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A multicentre study of the safety and efficacy of N-acetylcysteine in the treatment of acute liver failure in paediatric patients not caused by acetaminophe

Completed
Conditions
Topic: Medicines for Children Research Network
Subtopic: All Diagnoses
Disease: All Diseases
Digestive System
Acute liver failure
Registration Number
ISRCTN36658311
Lead Sponsor
King's College Hospital NHS Foundation Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
28
Inclusion Criteria

Enrolment in PALF registry:
1. Evidence of acute liver injury
2. International normalised ratio (INR) greater than or equal to 1.5 or prothrombin time (PT) greater than or equal to 15 with encephalopathy, or INR greater than or equal to 2.0 or PT greater than or equal to 20 with or without encephalopathy
3. Aged less than 18 years, either sex
4. Informed consent, obtained from the patient or parent

Exclusion Criteria

1. Acute paracetomol toxicity
2. Patient on N-acetylcysteine or received N-acetylcysteine during the course of this illness
3. Pregnancy
4. Known malignancy
5. Patient is on a liver support device
6. Sepsis
7. Signs of cerebral herniation
8. Intractable hypotension

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison of survival without liver transplant
Secondary Outcome Measures
NameTimeMethod
1. Length of intensive care unit and hospital stay<br>2. Number of organ systems failures
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