Predictive Values of Presepsin Levels in ASciteS in Patients With Chronic Liver Failure

NCT ID: NCT06224023

Last Updated: 2024-08-21

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

RECRUITING

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-01

Study Completion Date

2024-12-31

Brief Summary

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The investigators aim to study the predictive value of presepsin in ascites in newly admitted patients with chronic liver failure.

Detailed Description

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Presepsin is a plasmatic cleaved fragment of CD14. CD14 is a toll like receptor who has the role to identify certain lipopolysaccharides on the surface of bacteria (aerobes and anaerobes), thus promoting an inflammatory response.

A study of 153 patients with liver cirrhosis published by a team of investigators from Iasi, Romania, has proven an useful role of plasma presepsin in early diagnosis of infections in patients in acute on chronic liver failure.

In addition, plasma presepsin has been proposed as an independent predictor of mortality in patients with decompensated liver cirrhosis, without concomitant bacterial infections.

Question to be answered by this study The investigators aim to evaluate the predictive role of ascites presepsin in patients with chronic liver failure.

Hypothesis Presepsin levels in ascites may have a prognostic role in patients with ascites and chronic liver failure.

Conditions

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Ascites Hepatic Liver Failure Cirrhosis, Liver

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with chronic liver failure and ascites

Determination of presepsin levels in ascites

Intervention Type DIAGNOSTIC_TEST

A diagnostic paracentesis will be performed and presepsin level will be determined in ascites.

Interventions

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Determination of presepsin levels in ascites

A diagnostic paracentesis will be performed and presepsin level will be determined in ascites.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* patient with ascites and chronic liver failure
* no contraindications and technical possibility to perform diagnostic paracentesis
* age above 18 years old
* informed consent

Exclusion Criteria

* contraindications to paracentesis or technical impossibility to perform paracentesis
* absence of informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Carol Davila University of Medicine and Pharmacy

OTHER

Sponsor Role lead

Responsible Party

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Mihai Ciocirlan

Associate Professor of Gastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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"Agrippa Ionescu" Hospital

Bucharest, , Romania

Site Status RECRUITING

Countries

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Romania

Central Contacts

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Mihai Ciocirlan

Role: CONTACT

0040722322625

Facility Contacts

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Mihai L Ciocirlan

Role: primary

0040722322625

References

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Igna R, Girleanu I, Cojocariu C, Huiban L, Muzica C, Singeap AM, Sfarti C, Chiriac S, Petrea OC, Zenovia S, Nastasa R, Cuciureanu T, Stafie R, Stratina E, Rotaru A, Stanciu C, Blaj M, Trifan A. The Role of Presepsin and Procalcitonin in Early Diagnosis of Bacterial Infections in Cirrhotic Patients with Acute-on-Chronic Liver Failure. J Clin Med. 2022 Sep 15;11(18):5410. doi: 10.3390/jcm11185410.

Reference Type BACKGROUND
PMID: 36143057 (View on PubMed)

Ferrarese A, Plebani M, Frigo AC, Burra P, Senzolo M. Presepsin as a biomarker of inflammation and prognosis in decompensated liver disease. J Hepatol. 2021 Jul;75(1):232-234. doi: 10.1016/j.jhep.2021.01.016. Epub 2021 Jan 21. No abstract available.

Reference Type BACKGROUND
PMID: 33484772 (View on PubMed)

Other Identifiers

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PASS

Identifier Type: -

Identifier Source: org_study_id

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