2026-526044-12-00招募中4 期
Efficacy and safety of pharmacological therapy of obesity in liver transplant candidates
Institute For Clinical And Experimental Medicine1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2027年1月1日最近更新:
适应症
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Absolute and relative change in body weight/BMI/body fat composition during the follow-up period.
研究概览
简要总结
To evaluate the efficacy and safety of pharmacological obesity treatment (BMI ≥ 30) in liver transplant candidates.
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
- •Liver transplant candidate undergoing pre-transplant evaluation (inpatient or outpatient) at the Department of Hepatogastroenterology, aged ≥18 years.
- •BMI ≥ 30, or BMI ≥ 33 in case of significant fluid retention (edema of lower extremities, ascites, hydrothorax; for large ascites/hydrothorax, BMI will be evaluated after evacuation puncture).
- •Clinically stable (patient is at home under outpatient follow-up or hospitalized on a standard ward without clinical or laboratory signs of significant deterioration or complications).
- •Signed informed consent.
排除标准
- •Hepatic encephalopathy
- •Refractory ascites/hydrothorax (≥2 evacuation procedures in the last 2 months).
- •Combined liver-kidney transplantation.
- •Pregnancy (pre-enrollment assessment includes a pregnancy test; women of childbearing potential must agree to use highly effective contraception — hormonal or barrier methods, or abstinence; highly effective methods are defined as those with failure rate <1% per year with correct and consistent use).
- •History of acute or chronic pancreatitis.
- •Polycystic liver disease
- •Type 1 diabetes mellitus
- •Liver malignancy outside Milan criteria (Milan-out, Klatskin tumor, colorectal carcinoma metastases, NET metastases).
- •Unstable clinical condition or unplanned hospitalization due to significant deterioration or complication.
- •Spontaneous weight loss (≥5% in the past 6 months, not due to diuretic or evacuation treatment).
- •Sarcopenia according to pre-transplant CT.
- •Inability to perform physical activity (walking 30 min/day).
结局指标
主要结局
Absolute and relative change in body weight/BMI/body fat composition during the follow-up period.
Absolute and relative change in body weight/BMI/body fat composition during the follow-up period.
次要结局
- Occurrence of complications while on the waiting list (WL) related to the underlying liver disease
- Safety of treatment (adverse events)
- Post-transplant complications (1M, 3M, 6M)
- Patient survival (1M, 3M, 6M)
- Graft survival (1M, 3M, 6M)
研究者
prof. MUDr. Tomáš Hucl, Ph.D.
Scientific
Institute For Clinical And Experimental Medicine
研究点 (1)
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