Short-term Survival of Subjects With Acute-on-chronic Liver Failure After Plasma Exchange With Human Serum Albumin 5%
NCT03702920 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 275
Last updated 2025-12-16
Summary
This is a Phase 3, multicenter, randomized, controlled, parallel-group, open-label study to evaluate the effects of plasma exchange using human serum albumin 5% (PE-A 5%) in acute-on-chronic liver failure (ACLF) subjects. The study will involve approximately 40 study centers in the United States, Canada, and Europe with expertise in the management of subjects with ACLF.
Subjects with ACLF at a high risk of hospital mortality will be enrolled. The study will consist of a Screening Period during which subjects will be randomized (1:1) to receive either standard medical treatment (SMT) + PE-A 5% (treatment group) or SMT only (control group), followed by a Treatment Period, and a Follow-up Period.
The Treatment Period for subjects in the SMT+ PE-A 5% treatment group will be between 7 and 17 days, depending on ACLF evolution.
The Treatment Period for subjects in the SMT control group will be a minimum of 7 days for all subjects and up to 17 days depending on the ACLF evolution. Subjects in this group will receive SMT according to the institution's standards.
The Follow-up Period for subjects in both groups will be 90 days.
Conditions
- Acute-On-Chronic Liver Failure
Interventions
- BIOLOGICAL
-
SMT + PE-A 5%
Plasma exchange treatment (PE-A 5%) will be performed using 5% albumin solution (Albutein 5%). Fresh frozen plasma will be given to prevent coagulopathy. IVIGs will be administered intravenously to prevent the development of hypogammaglobulinemia and infection.
- OTHER
-
Standard Medical Treatment
Standard medical treatment according to the institution's standard practice
Sponsors & Collaborators
-
Instituto Grifols, S.A.
collaborator INDUSTRY -
Grifols Therapeutics LLC
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 79 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-02-21
- Primary Completion
- 2025-04-14
- Completion
- 2025-04-14
- FDA Drug
- Yes
Countries
- United States
- Austria
- Belgium
- Denmark
- France
- Germany
- Italy
- Portugal
- Spain
- United Kingdom
Study Locations
More Related Trials
-
Efficacy and Safety of Cytokine Adsorption and Plasma Exchange in Patients With ACLF and Sepsis
NCT06562803 ·Status: RECRUITING ·Phase: NA
-
High-Volume Plasma Exchange Versus Standard Medical Treatment in Patients With Acute Liver Failure
NCT02718079 ·Status: COMPLETED ·Phase: NA
-
A Study of the Effect of Plasmaexchange in Patients With Acute Liver Failure
NCT00950508 ·Status: COMPLETED ·Phase: NA
-
Plasma Exchange in Acute on Chronic Liver Failure
NCT04051437 ·Status: UNKNOWN ·Phase: PHASE3
-
ALSS - DPMAS and Therapeutic Plasma Exchange (TPE), Its Effect on Primary Coagulation, Inflammation and the Function of Vital Organs in ALF or ACLF
NCT07329036 ·Status: RECRUITING ·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
-
Study to Evaluate the Efficacy of Intravenous Administration of Human Albumin Versus Saline Solution in Patients With descompénsate Cirrhosis Grade 1B or Higher Renal Failure
NCT07270874 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
The Effects of Double Plasma Molecular Adsorption System in Acute on Chronic Liver Failure Patients
NCT05030571 ·Status: RECRUITING ·Phase: NA
-
Double Plasma Separation and Adsorption in Acute-on-Chronic Liver Failure (DPMAS-ACLF Trial)
NCT07178366 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Human Albumin for the Treatment of Ascites in Patients With Hepatic Cirrhosis
NCT01288794 ·Status: COMPLETED ·Phase: PHASE4
-
Fresh Frozen Plasma as a Substitute for Albumin in Patients Receiving a Large Volume Paracentesis
NCT03202524 ·Status: WITHDRAWN ·Phase: PHASE4
-
Platelet Transfusion in HBV-related acute-on Chronic Liver Failure
NCT03713489 ·Status: UNKNOWN ·Phase: NA
-
Characterization of Metabolomic Fingerprints in Patients With Acute Liver Failure and Acute-on-chronic Liver Failure With Hepatic Encephalopathy
NCT05772585 ·Status: WITHDRAWN
-
Fresh Frozen Plasma as a Substitute for Albumin in Patients Receiving a Large Volume Paracentesis
NCT04109144 ·Status: WITHDRAWN ·Phase: PHASE2
-
Personalized Long-term Human Albumin Treatment in Patients With Decompensated Cirrhosis and Ascites
NCT05056220 ·Status: RECRUITING ·Phase: PHASE3
-
A Novel COMBinATorial Therapy With Albumin and Enoxaparin in Patients With Decompensated Cirrhosis at High-risk of Poor Outcome (COMBAT Trial).
NCT05895136 ·Status: RECRUITING ·Phase: PHASE2
-
Alfapump-albumin Replacement Therapy
NCT02448160 ·Status: TERMINATED ·Phase: NA
-
High Volume Plasma Exchange in Children With Acute Liver Failure and Acute on Chronic Liver Failure
NCT02719210 ·Status: COMPLETED ·Phase: NA
-
Refractory Ascites in Patients With Liver Cirrhosis, and the Potential Treatment With 48 Hours Infusion of Ularitide.
NCT04311489 ·Status: TERMINATED ·Phase: PHASE2
-
Randomized, Open-Label, Multicenter, Controlled, Pivotal Study to Assess Safety and Efficacy of ELAD in Subjects w/ AILD
NCT02612428 ·Status: TERMINATED ·Phase: PHASE3
-
A Multi-Center Trial to Study Acute Liver Failure in Adults
NCT00518440 ·Status: COMPLETED
-
Recombinant Human Serum Albumin in Patients With Liver Cirrhosis and Ascites Subjects
NCT05249374 ·Status: COMPLETED ·Phase: PHASE1
-
To Study the Influence of GCSF on Natural History of Acute On Chronic Liver Failure After the Acute Phase
NCT02788240 ·Status: TERMINATED ·Phase: NA
-
Plasma Exchange and Continuous Hemodiafiltration in Treatment of Wilson's Disease-related Liver Failure
NCT03589820 ·Status: UNKNOWN ·Phase: NA
-
Recompensation of Exacerbated Liver Insufficiency With Hyperbilirubinemia and/or Encephalopathy and/or Renal Failure
NCT00614146 ·Status: COMPLETED ·Phase: NA