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NCT04564651

Platelet Transfusion in Acute-on Chronic Liver Failure

Status unknown NA Last updated 25 September 2020
What this trial tests

NA trial testing platelet transfusion in Acute-On-Chronic Liver Failure in 80 participants. Status unknown.

Timeline
1 May 2019
Primary endpoint
1 May 2024
1 May 2024

Quick facts

Lead sponsorNanfang Hospital, Southern Medical University
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment80
Start date1 May 2019
Primary completion1 May 2024
Estimated completion1 May 2024
Sites8 locations across China

Drugs / interventions tested

Conditions studied

Sponsor

Nanfang Hospital, Southern Medical University

Who can join

Adults 16 to 60, any sex, with Acute-On-Chronic Liver Failure. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Acute on-chronic liver failure (ACLF) is a severe liver disease with a 28-day mortality rate of up to 40%. When the patients get 3 or more organ failures, the 28-day mortality rate is up to 82.6%. Though the ACLF patients have high short-term mortality, and the only effective treatment method is liver transplantation. However, few patients can be treated due to the scarcity of liver source, rapid disease progression and short transplantation window. Our team evaluated the platelet function of 100 patients with ACLF by using the thromboelastograghy (TEG 5000). It was found for the first time that the reactivity of platelets of ACLF patients decreased, and the platelet inhibition rate (especially the ADP pathway) was related to patients'short-term prognosis. When the ADP inhibition rate was 70%, the patients'28-day mortality was up to 100%. However, the mechanism of low platelet response to ADP in ACLF patients is still unclear. We found that the platelet function in patients with ACLF 2-3 grade and inhibition rate beyond 70% was improved and the 28-day mortality decreased after platelet transfusion. Whether platelet transfusion can prolong survival time needs to be determined in a prospective controlled study. Therefore, this study is expected to find a new therapeutic method to reduce the mortality of patients with ACLF.

Publications & conference data

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

  1. Design for a Multicentre Prospective Cohort for the Assessment of Platelet Function in Patients with Hepatitis-B-Virus-Related Acute-on-Chronic Liver Failure.
    Jiang X, Chai S, Huang Y, Huang Z, et al · · 2022 · cited 1× · PMID 36042872 · DOI 10.2147/clep.s376068

Verify or expand the search:

Other trials of platelet transfusion

Trials testing the same drug.

Other recruiting trials for Acute-On-Chronic Liver Failure

Currently open trials in the same condition.

Other Nanfang Hospital, Southern Medical University trials

Trials by the same sponsor.

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Data sources for this page

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