Early promise from #FMT in small studies for improving both liver disease and AUD and cravings; phages might also play a role, from proof-of-concept study #TLM22
Adding antibiotic regimen to steroids did not improve survival in ~240pt Antibiocor trial, presented last year - a growing number of other promising targets but none close to approval #TLM22
Ashwani Singal now discusses issues around selecting for patients with AUD and liver disease for LTx #TLM22
Singal highlights the QuickTrans study from the Lille group on early liver transplantation, which attempted a more objective LTx selection approach thelancet.com/journals/langa…#TLM22
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280 HBeAg+ mothers gestational age 12-13 weeks randomised 1:1 to early TDF from GW 14, or control group of TDF at GW 28. All infants got active immunoprophylaxis and HBIg only given to infants in the control group; 1ry endpoint HBV transmission at 28 weeks #TLM22
Women in experimental arm had lower HBV DNA at delivery; there was no transmission of HBV to infants in either group. A sensitivity analysis suggested a conservative 2% infection rate in experimental arm. Safety similar, but small numbers #TLM22
Giving the Thomas Starzl transplant state of the art lecture this year is Peter Friend, on normothermic transplantation — the ice box is now the rate limiting step, especially for extended criteria organs #TLM22@OxTxResearch
Published trials for benefits of normothermic perfusion devices accumulating, typically reduced acute liver injury, post-reperfusion syndrome, utilisation, and preservation time - but randomisation process in this setting introduces inherent selection biases #TLM22
Upcoming PLUS trial uses a prospective NMP arm and identical criteria retrospective control arm, given investigators unwilling to randomise higher risk of organs #TLM22