跳至主要内容
临床试验/NL-OMON52056
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

发起方
European Foundation for the study of Chronic Liver Failure (EF-Clif)

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