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Development of DIALIVE, a novel Liver Dialysis Device for the treatment of patients with Acute on Chronic Liver Failure (ACLF)

Description du projet

Un dispositif de dialyse hépatique innovant

L’insuffisance hépatique entraîne l’accumulation de toxines et accroît la vulnérabilité du patient aux infections, elle peut, à terme, provoquer une défaillance de plusieurs organes et un décès prématuré. La transplantation hépatique est la seule méthode qui permet de prolonger la vie, mais son efficacité est compromise par la pénurie d’organes et les coûts élevés des soins de santé. Pour répondre à ce besoin clinique critique, les scientifiques du projet ALIVER, financé par l’UE, ont mis au point un nouveau dispositif de dialyse hépatique appelé DIALIVE. Les essais précliniques du dispositif affichent des résultats prometteurs dont une amélioration de la fonction de l’albumine et une réduction des endotoxines. Le projet ALIVER mènera des essais cliniques du dispositif DIALIVE auprès de patients souffrant d’insuffisance hépatique aiguë ou chronique en vue d’obtenir le marquage CE pour une future utilisation clinique.

Objectif

Liver disease incidence is increasing and about 170K patients die from liver failure each year in Europe. In liver failure, the accumulation of protein bound toxins and increased susceptibility to infection cause multiorgan failure and death. Liver transplantation is the only treatment known to prolong the life but is limited by availability of organs. A clinically efficacious ‘liver dialysis device’ is an unmet clinical need. The ALIVER Consortium has developed and optimised a novel ‘liver dialysis device’, DIALIVE. The DIALIVE device is protected by world-wide patents and is based upon our discovery that (i) albumin, a circulating protein involved in detoxification is reduced irreversibly in function and (ii) endotoxemia contributes to increased risk of infection in liver failure. DIALIVE incorporates albumin removal and replacement and, endotoxin removal and is a TRL5. In animal models of liver failure, DIALIVE was shown to be easy to use, safe, reduced endotoxemia and, improved albumin and immune function and, prolonged survival. The ALIVER Consortium, which is comprised of experts in liver failure, SMEs and charities proposes to perform clinical trials of DIALIVE in patients with acute on chronic liver failure (ACLF). During the grant period a CE-mark will be obtained and the device will progress to a TRL7/8. Consultation with Regulatory bodies confirms that if the trials are successful, a CE-mark is highly likely. Grifols, a large plasma proteins company is a potential licensee of the technology if the studies proposed by the ALIVER Consortium are positive.
We plan to take the project through regulatory and ethics approval and perform a study to define its safety in ACLF patients in 18 European hospitals; define health economic benefits to the EU and define a reimbursement strategy. The results will be disseminated widely and results exploited to benefit patients, EU healthcare system, create new jobs and grow healthcare Industry in Europe.

Appel à propositions

H2020-SC1-2016-2017

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Sous appel

H2020-SC1-2016-RTD

Coordinateur

UNIVERSITY COLLEGE LONDON
Contribution nette de l'UE
€ 1 089 621,24
Adresse
GOWER STREET
WC1E 6BT London
Royaume-Uni

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Région
London Inner London — West Camden and City of London
Type d’activité
Higher or Secondary Education Establishments
Liens
Coût total
€ 1 089 621,24

Participants (11)