2024-514804-14-00招募中4 期
HALT : Influence of Human Albumin supplementation on kidney dysfunction after Liver Transplantation
干预措施
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 入组人数
- 400
- 试验地点
- 8
- 主要终点
- Occurrence of Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO criteria)
研究概览
简要总结
To verify whether albumin administration to achieve serum concentration above 30g/L (treated group) and its maintenance within plasmatic physiologic range (>30 g/L) for five days diminishes rate of AKI at Day 7 after liver transplantation as compared to restrained albumin administration (when serum concentration is at 20 g/L or below (control)).
入排标准
- 年龄范围
- 18 years 至 65+ years(18-64 Years, 65+ Years)
- 接受健康志愿者
- 否
入选标准
- •IC1 - Male and female patients equal or above 18 yrs old.
- •IC2 - Recipients of primary liver allografts from a deceased donor (including after cardiac death) and as a single organ (liver only).
- •IC3 - Capability of understanding the purpose and risks of the study.
- •IC4 - Written informed consent
排除标准
- •NIC1 - Fulminant hepatitis
- •NIC2 - Kidney injury at baseline (eGFR < 50 ml/min in MDRD) including hepatorenal syndrome
- •NIC3 - Use of an induction agent Basiliximab at liver transplantation
- •NIC4 - Protected person (adults legally protected, under judicial protection, guardianship, or supervision), person deprived of their liberty
研究组 & 干预措施
HUMAN ALBUMIN SOLUTION
Test
干预措施: HUMAN ALBUMIN SOLUTION (Drug)
结局指标
主要结局
Occurrence of Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO criteria)
Occurrence of Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO criteria)
次要结局
- Postoperative calcineurin inhibitors-induced neurotoxicity at D28
- Occurrence of postoperative infections at D28
- Acute graft rejection (biopsy proved) at D28
- Occurrence of early graft dysfunction (Olthoff criteria)
- Duration of mechanical ventilation at D28
- Occurrence of reintubation at D28
- Duration of Intensive Care Unit length of stay up to D28
- Occurence of Intensive Care Unit readmission after discharge of Intensive Care Unit up to D28
- Mortality within the first 28 days following surgery
- Defined as a lymphocyte count less than 1.2× 103 cells/µL
- Using flow cytometry
- Using the Seahorse analyzer measuring mitochondrial respiration
- Occurrence and Severity of each Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO Criteria)
- Hospital length of stay after liver transplantation defined by standardized checklist of discharged criteria
- Postoperative Tacrolimus-induced neurotoxicity at D28
- Discontinuation of anticalcineurin inhibitor at D28.
- Measured using expression of HLA-DR on peripheral monocytes, plasmatic levels of IL-10, MDSC, RNA seq analysis on peripheral blood mononuclear cell
- Plasmatic levels of IL-6
研究者
HOUSSEL-DEBRY pauline
Scientific
Centre Hospitalier Universitaire De Rennes
研究点 (8)
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