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NCT03577938

Study on the Optimal Strategy for Acute-on-chronic Liver Failure With Integrative Treatment

Completed NA Last updated 31 March 2022
What this trial tests

NA trial testing Chinese herbal medicine in Acute on Chronic Liver Failure in 516 participants. Completed in 30 June 2021.

Timeline
10 January 2019
Primary endpoint
30 June 2021
30 June 2021

Quick facts

Lead sponsorBeijing 302 Hospital
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment516
Start date10 January 2019
Primary completion30 June 2021
Estimated completion30 June 2021
Sites15 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Beijing 302 Hospital

Who can join

Adults 16 to 65, any sex, with Acute on Chronic Liver Failure or Traditional Chinese Medicine. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Acute-on-chronic liver failure (ACLF) is a syndrome characterized by acute deterioration in the setting of chronic liver disease associated with high short-term mortality. Currently, there is no specific treatment for patients with ACLF. Our previous results showed that Chinese herbal medicine (CHM) could reduce the mortality rate and the incidence of complications of ACLF effectively. In this study, we aim to conduct the multi-center randomized controlled trial to evaluate the effect of unified CHM formulas and provide propagable and high-level evidence for clinical practice. Methods/design: This is a prospective, multicenter, centrally randomized controlled trial. Five hundred and ten patients diagnosed with HBV-related ACLF will be allocated in a 1:1 ratio to SMT group (standard medical therapy) and CHM group (CHM and SMT). The primary outcome is the transplant-free mortality rates at week 4, 8, 12, 24 and 48. Secondary outcomes include (1) the incidence of adverse reactions, (2) influence on liver function, (3) the incidence of serious complications and (4) the level of inflammatory cytokines. Discussion: The effectiveness and safety of CHM formulas are assessed in the treatment of ACLF.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Gut microbiota mediated molecular events and therapy in liver diseases.
    Qi X, Yang M, Stenberg J, Dey R, et al · · 2020 · cited 20× · PMID 33505139 · DOI 10.3748/wjg.v26.i48.7603

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Other trials of Chinese herbal medicine

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