Safer liver transplants from HIV-positive donors

Expanding HOPE Liver Transplantation: Understanding Opportunistic Infection and Cancer Risk

['FUNDING_U01'] · JOHNS HOPKINS UNIVERSITY · NIH-11258257

This project looks at whether liver transplants from HIV-positive donors are safe for people living with HIV and how to lower infections and virus-related cancers.

Quick facts

Phase['FUNDING_U01']
Study typeNih_funding
SexAll
SponsorJOHNS HOPKINS UNIVERSITY (nih funded)
Locations1 site (BALTIMORE, UNITED STATES)
Trial IDNIH-11258257 on ClinicalTrials.gov

What this research studies

If you are living with HIV and need a liver transplant, this project follows people who receive livers from HIV-positive donors to understand why some have more infections or virus-linked cancers. Researchers will collect medical records, blood and tissue samples and perform tests like CD4 counts, viral assays, and advanced immune profiling (including CITE-sequencing) over months and years. They will compare outcomes to people who received livers from donors without HIV and look for viral reactivation, immune changes, and other risk factors. The aim is to identify better donor selection, monitoring, and preventive treatments to make these transplants safer.

Who could benefit from this research

Good fit: People living with HIV who need a liver transplant and are willing to consider an organ from an HIV-positive donor are the ideal candidates.

Not a fit: People without HIV, those who are not transplant candidates, or patients not treated at participating transplant centers would not benefit from participation.

Why it matters

Potential benefit: Could make HIV-positive-donor liver transplants safer by reducing opportunistic infections and virus-associated cancers for people living with HIV.

How similar studies have performed: Earlier HOPE program work showed HIV-to-HIV organ transplants are feasible but found higher early infections and some increased mortality, so this project builds on those findings to improve safety.

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.

View on NIH RePORTER →

Conditions: Acquired Immune Deficiency Syndrome Virus, Acquired Immunodeficiency Syndrome Virus

Last reviewed 2026-05-15 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.