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Comparison of Terlipressin and low dose Terlipressin and noradrenalin in HRS-AKI patients of ACLF

Phase 2
Conditions
Health Condition 1: K77- Liver disorders in diseases classified elsewhere
Registration Number
CTRI/2023/10/058546
Lead Sponsor
on sponsered
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

ACLF as per APASL criteria

AKI at admission as defined by ICA-AKI criteria

HRS-AKI grade II & grade III as defined by ICA 12 hour of admission

Exclusion Criteria

Age <18 years >70 years

Septic shock

Patient with HCC outside Milan’s criteria

Severe Hyponatremia (Na <120 MEq/L)

Patients with RH failure, CAD, PVD, arrhythmias and cardiomyopathy

Pregnancy or Lactating mother

Grade III/IV HE or Shock requiring inotropes or patients on mechanical ventilator at time of randomization

In-hospital new AKI

Active urinary sediments – 2+ albumin or above, dysmorphic RBCs

Known CKD, obstructive uropathy

Lack of informed consent

Prior intolerance or S/E to Terlipressin or albumin

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
AKI reversal by day 7Timepoint: AKI reversal by day 7
Secondary Outcome Measures
NameTimeMethod
Comparison of Partial/1 stage regression of AKI at 48 hour <br/ ><br> Complete reversal of HRS maximum by day 15 <br/ ><br> Liver transplantation <br/ ><br> Mortality at day 28, day 90 <br/ ><br> Progression or resolution of OFs <br/ ><br> Treatment related adverse effects & their gradesTimepoint: 90 days
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