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se of platelet-improving medicine Romiplostim in Liver Transplant Patient

Phase 4
Conditions
Health Condition 1: K740- Hepatic fibrosis
Registration Number
CTRI/2024/04/066269
Lead Sponsor
Amrita School of Pharmacy
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patient with the age group of 18-65years. Patients with a platelet count below 40000 Patient who signed the informed consent form

Exclusion Criteria

Pregnancy, age under 18 or over 65,

ongoing multiple organ failure, antiplatelet therapy,

suspected/ diagnosed heparin-induced thrombocytopenia or innate/acquired thrombophilia. Patients with myelodysplastic or myeloproliferative syndrome, hematological malignancy, and aplasia diagnosed on bone marrow.

severe liver cirrhosis with a Child-Pugh score superior to 6, or a medical history of pulmonary embolism/stroke in the previous 6 months were also excluded.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine the number of days required for normalization of the platelet count in the romiplostim group compared to the control group following live donor liver transplantation <br/ ><br> <br/ ><br>Timepoint: Baseline line(before drug administration) <br/ ><br>Post drug administration day 1 to day 14 <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
To compare the incidence of thrombosis in the portal vein, hepatic vein & and hepatic artery in both groups. <br/ ><br>To quantify and analyse the platelet-derived growth factor, hepatocyte growth factor and vascular endothelial growth factor in romiplostim and control group. <br/ ><br>The necessity to temporarily suspend the use of antimetabolite drugs such as mycophenolate mofetil or azathioprine following transplantation in both groups. <br/ ><br>Comparison of the number of platelet transfusions required in romiplostim & and control group <br/ ><br>To compare the occurrence of early allograft dysfunction. <br/ ><br>To compare the cost-effectiveness between both groups <br/ ><br>Timepoint: within 2 weeks
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