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Study of Granulocyte Colony Stimulating Factor GCSF Treatment in Infants with Type 3 Biliary Atresia After Kasai Surgery
Led by National Liver Institute, Egypt · Updated on 2024-12-11
40
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the use of Granulocyte Colony Stimulating Factor GCSF in infants with type 3 biliary atresia after the Kasai procedure. Biliary atresia is a serious liver condition in infants causing bile duct damage and blockage, often leading to liver failure and the need for transplantation. This study aims to assess how GCSF affects clinical and biochemical outcomes in this population, focusing on liver health and disease progression. Participants will be divided into two groups one group of 20 infants will receive subcutaneous GCSF at a dose of 10 micrograms per kilogram daily for three days, starting 3 to 4 days after the Kasai surgery, while the other group of 20 infants will not receive GCSF. The study compares these two groups to see if GCSF helps improve liver function and reduce complications related to biliary atresia. During the study, researchers will monitor participants for changes in total bilirubin levels at three months and the frequency of cholangitis episodes at six months. Various clinical and laboratory assessments will be conducted to evaluate liver function and inflammation. The study will continue until October 2026, with regular follow-ups to observe the infants health and disease outcomes.
CONDITIONS
Brief Title
Evaluation of the Use of Granulocyte Colony Stimulating Factor (GCSF) in Post Kasai Type 3 Biliary Atresia
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Infants diagnosed with biliary atresia having a biliary atresia score greater than 23.927
- Diagnosis confirmed as type 3 biliary atresia by liver histology and intra-operative findings
- Infants allocated for Kasai porto-enterostomy with intra-operative cholangiogram confirming type 3 anatomy
You will not qualify if you...
- Major cardiac, renal, pulmonary, or neurological malformations or illnesses
- Hemoglobinopathies such as sickle cell anemia
- Active systemic infection
- White blood cell count greater than 20,000 cells/mm3
- Platelet count less than 40,000 cells/mm3 or equal to or greater than 800,000 cells/mm3
- Purpura fulminans or unexplained vascular thrombotic conditions
Research Team
M
Marwa Narwa Foad Asker, master
B
Behairy Behairy El Sayed Behairy, MD
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