Status:

COMPLETED

RAI & HRS: Relationship Between Relative Adrenal Insufficiency and Failure of Treatment in Hepatorenal Syndrome

Lead Sponsor:

University Hospital Plymouth NHS Trust

Conditions:

Liver Cirrhosis

Acute Kidney Injury

Eligibility:

All Genders

18-80 years

Brief Summary

Hepatorenal syndrome is a life-threatening medical condition and a serious complication of advanced liver scarring (cirrhosis). It consists of a deterioration of the function of the kidneys caused by ...

Detailed Description

This is a prospective, observational, descriptive, clinical study. This is a single centre study. All patients admitted to the South West Liver Unit with decompensated cirrhosis will be screened acco...

Eligibility Criteria

Inclusion

  • Subjects capable of giving informed consent, or in case of lack of capacity, their legal representative consent on their behalf.
  • Older than 18 years old and younger than 80 years old.
  • Diagnosis of cirrhosis according to liver biopsy, or non-invasive markers (Fibroscan) or a combination of clinical and imaging criteria.
  • Diagnosis of AKI stage 2-3 or stage 1 with serum Creatinine \> 133 µmol/L, according to the last international consensus (International Club of Ascites, 2015)

Exclusion

  • Advanced hepatocellular carcinoma, Barcelona-Clinic liver cancer (BCLC) stage C or D
  • Infection by human immunodeficiency virus (HIV)
  • Previous transplant or any other type of immunodeficiency
  • Pregnancy
  • Long-term treatment with steroids or other immunosuppressive agents or interferon
  • Severe chronic heart failure, New York Heart Association (NYHA), class III or IV
  • Advanced COPD, global initiative for chronic obstructive lung disease (GOLD) III or IV
  • Renal failure on haemodialysis
  • Any medical condition that gives a survival shorter than 3 months

Key Trial Info

Start Date :

March 5 2018

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

February 5 2020

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT04273750

Start Date

March 5 2018

End Date

February 5 2020

Last Update

February 18 2020

Active Locations (1)

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University Hospitals Plymouth NHS Trust

Plymouth, Devon, United Kingdom, PL6 8DH