Predicting Acute-on-Chronic Liver Failure After Surgical Intervention in Chronic Liver Disease

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital, Bonn

About this trial

Prospective, observational study to define precipitants and predictors of development of Acute-on-Chronic Liver Failure (ACLF) after surgical interventions, allowing to develop a risk stratification for elective procedures in cirrhotic patients. As well as identifying molecular mechanisms of post-interventional ACLF and thus preparing the ground for development of new therapeutic approaches.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female adult (≥18 years) patient

With or without liver cirrhosis (diagnosed either histologically or by a combination of clinical, laboratory and radiological signs)

Or Non-cirrhotic portal hypertension

Non-pregnant, non-lactating females

Disqualifiers

Pregnant or lactating females

Patients undergoing surgery as form of palliative cancer therapy

Presence or history of severe extra-hepatic diseases

HIV-positive patients

Trial population

Patients with and without liver cirrhosis and/or portal hypertension undergoing elective or emergency surgical intervention.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • No Intervention

    Other intervention

    No Intervention

Treatment groups

200 Participants
are divided into 1 treatment group
Group A: Surgery1 intervention

Trial outcomes

Primary outcomes

1

Episodes of Acute-on-Chronic Liver Failure (ACLF)

Development of ACLF after surgery

Time frame
90 days

Secondary outcomes

1

1-year mortality

Death after surgery

Time frame
12 months
2

Episodes of Acute Decompensation

Acute hepatic Decompensation after Surgery

Time frame
12 months

Other outcomes

1

Intestinal Microbiota

Intestinal Microbiota will be assessed in stool samples.

Time frame
12 months

Sponsors and contacts

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