Clinical Gastroenterology Vol.23 No.13(3-1)

Theme Acute Liver Failure and Regenerative Medicine of the Liver
Title Recombinant Human HGF for Treatment of Fulminant Hepatic Failure
Publish Date 2008/12
Author Akihiro Moriuchi Department of Digestive and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
Author Akio Ido Department of Digestive and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
Author Hirohito Tsubouchi Department of Digestive and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
[ Summary ] Hepatocyte growth factor (HGF) is apotential therapeutic agent for treating intractable liver diseases including fulminant hepaticfailure (FHF). In 2005, after performing a number of preclinical tests with recombinant human HGF (rh-HGF), we started a phase I/II study of patients with FHF or late-onset hepatic failure (LOHF) to examine the safety and clinical efficacy of rh-HGF. To date, we have administered rh-HGF to three patients with FHF and one with LOHF; two of the four patients recovered. The data from our clinical trial that examined the effects of rh-HGF in patients with FHF or LOHF were reviewed by an independent data monitoring committee. Because only four patients were investigated, it is difficult to confirm any effects of rh-HGF with certainty. However, rh-HGF, as administered here, did not produce any severe side effects, although a decrease in systolic blood pressure and reversible albuminuria occurred in the preclinical tests. We hope that these results will help hasten the future use of rh-HGF for patients with intractable liver diseases.
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