High-volume Versus Standard Volume Plasma Exchange in Patients With Acute Liver Failure With Cerebral Edema
NCT06515145 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-09-19
Summary
In this prospective randomized controlled trial Investigator aim to evaluate the impact of high versus standard volume plasma-exchange in patients with acute liver failure with cerebral edema and clinical outcomes. ALF who meet the inclusion and exclusion criteria within the first 12 hours will be randomized into two groups
Interventional - High-volume plasma exchange Active Comparator - Standard volume plasma exchange
Expected outcome of the project-.
1. Primary end points: Time to improvement in cerebral edema
2. Secondary end points:
To study the adverse events of therapy (volume overload, pulmonary complications, allergic reactions) etc.
Transplant-free survival at day 21
Conditions
- Acute Liver Failure
- Cerebral Edema
Interventions
- PROCEDURE
-
High Volume Therapeutic Plasma Exchange
Experimental- High Volume Therapeutic Plasma Exchange at (8 - 9 litres of plasma would be exchanged in each patient over 6 - 8 hours)
- PROCEDURE
-
Standard volume therapeutic plasma exchange
Active Comparator - The standard volume strategy would be performed centrifugation technique with Plasma volume varying from 1.5 - 2.5 times the plasma - volume along with Standard Medical Treatment.
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
- 2025-12-01
- Primary Completion
- 2026-03-01
- Completion
- 2026-03-01
Countries
- India
Study Locations
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