Efficacy of High Dose Albumin Therapy in Improving Liver Transplant-free Survival in Patients With Acute Decompensation of Cirrhosis
NCT05956197 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 55
Last updated 2023-07-21
Summary
Research Objectives- We hypothesized high-dose 25% albumin would be superior to standard medical treatment in improving 3-month mortality in patients with acute decompensation of cirrhosis by improving the systemic hemodynamics and amelioration of systemic inflammation, endothelial function and coagulation.
Aim: To study the efficacy of 25% albumin in reducing 3-month mortality in acute decompensation in cirrhosis.
Primary Objective
• To study the efficacy of 25% albumin in reducing the 3-month mortality.
Secondary Objectives
* To study the cumulative incidence of liver related complications (paracentesis induced circulatory dysfunction (PICD), AKI, hyponatremia, hepatic encephalopathy and variceal bleed)
* Improvement in MELD, CTP, SOFA and AARC scores
* Impact on cardiac function and systemic hemodynamics
* Impact of albumin on development of SBP and non-SBP infections
* Survival free of liver transplant and TIPS at 3 months
* Effect of albumin therapy on immunomodulation, dysfunctional albumin, endothelial function and coagulation at 3 months
* Proportion of patients achieving recompensation at 3 months
* Time to achieve serum albumin \>4 g/dL and its correlation with clinical outcomes.
Conditions
- Decompensated Cirrhosis
Interventions
- OTHER
-
No intervention
No intervention. This is a cohort study
Sponsors & Collaborators
-
Institute of Liver and Biliary Sciences, India
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-07-25
- Primary Completion
- 2024-05-31
- Completion
- 2024-05-31
Countries
- India
Study Locations
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