Amniotic (placental) tissue to protect the bile-duct connection after living-donor liver transplant
Official title: Biliary Anastomosis in Living Donor Liver Transplant With Amniotic Tissue: A Prospective Non-Randomized Clinical Trial
Run by The Cleveland Clinic · NCT07102550 · Data updated 2026-11-12
This trial will try placing a placental (amniotic) tissue graft around the bile-duct connection to see if it lowers complications in adults getting a living-donor liver transplant.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | The Cleveland Clinic Academic / other |
| Locations | 1 site (Cleveland, Ohio) |
| Status | Recruiting |
| Started | October 29, 2024 |
| Main results expected | July 2027 |
| Study ends | September 2027 |
| Registry record updated | October 2, 2026 |
| Trial ID | NCT07102550 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) who are recipients of a living-donor liver transplant at the Cleveland Clinic and can give informed consent are ideal candidates.
✕Probably not a fit
Patients receiving deceased-donor transplants, children, pregnant women, cognitively impaired individuals, or anyone judged unsafe for participation by the transplant selection committee are not expected to qualify or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-arm, non-randomized phase 2 pilot enrolls adult recipients of living-donor liver transplants at the Cleveland Clinic who consent to placement of a MiMedx AmnioFix placental tissue graft around the biliary anastomosis during surgery. The graft is intended as a protective barrier to support healing of the bile-duct connection. Participants receive standard pre- and post-operative care and the study team reviews medical records for biliary complications and other postoperative outcomes for up to one year. The primary focus is safety, with descriptive reporting of biliary complication rates and other postoperative events compared to historical expectations.
Why it matters
Potential benefit: If successful, the graft could reduce bile-duct complications and the need for repeat procedures or hospital readmissions after living-donor liver transplant.
How similar studies have gone: Placental (amniotic) tissue grafts have been used successfully as healing barriers in other surgical settings, but their use around biliary anastomoses in liver transplantation is novel and lacks robust prior evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults \>/= 18 years old * Recipient of LDLT Exclusion Criteria: * Patients who are deemed unsafe for participation for any reason by our multi-disciplinary liver transplant selection committee. * Patients \< 18 years old * Patients who cannot provide informed consent * Patients receiving deceased donor liver transplants, or who are not undergoing Liver transplant (LT) * Patients who do not wish to participate * Children, cognitively-impaired persons, pregnant women, students and house staff under the direct supervision of the investigator are considered vulnerable populations and will, therefore, be excluded from participation.
Where it's running
-
Cleveland Clinic
Cleveland, Ohio, United States Recruiting
Study contacts
- Principal investigator: Jaekeun Kim, MD, PhD — The Cleveland Clinic
- Study coordinator: Erlind Allkushi
- Email: allkuse2@ccf.org
- Phone: 2164440223
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Expanding HIV-positive donor livers for HIV-positive recipients
This study tests whether liver transplants from HIV-positive donors to HIV-positive recipients are safe regarding opportunistic infections and cancer.
-
Magnetic Resonance Cholangiopancreatography to help living liver donors and their recipients
This study tests whether preoperative MRCP imaging can help select living liver donors and reduce biliary complications in recipients.
-
Reducing Immunosuppression by 50% in Young Liver Transplant Recipients
This study tests whether cutting the immunosuppressive medicine by half in children with liver transplants is safe and effective.
-
Preoperative Carbohydrate Loading Before Liver Transplant
This study tests whether drinking a carbohydrate beverage before anesthesia helps liver transplant patients recover faster.
-
Doctor counseling plus smartphone apps to support healthy eating and activity after liver or kidney transplant
This program tries whether doctor-delivered lifestyle counseling combined with two smartphone apps can help people aged 60 and older who had a liver or kidney transplant eat healthier and be more active.
-
Long-term health of children born to mothers who had a solid organ transplant
This project will look for long-term heart, kidney, and immune system problems in people aged 16 and older who were born to mothers who had a kidney, liver, pancreas, heart, or lung transplant.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.