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临床试验/2026-526044-12-00
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

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

发起方
Institute For Clinical And Experimental Medicine
申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

prof. MUDr. Tomáš Hucl, Ph.D.

Scientific

Institute For Clinical And Experimental Medicine

研究点 (1)

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