Validation of New Prognostic Biomarkers in Patients With Decompensated Cirrhosis

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorEuropean Foundation for Study of Chronic Liver Failure

About this trial

The study aims to test the effectiveness of new biomarkers (measurable molecules in our body) in predicting the health outcome of patients with liver cirrhosis discharged from the hospital after a serious complication of the disease

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 18 and 80 years.

Patients with decompensated cirrhosis admitted to hospital due to AD according to the EASL-CLIF criteria (rapid onset of ascites, hepatic encephalopathy, portal hypertensive- related gastrointestinal bleeding, bacterial infection, or any combination of these), including those who presented ACLF during hospitalization.

Recovery from AD and expected to be discharged within the next 48 hours.

Disqualifiers

Admission for planned diagnostic or therapeutic procedures

Active malignancy (except for hepatocellular carcinoma within the Milan criteria or nonmelanocytic skin cancer)

Antiviral treatment for hepatitis C, B and delta initiated in the last 6 months or planned to be initiated in the following 6 months.

HIV positive (except undergoing treatment and who do not exhibit clinical manifestations of AIDS).

Trial population

Patients eligible for this study will be patients with decompensated cirrhosis expected to be discharged from the hospital within 48 hours after an index admission for AD according to the EASL-CLIF criteria.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

189 Participants
are grouped into 1 trial group
Group A: Patients with Decompensated Liver Cirrhosis

Trial outcomes

Primary outcomes

1

To test the prognostic accuracy of novel biomarkers identified within the DECISION project.

The primary objective will be evaluated assessing the following end-point: ● Survival at 3 months

Time frame
Until September 30th 2025

Secondary outcomes

1

To characterize the clinical and biological features at the time of discharge predicting the 6-month outcome and the different trajectories of patients surviving a hospitalization for AD complicated or not by ACLF.

Secondary objectives will be evaluated assessing the following end-points: * Survival at 6 months * Incidence of emergent re-admissions to hospital at 3 months due to liver related causes * Incidence of emergent re-admissions to hospital at 6 months due to liver related causes * Incidence of emergent re-admissions to hospital at 3 months due to non liver related causes * Incidence of emergent re-admissions to hospital at 6 months due to non liver related causes * Incidence of ACLF at 3 months * Incidence of ACLF at 6 months * Incidence of TIPS insertion at 3 months * Incidence of TIPS insertion at 6 months

Time frame
Until September 30th 2025

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

European Foundation for Study of Chronic Liver Failure

Lead sponsor

Universität Münster

Collaborator

IRCCS Azienda Ospedaliero-Universitaria di Bologna

Collaborator

Hospital Universitari Vall d'Hebron Research Institute

Collaborator

Hospital Clinic of Barcelona

Collaborator

Hospital Universitario Ramon y Cajal

Collaborator

Beaujon Hospital

Collaborator

University Hospital, Aachen

Collaborator

A.O.U. Città della Salute e della Scienza

Collaborator