HOPE in Action Trial of HIV+ Deceased Donor Liver Transplants for HIV+ Recipients

Inclusion Criteria

• •Participant meets the standard criteria for liver transplant at the local center.
• •Participant is able to understand and provide informed consent.
• •Participant meets with an independent advocate per the HIV Organ Policy Equity (HOPE) Act Safeguards and Research Criteria.
• •Documented HIV infection (by any licensed assay or documented history of detectable HIV-1 RNA).\*
• •Participant is ≥ 18 years old.
• •Opportunistic complications: prior history of certain opportunistic infections is not an exclusion if the participant has received appropriate therapy and has no evidence of active disease. Medical record documentation should be provided whenever possible.
• •CD4+ T-cell count: ≥ 100/µL within 16 weeks prior to transplant if no history of AIDS-defining infection; or ≥ 200 μL if history of opportunistic infection is present.
• •HIV-1 RNA is below 50 RNA/mL.\* Viral blips between 50-400 copies will be allowed as long as there are not consecutive measurements \> 200 copies/mL. \*Organ recipients who are unable to tolerate anti-retroviral therapy (ART) due to organ.
• •failure or recently started ART may be eligible despite a detectable viral load if safe and effective ART to be used by the recipient after transplantation is described.
• •Participant must have or be willing to start seeing a primary medical care provider with expertise in HIV management.
• •Participant is willing to comply with all medications related to participant's transplant and HIV management.
• •For participants with a history of aspergillus colonization or disease, no current clinical evidence of active disease.
• •Agreement to use contraception.
• •Participant is not suffering from significant wasting (e.g. body mass index \< 21) thought to be related to HIV disease.