High Volume Plasmapheresis for Refractory Hepatic Encephalopathy in Liver Intensive Care Unit.
NCT03115697 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2019-11-04
Summary
Study Design- Randomized Controlled trial Duration of enrolment-Feb-2016 to December 2017 Sample size-120 patients Methodology We will include consecutive with advanced hepatic encephalopathy not responding to treatment of precipitants and on treatment with Lactulose and Rifaximin for 48 hours .
Two groups will be divided. One arm -Lactulose and Rifaximin will be continued Second Arm - Plasmapheresis will be added to the standard medical care therapy.(Maximum of 3 sessions once in 24 hours/or alternate days with an follow up for 5 days)
Conditions
- Refractory Hepatic Encephalopathy
Interventions
- DRUG
-
Lactulose
Lactulose 20 mL
- DRUG
-
Rifaximin
Rifaximin 550 BD
- BIOLOGICAL
-
Plasmapheresis
Plasmapheresis 8 hrly duration
Sponsors & Collaborators
-
Institute of Liver and Biliary Sciences, India
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-04-07
- Primary Completion
- 2019-04-15
- Completion
- 2019-04-15
Countries
- India
Study Locations
More Related Trials
-
PEG3350 in ACLF With Hepatic Encephalopathy
NCT03987893 ·Status: UNKNOWN ·Phase: PHASE4
-
High-Volume Plasma Exchange Versus Standard Medical Treatment in Patients With Acute Liver Failure
NCT02718079 ·Status: COMPLETED ·Phase: NA
-
Secondary Prophylaxis of Hepatic Encephalopathy in Cirrhosis
NCT01178372 ·Status: UNKNOWN ·Phase: PHASE4
-
To Determine the Role of Prokinetics in Feed Intolerance in Critically Ill Cirrhosis
NCT02528760 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Combined Oral L-ornithine-L-aspartate and Lactulose in Patients With Hepatic Encephalopathy
NCT00740142 ·Status: COMPLETED ·Phase: PHASE4
-
High-volume Versus Standard Volume Plasma Exchange in Patients With Acute Liver Failure With Cerebral Edema
NCT06515145 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Polyethylene Glycol Versus Lactulose on Hepatic Encephalopathy in Patients With Cirrhosis;(PEGHE Trial)
NCT04436601 ·Status: UNKNOWN ·Phase: PHASE4
-
Effectiveness of Oral Lactulose Versus Lactulose Enema in Hepatic Encephalopathy
NCT05788627 ·Status: UNKNOWN ·Phase: PHASE4
-
Hepatic Encephalopathy: Lactulose or Polyethylene Glycol (H.E.L.P.)
NCT01923376 ·Status: WITHDRAWN ·Phase: NA
-
Intravenous BCAA for HE in ACLF (BCAA-HE-ACLF)
NCT05700695 ·Status: COMPLETED ·Phase: PHASE1
-
Lactulose for the Prevention of Hepatic Encephalopathy in Cirrhotic Patients With Upper Gastrointestinal Hemorrhage
NCT00553423 ·Status: UNKNOWN ·Phase: PHASE3
-
High Volume Plasma Exchange in Children With Acute Liver Failure and Acute on Chronic Liver Failure
NCT02719210 ·Status: COMPLETED ·Phase: NA
-
Incidence And Outcome Of Paracentesis Induced Circulatory Dysfunction In Acute-On-Chronic Liver Failure.
NCT02467348 ·Status: COMPLETED ·Phase: NA
-
Lactulose, L-ornithine L-aspartate, or Rifaximin Versus Placebo for Preventing Hepatic Encephalopathy in Variceal Bleeding
NCT02158182 ·Status: COMPLETED ·Phase: PHASE4
-
Standard Volume vs. High Volume Plasma Exchange in Pediatric Acute Liver Failure
NCT06831643 ·Status: RECRUITING ·Phase: NA
-
Prevention of Hepatic Encephalopathy With Mobile Application Based Lactulose Titration
NCT05526404 ·Status: COMPLETED ·Phase: NA
-
An Open-label Randomized Controlled Trial Comparing the Role of Therapeutic Plasma-exchange in Ameliorating Secondary Organ Dysfunctions in Patients With ACLF and Develop Biomarkers of Treatment Response
NCT06276907 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Fresh Frozen Plasma as a Substitute for Albumin in Patients Receiving a Large Volume Paracentesis
NCT04109144 ·Status: WITHDRAWN ·Phase: PHASE2
-
The Natural History and Prognostic Factors of Compensated Cirrhosis.
NCT03144700 ·Status: UNKNOWN
-
Safety and Efficacy of AST-120 Compared to Lactulose in Patients With Hepatic Encephalopathy
NCT00558038 ·Status: COMPLETED ·Phase: PHASE2
-
Impact of Continuous Renal Replacement Therapy on Systemic Hemodynamics and Lactate Clearance in Critically Ill Cirrhotics With Septic Shock.
NCT04949178 ·Status: UNKNOWN
-
To Study and Compare the Clinical Course and Development of Organ Failure in Severe Acute Hepatitis Without Ascites, Non-cirrhotic and Cirrhotic Patients With Ascites [Acute on Chronic Liver Failure] and Acute Deterioration of Previously Decompensated Cirrhosis.
NCT02465619 ·Status: WITHDRAWN
-
Role of Hypertonic Saline Versus Mannitol in the Management of Raised Intracranial Pressure in Patients With ALF
NCT02460510 ·Status: COMPLETED ·Phase: NA
-
Rifaximin Versus Lactulose in Renal Failure
NCT00748904 ·Status: WITHDRAWN ·Phase: PHASE4
-
Refractory Ascites in Patients With Liver Cirrhosis, and the Potential Treatment With 48 Hours Infusion of Ularitide.
NCT04311489 ·Status: TERMINATED ·Phase: PHASE2