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临床试验/2024-514804-14-00
2024-514804-14-00招募中4 期

HALT : Influence of Human Albumin supplementation on kidney dysfunction after Liver Transplantation

Centre Hospitalier Universitaire De Rennes8 个研究点 分布在 1 个国家目标入组 400 人开始时间: 2024年12月1日最近更新:
干预措施

试验速览

阶段
4 期
状态
招募中
入组人数
400
试验地点
8
主要终点
Occurrence of Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO criteria)

研究概览

简要总结

To verify whether albumin administration to achieve serum concentration above 30g/L (treated group) and its maintenance within plasmatic physiologic range (>30 g/L) for five days diminishes rate of AKI at Day 7 after liver transplantation as compared to restrained albumin administration (when serum concentration is at 20 g/L or below (control)).

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

  • IC1 - Male and female patients equal or above 18 yrs old.
  • IC2 - Recipients of primary liver allografts from a deceased donor (including after cardiac death) and as a single organ (liver only).
  • IC3 - Capability of understanding the purpose and risks of the study.
  • IC4 - Written informed consent

排除标准

  • NIC1 - Fulminant hepatitis
  • NIC2 - Kidney injury at baseline (eGFR < 50 ml/min in MDRD) including hepatorenal syndrome
  • NIC3 - Use of an induction agent Basiliximab at liver transplantation
  • NIC4 - Protected person (adults legally protected, under judicial protection, guardianship, or supervision), person deprived of their liberty

研究组 & 干预措施

HUMAN ALBUMIN SOLUTION

Test

干预措施: HUMAN ALBUMIN SOLUTION (Drug)

结局指标

主要结局

Occurrence of Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO criteria)

Occurrence of Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO criteria)

次要结局

  • Postoperative calcineurin inhibitors-induced neurotoxicity at D28
  • Occurrence of postoperative infections at D28
  • Acute graft rejection (biopsy proved) at D28
  • Occurrence of early graft dysfunction (Olthoff criteria)
  • Duration of mechanical ventilation at D28
  • Occurrence of reintubation at D28
  • Duration of Intensive Care Unit length of stay up to D28
  • Occurence of Intensive Care Unit readmission after discharge of Intensive Care Unit up to D28
  • Mortality within the first 28 days following surgery
  • Defined as a lymphocyte count less than 1.2× 103 cells/µL
  • Using flow cytometry
  • Using the Seahorse analyzer measuring mitochondrial respiration
  • Occurrence and Severity of each Acute Kindey Injury during the first 7 days after liver transplantation (KDIGO Criteria)
  • Hospital length of stay after liver transplantation defined by standardized checklist of discharged criteria
  • Postoperative Tacrolimus-induced neurotoxicity at D28
  • Discontinuation of anticalcineurin inhibitor at D28.
  • Measured using expression of HLA-DR on peripheral monocytes, plasmatic levels of IL-10, MDSC, RNA seq analysis on peripheral blood mononuclear cell
  • Plasmatic levels of IL-6

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

HOUSSEL-DEBRY pauline

Scientific

Centre Hospitalier Universitaire De Rennes

研究点 (8)

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