Predictive Utility of DASIMAR as a Prognostic Biomarker in Acute-on-chronic Liver Failure (ACLF)
DASIMAR
The Predictive Utility of the Dimethylarginines and Ischemia Modified Albumin as Prognostic Biomarkers in Patients With Acute-on-chronic Liver Failure
1 other identifier
observational
700
1 country
1
Brief Summary
Patients with acute on chronic liver failure have a risk of developing multiorgan failure and a high mortality. The current scoring systems defining the outcome of patients with acute decompensation of cirrhosis fail to identify patients that progress to Acute-on-chronic liver failure (ACLF). The aim of the study is to evaluate if one can identify these patients early on with the proposed biomarkers: dimethylarginines and ischemia modified albumin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2008
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2008
CompletedFirst Submitted
Initial submission to the registry
February 18, 2010
CompletedFirst Posted
Study publicly available on registry
February 19, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedFebruary 19, 2010
April 1, 2008
2.2 years
February 18, 2010
February 18, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
Progress to ACLF
hours, days
Secondary Outcomes (1)
Prognosticate ACLF
Days
Study Arms (1)
Acute decompensation of cirrhosis
acute decompensation of liver function occuring secondary to precipitating events such as sepsis, GI bleed.
Eligibility Criteria
Inpatients with acute clinical deterioration of cirrhosis.
You may qualify if:
- All patients with an acute clinical decompensation of presumed cirrhosis (elevated bilirubin \>85 µmol/L, or/and increasing ascites or/and hepatic encephalopathy \< grade 2) related to a clear precipitating event (e.g. infection, bleeding, alcoholic hepatitis, exposure to hepatotoxin)
You may not qualify if:
- Admission for reasons other than decompensation of cirrhosis (other co-morbid diseases, especially established cardiovascular or renal disease (U/S).
- Malignancy (extra-hepatic or a hepatocellular carcinoma).
- Patients who have undergone major surgery or have unsolved surgical problems.
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College London Hospitalslead
- Medical Research Councilcollaborator
Study Sites (1)
University College London Hospital
London, WC1E 6HX, United Kingdom
Biospecimen
RNA
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rajeshwar P Mookerjee, BScMRCPPhD
University College London Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
February 18, 2010
First Posted
February 19, 2010
Study Start
September 1, 2008
Primary Completion
November 1, 2010
Study Completion
November 1, 2010
Last Updated
February 19, 2010
Record last verified: 2008-04