Preventing hepatitis C after receiving a kidney from an HCV-positive donor

A Randomized Controlled Trial of Prophylaxis with Direct-acting Antivirals for Kidney Transplantation from Hepatitis C virus-infected donor to Uninfected Recipients (PREVENT-HCV)

NIH-funded research Johns Hopkins University · NIH-11319833

This compares two ways of giving hepatitis C antivirals to people getting a kidney from an HCV-positive donor to find which best prevents infection and complications.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11319833 on NIH RePORTER

What this research studies

If I need a kidney and agree to accept an HCV-positive donor organ, I would be randomly assigned to one of two antiviral plans: a short two-week course given just before transplant to try to prevent infection, or waiting to start a 12-week antiviral course beginning two weeks after transplant only if hepatitis C appears. The trial will enroll 120 recipients across six transplant centers, including Johns Hopkins, and follow people closely after transplant. Doctors will watch for liver injury, organ rejection, and infections such as CMV and BK virus while tracking whether hepatitis C develops or is cured. The team aims to determine which approach is safer and lets more people safely receive these donor kidneys.

Who could benefit from this research

Good fit: Adults who are HCV-negative and listed for kidney transplant who are willing and eligible to accept an HCV-positive donor kidney are the ideal candidates.

Not a fit: People who are already HCV-positive, not eligible for transplant, or unwilling to accept an HCV-positive donor would not benefit from this protocol.

Why it matters

Potential benefit: If successful, more HCV-positive donor kidneys could be used safely, shortening wait times and lowering the chance of hepatitis C-related complications after transplant.

How similar studies have performed: Early single-center experiences have cured hepatitis C after transplant with direct-acting antivirals and suggest prophylaxis may prevent complications, but a randomized head-to-head comparison is new.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.