About this trial
This prospective, open-label, randomized controlled trial aims to evaluate the efficacy of intravenous amino acid infusion in reducing AKI after LDLT. Eligible adult patients undergoing LDLT will be randomized into two groups: one receiving Continuous infusion of a L-amino acids mixture in a dose of 2 g/kg dry body weight/day (to a maximum 100 g/day) after induction of anesthesia and insertion of CVP line till 72 hours after treatment initiation, and the other receiving standard management. The primary outcome is the incidence of AKI as per KDIGO criteria within 7 days of transplant.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All LDLT Recipient
Age: > 18 years
Signed informed consent
Disqualifiers
Negative consent.
Pediatric LDLT.
ALF patient undergoing LDLT.
Patients on intermittent or continuous renal replacement therapy.
Trial design
Parallel
Treatments tested in this trial
L-Amino acid mixture
DrugContinuous infusion of a L-amino acids mixture in a dose of 2 g/kg dry body weight/day (to a maximum 100 g/day) after induction of anesthesia and insertion of CVP line till 72 hours after treatment initiation
Standard of care
Other interventionStandard peri tranplant care as per out institution including intra operative and post operative care. Its includes starting of immunosuppression after serial blood investigation monitoring.
Treatment groups
Trial outcomes
Primary outcomes
To compare the incidence of early post transplant AKI
To compare the incidence of early post transplant AKI (within 1st week) in patients undergoing LDLT between L-amino acids infusion and standard treatment groups
Secondary outcomes
To Determine the severity of early post Liver transplant AKI
To Determine the severity of early post Liver transplant AKI
To determine eGFR at Day 30 and 90.
To determine eGFR at Day 30 and 90.
The use and duration of kidney-replacement therapy during the hospital stay The use and duration of kidney-replacement therapy during the hospital stay
The use and duration of kidney-replacement therapy during the hospital stay The use and duration of kidney-replacement therapy during the hospital stay
The duration of mechanical ventilation, ICU stay and in hospital stay.
The duration of mechanical ventilation, ICU stay and in hospital stay.
Sponsors and contacts
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