Can a blood test catch liver rejection before damage sets in?
NCT ID NCT01672164
First seen Sep 25, 2026 ยท Last updated Sep 25, 2026
Summary
Researchers are studying blood, urine, and tissue samples from people who have received a liver transplant to find early biological signs of organ rejection and liver scarring. The goal is to develop simple tests that detect these problems sooner than current methods, which often rely on invasive biopsies. The study follows about 200 liver transplant recipients over time, collecting samples to identify proteins and gene activity linked to rejection, treatment response, and kidney damage.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the biomarker panels work, doctors could detect liver rejection earlier through simple blood or urine tests, potentially improving organ survival and reducing the need for invasive biopsies.
- What could go wrong
- This is an observational study, not a treatment trial, so it cannot directly cure or prevent rejection. Biomarkers found in this group may not generalise to all transplant patients, and years of validation would be needed before any test reaches the clinic.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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202 people
The number who actually took part.
- Start date
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Aug 2012
- Finished
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Dec 2015
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Liver Transplant Recipients
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subjects undergoing primary deceased-donor or living donor liver transplantation; * Subject must be able to understand and provide informed consent. Exclusion Criteria: * Need for combined organ transplantation; * Previous solid organ and/or islet cell transplantation; * Infection with HIV; * Allergy to iodine; * Inability or unwillingness of a participant to comply with study protocol; * Any condition that, in the opinion of the investigator, would interfere with the participant's ability to comply with study requirements.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor University Medical Center
Dallas, Texas, 75246, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44295, United States
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Mayo Clinic
Phoenix, Arizona, 85054, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Mount Sinai School of Medicine
New York, New York, 10029, United States
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Northwestern University, Feinberg School of Medicine
Chicago, Illinois, 60611, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a donor Organ's gene signature foretell rejection?
- A new Anti-Rejection strategy may spare kidney function after liver transplant
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- Smartphone messages may boost medication adherence after liver transplant
- Blood type no barrier? study tests liver transplant success across ABO barriers