Albumin Infusion Effects in Mortality in Patients With Cirrhosis and Hepatic Encephalopathy

NCT ID: NCT02401490

Last Updated: 2017-12-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2018-03-31

Brief Summary

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To assess whether albumin administration after an episode of hepatic encephalopathy (≥ grade II) improves survival at 90 days (mortality endpoint treated as a composite endpoint death and/ or liver transplantation).

Detailed Description

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To evaluate whether albumin administration after an episode of hepatic encephalopathy (≥ grade II) improves survival at 30, 90 and 180 days.

* to evaluate the effects of albumin on hepatic encephalopathy recurrence during the study period.
* To analyze whether albumin administration reduces hospitalization requirement.
* To study the effects of albumin on circulatory dysfunction index (mean arterial pressure, renal function, plasma vasopressor hormones).

Conditions

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Hepatic Encephalopathy Cirrhosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Human albumin

human albumin in the 24-48 hours after the hospitalization and at 48+/- 24 hours after the first dose.

Group Type ACTIVE_COMPARATOR

Human albumin

Intervention Type DRUG

1.5gr/Kg/day at least in the 24-48 hours after the hospitalization and 1.0 gr/Kg/day at 72 hours after the first dose.

placebo

saline serum 0.9%

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Human albumin

1.5gr/Kg/day at least in the 24-48 hours after the hospitalization and 1.0 gr/Kg/day at 72 hours after the first dose.

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age between 18 and 85 years.
2. Liver cirrhosis defined by previous clinical data or liver biopsy.
3. Presence of an episode of acute hepatic encephalopathy of grade\> 2.
4. Sign the informed consent

Exclusion Criteria

1. Pregnant or breast-feeding.
2. Terminal illness.
3. Presence of Acute-on-chronic liver failure.
4. Needing for intensive support measures.
5. Active gastrointestinal bleeding.
6. neurological or psychiatric comorbidity that hinders the assessment of hepatic encephalopathy.
7. Clinical situations in which it is contraindicated to administer intravenous albumin.
8. MELD score less than 15 or greater than 25 at the time of inclusion
9. Any medical condition previous to patient inclusion in the study involving administration of albumin during a previous 7 day period.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Instituto de Salud Carlos III

OTHER_GOV

Sponsor Role collaborator

Hospital Universitari Vall d'Hebron Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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German Soriano

Role: PRINCIPAL_INVESTIGATOR

Hospital de la Santa creu i Sant Pau - Barcelona

Jordi Sanchez

Role: PRINCIPAL_INVESTIGATOR

Corporació Sanitària Parc Taulí, Sabadell

Helena Masnou

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Germans Trias i Pujol, Badalona

Núria Cañete

Role: PRINCIPAL_INVESTIGATOR

Hospital del Mar

Marta Martín

Role: PRINCIPAL_INVESTIGATOR

Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despí

Elsa Solà

Role: PRINCIPAL_INVESTIGATOR

Hospital Clinic of Barcelona

Locations

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Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status RECRUITING

Corporació Sanitària Parc Taulí

Sabadell, Barcelona, Spain

Site Status RECRUITING

Hospital de Sant Joan Despí Moisès Broggi

Sant Joan Despí, Barcelona, Spain

Site Status RECRUITING

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Hospital del Mar

Barcelona, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Joan Genescà Ferrer

Role: CONTACT

Email: [email protected]

Inmaculada Fuentes Camps, MD

Role: CONTACT

Phone: 934894113

Email: [email protected]

Facility Contacts

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Joan Genescà, MD PhD

Role: primary

Other Identifiers

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2014-004809-33

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

BETA

Identifier Type: -

Identifier Source: org_study_id