Use of Direct Peritoneal Resuscitation in High-risk Liver Transplant Recipients
NCT05195125 · Status: UNKNOWN · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2023-06-08
Summary
This study is being conducted to assess the safety of Direct Peritoneal Resuscitation (DPR) in high-risk liver transplant patients. The investigators want to also identify if this method of recovery after large surgery has the same benefits in liver transplant patients as have been appreciated in other surgical patients. The combination of elevated BMI and impaired kidney function increases the risk of 1) needing intensive care unit (ICU) admission after surgery, 2) slow function of the new liver \[technically termed Early Allograft Dysfunction (EAD)\] and 3) need for more than one operation. The study team also aims to identify if DPR can reduce these risks and not cause other unexpected complications following surgery. DPR involves the infusion of a solution into the abdomen and has been shown to reduce edema and improve blood flow in organs. The solution used in this study is a commercially available peritoneal dialysate, a dextrose containing solution that is infused into the abdominal cavity and is routinely used in patients with end-stage renal disease requiring dialysis.
Conditions
- End Stage Liver DIsease
- Obesity
- Acute Kidney Injury
Interventions
- PROCEDURE
-
Direct Peritoneal Resuscitation
Direct peritoneal resuscitation involves the abdominal infusion and drainage of a peritoneal dialysate in high-risk liver transplant patients, for up to 24 hours after surgery.
Sponsors & Collaborators
-
University of Colorado, Denver
lead OTHER
Principal Investigators
-
Hunter B Moore, M.D., P.hD. · University of Colorado School of Medicine
Study Design
- Allocation
- NA
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-01
- Primary Completion
- 2023-08-31
- Completion
- 2023-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
TIPS With Coated Stents for Refractory Ascites in Patients With Cirrhosis
NCT00222014 ·Status: COMPLETED ·Phase: NA
-
To Evaluate the Safety and Efficacy of Preemptive Administration of Continuous Renal Replacement Therapy in Patients With Acute Liver Failure With Cerebral Edema
NCT04991259 ·Status: UNKNOWN ·Phase: NA
-
On Demand Versus Protocol-guided Renal Replacement Therapy for Management of Stage 3 Acute Kidney Injury in Patients With Cirrhosis
NCT02937935 ·Status: UNKNOWN ·Phase: NA
-
Albumin Infusion in Inpatients With Decompensated Cirrhosis
NCT05719051 ·Status: UNKNOWN
-
Portal Blood Flushes in the Peri-Reperfusion Stage of Liver Transplantation
NCT03563404 ·Status: COMPLETED
-
A Multi-Center Trial to Study Acute Liver Failure in Adults
NCT00518440 ·Status: COMPLETED
-
Percutaneous Transhepatic Intrahepatic Portosystemic Shunt for Treatment of Portal Vein Occlusion With Symptomatic Portal Hypertension After Splenectomy
NCT02505152 ·Status: UNKNOWN ·Phase: NA
-
The Impact of Liver Cirrhosis on Outcomes in Trauma Patients
NCT05170854 ·Status: ACTIVE_NOT_RECRUITING
-
Short-term Survival of Subjects With Acute-on-chronic Liver Failure After Plasma Exchange With Human Serum Albumin 5%
NCT03702920 ·Status: TERMINATED ·Phase: PHASE3
-
HEpatic Regeneration With COupled Plasma Filtration and Adsorption for Liver Extracorporeal Detoxification
NCT03312036 ·Status: COMPLETED ·Phase: NA
-
HOPE With Cytokine Filtration in Liver Transplantation (Cyto-HOPE)
NCT04203004 ·Status: UNKNOWN ·Phase: NA
-
Fresh Frozen Plasma as a Substitute for Albumin in Patients Receiving a Large Volume Paracentesis
NCT03202524 ·Status: WITHDRAWN ·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
-
Hepa Wash Treatment of Patients With Hepatic Dysfunction in Intensive Care Units
NCT01079104 ·Status: TERMINATED ·Phase: NA
-
A Study of the Effect of Plasmaexchange in Patients With Acute Liver Failure
NCT00950508 ·Status: COMPLETED ·Phase: NA
-
Portal Pressure Effects of Phlebotomy Combined to Vasopressin Use in Cirrhotic Patients Undergoing Liver Transplantation
NCT04472312 ·Status: COMPLETED
-
Effects of Long-Term Administration of Human Albumin in Participants With Decompensated Cirrhosis and Ascites
NCT03451292 ·Status: COMPLETED ·Phase: PHASE3
-
Splenic Embolization for Portal Hypertension
NCT03532750 ·Status: WITHDRAWN ·Phase: NA
-
The Effects of Double Plasma Molecular Adsorption System in Acute on Chronic Liver Failure Patients
NCT05030571 ·Status: RECRUITING ·Phase: NA
-
Refractory Ascites in Patients With Liver Cirrhosis, and the Potential Treatment With 48 Hours Infusion of Ularitide.
NCT04311489 ·Status: TERMINATED ·Phase: PHASE2
-
HepHospital: A Pilot Trial of a Hepatology Home Hospital Intervention for Patients With Advanced Liver Disease
NCT05205954 ·Status: RECRUITING ·Phase: NA
-
Optimizing Portal Hypertension With TIPS and Interval Metabolic Surgery for Advanced Liver Disease
NCT07058155 ·Status: RECRUITING ·Phase: PHASE4
-
The Impact of Transjugular Intrahepatic Portosystemic Shunt on Recompensation in Patients With Decompensated Liver Cirrhosis
NCT07172035 ·Status: RECRUITING
-
Clinical Study of Hepatocyte Transplantation for Liver Cirrhosis
NCT04806581 ·Status: UNKNOWN ·Phase: PHASE1
-
Liver Protection of RIPC in Pediatric Living Donor Liver Transplantation
NCT02830841 ·Status: COMPLETED ·Phase: NA