Influence of Human Albumin Supplementation on Kidney Dysfunction After Liver Transplantation

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorRennes University Hospital

About this trial

To verify whether albumin administration to achieve serum concentration above 30g/L (treated group) and its maintenance within plasmatic physiologic range (above 30 g/L) for five days diminishes rate of AKI at Day 7 after liver transplantation as compared to restrained albumin administration (when serum concentration is at 20 g/L or below (control)).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male and female subjects equal or above 18 yrs old.

Recipients of primary liver allografts from a deceased donor (including after cardiac death) and as a single organ (liver only).

Capability of understanding the purpose and risks of the study.

Written informed consent

Disqualifiers

Fulminant hepatitis

Kidney injury at baseline (Estimated Glomerular Filtration Rate < 50 ml/min in Modification of diet in renal disease-6) including hepatorenal syndrome

Use of an induction agent Basiliximab at liver transplantation

Protected person (adults legally protected, under judicial protection, guardianship, or supervision), person deprived of their liberty

Trial design

Design model

Parallel

Treatments tested in this trial

  • Albumin administration

    Drug

    when albumin serum concentration is at 30 g/L or below

Treatment groups

400 Participants
are divided into 2 treatment groups
Group A: 30 g/L or belowExperimental treatment 1 intervention
Group B: 20 g/L or belowActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Acute Kindey Injury at Day 7

To verify whether albumin administration to achieve serum concentration above 30g/L (treated group) and its maintenance within plasmatic physiologic range (=30 g/L) for five days diminishes rate of Acute Kindey Injury at Day 7 after liver transplantation as compared to restrained albumin administration (when serum concentration is at 20 g/L or below (control)).

Time frame
7 days after liver transplantation

Secondary outcomes

1

Occurrence and Severity of each Acute Kindey Injury during the first 7 days after liver transplantation

Occurrence and Severity of each Acute Kindey Injury during the first 7 days after liver transplantation

Time frame
7 days after liver transplantation
2

hospital length of stay

hospital length of stay

Time frame
28 days
3

occurrence of calcineurin inhibitor induced neurotoxicity

occurrence of calcineurin inhibitor induced neurotoxicity

Time frame
28 days
4

occurence of calcineurin inhibitor withdraw

occurence of calcineurin inhibitor withdraw

Time frame
28 days

Other outcomes

Sponsors and contacts

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Rennes University Hospital

Lead sponsor

Ministry of Health, France

Collaborator