant from a donor with HIV will be assigned to the HIV D+/R+ cohort. Participants who receive a liver or SLK transplant from a donor without HIV, including donors with suspected false-positive HIV screening tests that are subsequently confirmed HIV negative, will be assigned to the HIV D-/R+ cohort. Participants will be followed for a minimum of 6 months and up to 4 years post-transplant.

To improve precision in estimating the association between donor HIV status and the risk of opportunistic infection or cancer, analyses will incorporate observational cohorts from prior HOPE in Action liver transplantation studies, including the HOPE Liver Pilot Study, HOPE Liver U01 (RTB-009), and the HOPE Liver Long-Term Follow-Up (LLTF) Study, where appropriate. In addition to clinical outcomes, biospecimens will be collected to investigate virologic and immunologic mechanisms that may contribute to infection and cancer risk following transplantation from donors with HIV.

03

Conditions studied

  • HIV Infection
  • Liver Transplant

Browse trials for

Keywords

  • HIV
  • Liver transplant
  • Deceased donor
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

In order to have maximum power to precisely estimate the risk of opportunistic infection or cancer attributable to donor HIV status, this trial population (n=80) will be combined with prior HOPE in Action cohorts: HOPE Pilot; HOPE Liver U01 RTB-009, HOPE Liver Long Term Follow Up (LLTF) study.

The study will use data from HOPE Pilot and HOPE Liver U01 RTB-009 through end of follow up and participants will also be approached for enrollment to continue long-term follow-up for up to 10 years in the HOPE LLTF study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Recipient Inclusion Criteria

  1. Participant meets local criteria for liver or simultaneous liver kidney (SLK) transplant
  2. Participant or legally authorized representative (in accordance with Johns Hopkins Medicine Institutional Review Board (IRB) and local IRB policy) is able to understand and provide
  3. Participant has documented infection by any licensed assay or documented history of detectable Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA)
  4. Participant is ≥ 18 years old
  5. Most recent HIV-1 RNA \<= 50 copies RNA/mL. Viral blips between 50-400 copies will be allowed as long as there are not consecutive measurements > 200 copies/mL. Organ recipients who are unable to tolerate ART due to organ failure or recently started ART may have detectable viral load and still be eligible if a safe and effective antiretroviral regimen to be used by the recipient after transplantation is described

Deceased Donor Criteria

  1. Donation after brain death or cardiac death
  2. Donors with HIV have confirmed or suspected HIV infection (by medical record history and licensed HIV test). If HIV infection is diagnosed during the donor evaluation process, a second confirmatory test will be required. Organs from donors with suspected false positive HIV screening tests can be used under this protocol
  3. Donor has no active opportunistic infections, neoplasms, and/or severe acute retroviral syndrome; if previous history of an opportunistic infection, donor has received appropriate treatment
  4. Donor may have any HIV-1 RNA viral load provided a safe, tolerable, and effective post-transplant antiretroviral regimen to be prescribed for the recipient is anticipated, described, and justified
  5. Donors with active virus infection (detectable HCV nucleic acid by licensed assay in a Clinical Laboratory Improvement Amendments (CLIA)-certified lab) are acceptable based on local site practice

Exclusion criteria

Exclusion Criteria:

Recipient

  1. Participant has prior progressive multifocal leukoencephalopathy (PML), cryptosporidiosis of > 1 month, or primary Central Nervous System (CNS) lymphoma
  2. Participant is pregnant or breastfeeding. Note: Participants who become pregnant post-transplant will be followed on study and managed per local site practice
  3. Past or current medical problems or findings from medical history, physical examination, or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
80 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • HIV D-/R+ Arm

    Participants who receive a liver or SLK from a donor without HIV (D-) will be in this arm. Participants who accept an HIV suspected false positive (FP) organ will be part of the D-/R+ arm once confirmatory testing confirms the negative HIV status of the donor. Participants will be followed for a minimum of 6 months and up to 4 years post-transplant

  • HIV D+/R+ Arm

    Prospective cohort of transplant recipients who receive a liver or SLK from a donor with HIV (D+) will be in the HIV D+/R+ arm. Participants will be followed for a minimum of 6 months and up to 4 years post-transplant

06

What researchers measure

Primary outcomes

  1. Incidence of a composite event of opportunistic infection or cancer in Human Immunodeficiency Virus (HIV)-infected donor (HIV D+)/recipient (R+) compared with HIV-uninfected donor (HIV D-)/recipient (R+) liver transplant recipients

    Time frame: From transplant through 4 years post-transplant

Secondary outcomes

  1. Overall survival measured as time from transplantation to death from any cause

    Time frame: From transplant through 4 years post-transplant

  2. Graft survival measured as time from transplantation to graft failure

    Graft failure is defined as any of the following events: re-transplantation; death; allograft nephrectomy; initiation of post-donation chronic dialysis (SLK only).

    Time frame: From transplant through 4 years post-transplant

  3. Incidence of bacterial infections post-transplant

    Time frame: From transplant through 4 years post-transplant

  4. Incidence of post-transplant cancer

    As determined by local pathology

    Time frame: From transplant through 4 years post-transplant

  5. Type of post-transplant cancer

    As determined by local pathology

    Time frame: From transplant through 4 years post-transplant

  6. Serious adverse events post-transplant

    Time frame: From transplant through 4 years post-transplant

  7. Incidence of rejection events post-transplant

    Time frame: From transplant through 4 years post-transplant

  8. Graft function over time as assessed by Fibrosis-4 (FIB-4) Index

    Graft function will be assessed over time using the Fibrosis-4 (FIB-4) Index. FIB-4 is calculated using age, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and platelet count. Higher FIB-4 values are associated with a greater likelihood of liver fibrosis.

    Time frame: From transplant through 4 years post-transplant

  9. Graft function over time as assessed by AST to Platelet Ratio Index (APRI)

    Graft function will be assessed over time using the Aspartate Aminotransferase (AST) to Platelet Ratio Index (APRI). APRI is calculated using AST level, the upper limit of normal for AST, and platelet count. Higher APRI values are associated with a greater likelihood of liver fibrosis.

    Time frame: From transplant through 4 years post-transplant

  10. Incidence of Human Immunodeficiency Virus (HIV)-breakthrough post-transplant

    Time frame: From transplant through 4 years post-transplant

  11. Incidence of Human Immunodeficiency Virus (HIV) persistent virologic failure post-transplant

    Time frame: From transplant through 4 years post-transplant

  12. Incidence of new antiretroviral drug resistance and/or X4 tropic virus post-transplant

    Time frame: From transplant through 4 years post-transplant

  13. Incidence of surgical transplant complications

    Time frame: During the first year post-transplant

  14. Incidence of vascular transplant complications

    Time frame: During the first year post-transplant

  15. Number of Participants with Positive Kaposi Sarcoma Herpesvirus (KSHV) serology

    KSHV serostatus will be assessed using serologic testing for antibodies to KSHV. Participants will be classified as KSHV seropositive or seronegative based on the specified laboratory assay.

    Time frame: From transplant through 4 years post-transplant

  16. Kaposi Sarcoma Herpesvirus (KSHV) Polymerase Chain Reaction (PCR) over time

    Time frame: From transplant through 4 years post-transplant

  17. Incidence of fungal infections post-transplant

    Time frame: From transplant through 4 years post-transplant

  18. Incidence of viral infections post-transplant

    Time frame: From transplant through 4 years post-transplant

  19. Incidence of other opportunistic infections post-transplant

    Time frame: From transplant through 4 years post-transplant

07

Study locations

2 of 2 sites recruiting
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Aug 2030, 46 months later.

Of 187 non-industry observational studies under HIV Infections, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 69. This study's planned 46 months is above that.

Counting every sponsor, half of 201 studies reached it within 38 months; a quarter within 16 and three quarters within 69.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 6, 2026
First posted
Aug 21, 2026
StartEst.
Oct 15, 2026
Primary completionEst.
Aug 31, 2030
CompletionEst.
Aug 31, 2030
Last update
Aug 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07778459
Responsible party
Sponsor
First posted
Aug 21, 2026
Start date
Oct 15, 2026 (estimated)
Primary completion
Aug 31, 2030 (estimated)
Completion
Aug 31, 2030 (estimated)
Last update
Aug 21, 2026

Study contacts

Christine Durand, MD
study chair · Johns Hopkins Hospital: Transplantation
Dorry Segev, MD, PhD
study chair · New York University Langone Health: Transplantation
Aaron Tobian, MD, PhD
study chair · Johns Hopkins Hospital: Transplantation
James P Hamilton, MD
study chair · Johns Hopkins Hospital: Transplantation

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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