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临床试验/NCT06134544
NCT06134544招募中不适用

Effect of Isomaltooligosaccharides on Intestinal Bacterial Translocation in Patients With Liver Cirrhosis: a Single-center, Single-arm Study

Nanfang Hospital, Southern Medical University1 个研究点 分布在 1 个国家目标入组 18 人开始时间: 2023年11月25日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
18
试验地点
1
主要终点
Changes of Lipopolysaccharide (LPS) in plasma

研究概览

简要总结

The goal of this intervention clinical trial is to learn about the protection of isomaltooligosaccharides (IMO) on intestinal bacterial translocation in patients with liver cirrhosis. The main question is to answer the changes of LPS after adminstration of IMO.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age from 18-
  • Cirrhotic patients.
  • Decompensation event: ascites.
  • LPS>0.45EU/ml.

排除标准

  • Pregnant or breast-feeding.
  • Active bacterial or fungal infection.
  • Other decompensations: Hepatic encephalopathy, gastroesophageal varices and hemorrhage.
  • Diagnosis of EASL-ACLF.
  • Diarrhea.
  • Malignancy.
  • Anticipated short survival time.
  • Adverse reactions or allergies to oral carbohydrate preparations.
  • Substance abuse or addiction.
  • Severe extrahepatic diseases (e.g. patients with CKD-5 stage, severe cardiopulmonary dysfunction, and psychiatric disorders).
  • Be immunosuppressed or immunodeficient states and the use of immunoglobulins or other immune-boosting conditions.
  • Be unsuitable for participating in this trial.
  • Participated in any drug trial within the past month
  • History of antibacterial or fungal use within 1 week prior to screening

结局指标

主要结局

Changes of Lipopolysaccharide (LPS) in plasma

时间窗: Before (Day-0) and after treatment (Day-8).

LPS will be tested by Tachypiens Amebocyte Lysate (TAL) test

次要结局

  • Changes of markers of infections (PCT) in plasma(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Changes of markers of kidney failure (Cr) in plasma(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Changes of markers of coagulation failure (INR) in plasma(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Changes of bacterial load in plasma(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Changes of markers of infections (CRP) in plasma(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Changes of markers of liver failure (TBIL) in plasma(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Changes of Lipopolysaccharide (LPS) in plasma after 7-day non-treatment(After 7-day non-treatment (day 15).)
  • Changes of Meld scores which evaluate severity of liver diseases.(Before (Day-0) ,after treatment (Day-8), after 7-day non-treatment (day 15).)
  • Incidence of bacterial infection(After treatment (Day-8) up to follow-up (Day-28))
  • Development of acute-on-chronic liver failure(After treatment (Day-8) up to follow-up (Day-28))
  • 28-day mortality(Day-28)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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