- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02419625
The Epidemiology of Hepatitis E Virus Infection in Israel and Potential Risk Factors
July 20, 2016 updated by: Eli Zuckerman, Carmel Medical Center
The Epidemiology of Hepatitis E Virus Infection in Israel and Potential Risk Factors, a Multicenter, Comparative, Cross-sectional Study
Hepatitis E virus is a single-stranded positive-sense RNA virus with genome of approximately 7.2kb in length.
The HEV genome is capped at the 5' end followed by a small untranslated region of 27 nucleotides and polyadenalated at the 3' end preceded by another UTR of 65 nucleotides .
HEV has three open reading frames: ORF1, ORF2 and ORF3 that encode structural and non- structural proteins.
ORF1 is the largest one, approximately 5,000 nt in length, located at the 5 ' end and encodes important proteins for the replication process (methyltransferase, papain-like cysteine protease, helicase, and RNA-dependent RNA polymerase).
A noncoding, hypervariable region within ORF1 displays substantial genetic diversity; this region seems to modulate the efficiency of HEV replication.
Notably, the differences in the genome size among different HEV strains are confined mainly to this region .ORF2 is located at the 3' end, encodes structural capsid proteins of 660 amino acids and contains three potential glycosylation sites.
The ORF2 protein contains multiple immunogenic sites and neutralizing antibodies are directed against it al., .The essential region in the protein for immunogenicity is 452aa-617aa and the neutralizing epitopes have recently been shown to be conformational .ORF3 is located between the other two reading frames and encodes a small phosphoprotein of 123 amino acids.
Its exact function has not been yet determined, however, multiple functions have been proposed.
It is thought to interact with cellular mitogen-activated protein kinase phosphatase and other extracellular kinases, promoting cell survival through activation of intracellular signaling pathways .Moreover, the binding of the ORF3 encoded protein to host-specific proteins seems to influence the pathogenesis of HEV infections .A schematic drawing of the HEV genome is described in Figure 1 .
Study Overview
Detailed Description
General aim To identify the overall and subgroup-specific HEV sero-prevalence in Israel and examine associations between HEV seropositivity and putative risk factors.
3.2 Specific aims
- To determine the sero-prevalence of Israeli healthy population.
- To quantify the sero-prevalence of HEV infections in Israeli healthy population by age, gender, ethnicity, religion.
- To present the seroprevalence in five specific groups (farmers and swine veterinaries, unexplained acute hepatitis, immunosuppressed transplant recipients, immunosuppressed HIV patients) and identify if these specific population groups are at high risk of HEV sero-prevalence.
- To identify risk factors associated with an increased risk of HEV sero-prevalence in immunosuppressed transplant patients.
- To identify risk factors associated with an increased risk of HEV sero-prevalence in farmers and swine veterinaries.
- To identify the molecular characteristic of HEV in Israel and investigate the similarities to previously published HEV sequences.
- To identify the incidence of HEV seroconversion/ infection in transplant recipients. (sero-negative pre-transplanted patients will be tested consistently for HEV Ab's and HEV RNA after transplantation)
Study Type
Interventional
Enrollment (Anticipated)
200
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
- Patients who are followed-up in Carmel, Lin or Rambam Medical Centers who fulfill one or more of the following criteria and are willing to sign an inform consent
- Patients with elevated liver enzymes of unknown etiology
- Patients with acute hepatitis of unknown etiology
- Patients with chronic infection with hepatitis B , D or C.
- Immunosuppressed patients: patients with solid or haemato-oncologic malignancy or patients with chronic HIV infection.
- Patients with chronic liver disease of unknown etiology
- Participants who have contacts with swines: delivery, feeding, slaughtering, treatment)
- Healthy volunteers.
Inclusion criteria:
- Patients with elevated liver enzymes of unknown etiology
- Patients with acute hepatitis of unknown etiology
- Patients with chronic infection with hepatitis B , D or C.
- Immunosuppressed patients: patients with solid or haemato-oncologic malignancy or patients with chronic HIV infection.
- Patients with chronic liver disease of unknown etiology
- Participants who have contacts with swines: delivery, feeding, slaughtering, treatment)
- Healthy volunteers.
Exclusion criteria:
- Participants who do not fill the above criteria
- Participants who are not willing to sign an inform consent
- Participants younger than 18 year old
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: subgroup-specific HEV in Israel
The study will involve patient interviews using questionnaires
|
questionnaires , serum samples will be used
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
study will measure the frequency of HEV infection in immune compromised population and in subjects with unexplained elevation of liver enzymes
Time Frame: 2 years
|
2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: eli zuckerman, Carmel Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2015
Primary Completion (Anticipated)
April 1, 2017
Study Completion (Anticipated)
April 1, 2017
Study Registration Dates
First Submitted
March 22, 2015
First Submitted That Met QC Criteria
April 14, 2015
First Posted (Estimate)
April 17, 2015
Study Record Updates
Last Update Posted (Estimate)
July 21, 2016
Last Update Submitted That Met QC Criteria
July 20, 2016
Last Verified
July 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CMC-15-0021-CTIL
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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