NL-OMON52056尚未招募不适用
iver transplantation in patients with CirrHosis and severe Acute-on-Chronic Liver Failure (ACLF): iNdications and outComEs (CHANCE) - CHANCE
European Foundation for the study of Chronic Liver Failure (EF-Clif)0 个研究点目标入组 105 人开始时间: 待定最近更新:
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 105
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18 至 64(—)
入选标准
- •1. Male or female subject >=18 years of age.
- •2. Subjects with diagnosis of liver cirrhosis (based on clinical, laboratory,
- •endoscopic, and ultrasonographic features or on histology).
- •3. Subjects who have been hospitalized for acute decompensation of liver
- •cirrhosis and referred to the transplant team:
- •o Group 1: patients listed for liver transplantation with ACLF-2 or 3
- •at the time of listing or developing ACLF 2-3 while on the waiting
- •o Group 2: patients listed for liver transplantation with
- •decompensated cirrhosis without ACLF-2 or 3 and poor liver function
- •(MELD>20) at the time of listing.
- •o Group 3: patients having ACLF-2 or 3, are assessed for inclusion in
- •the waiting list, but are finally not listed for liver transplantation.
- •4. Patients (or trusted person, family member or close relation if the patient
- •is unable to express consent) who have been informed and
- •signed their informed consent
排除标准
- •1. Acute or subacute liver failure without underlying cirrhosis.
- •2. Patients with hepatocellular carcinoma outside Milan criteria or other
- •active neoplasia.
- •3. Subjects listed for transplantation other than liver or liver-kidney
- •transplant.
- •4. Subjects with previous liver transplantation.
- •5. Vulnerable population (person under temporary or permanent guardianship or
- •deprived of liberty by a judicial decision).
- •6. Pregnant and/or breastfeeding woman
- •7. Patients with relevant comorbidities that could impact the prognosis:
- •o Subjects with very severe hepatopulmonary syndrome (with PaO2 < 50
- •mmHg on FiO2 21%) or moderate to severe portopulmonary
- •hypertension (non-reversible mPAP >= 35 mmHg or PVR >= 500
- •dyn.s.cm-5).
- •o Subjects with severe (grade IV) pulmonary disease (Global Obstructive
- •Lung Disease [GOLD]).
- •o Subjects with chronic kidney disease requiring hemodialysis
- •o Subjects with severe heart disease (NYHA class III and IV)
- •o Subjects with a known infection with human immunodeficiency virus
- •o Subjects with severe neurological or psychiatric disorders
- •8. Patients who cannot provide prior informed consent and when there is
- •documented evidence that the patient has no legal surrogate decision
- •maker and it appears unlikely that the patient will regain
- •consciousness or sufficient ability to provide delayed informed consent.
- •9. Physician and team not committed to provide intensive care if needed.
研究者
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