Status:

RECRUITING

Efficacy of Conventional Dose Protocol vs Low Dose Protocol Albumin Use in Patients With Cirrhosis and High Risk Spontaneous Bacterial Peritonitis

Lead Sponsor:

Institute of Liver and Biliary Sciences, India

Conditions:

Liver Cirrhosis

Spontaneous Bacterial Peritonitis

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

The role of Albumin in prevention and Treatment of Acute Kidney Injury (AKI) in patients with Spontaneous Bacterial Peritonitis (SBP) who are at high risk of AKI development has been clearly defined, ...

Detailed Description

Hypothesis Alternate Hypothesis: Low dose albumin is as effective as conventional dose albumin in cirrhosis with high risk SBP patients having AKI development or progression by day 4. Aim:-To compare...

Eligibility Criteria

Inclusion

  • Age \>18years
  • Cirrhosis with SBP (community acquired /Health care associated/ nosocomial)
  • High risk SBP : Patients with S Bil \>4 mg/dL and/or s creat \> 1 mg/dl at presentation

Exclusion

  • Antibiotic treatment within one week before the diagnosis of SBP (except for prophylactic treatment with norfloxacin)
  • Significant cardiac failure, pulmonary disease
  • Known CKD or findings suggestive of organic nephropathy (proteinuria, haematuria, or abnormal findings on renal USG)
  • Hepatocellular carcinoma
  • HIV infection
  • GI bleed within 1 month before the study
  • Grade 3 to 4 hepatic encephalopathy
  • Shock (MAP \< 65)
  • Serum creatinine level of \> 3 mg/decilitre
  • Presence of any potential causes of dehydration (such as diarrhea or an intense response to diuretic treatment within one week before the diagnosis of SBP).

Key Trial Info

Start Date :

October 10 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2024

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT06026267

Start Date

October 10 2023

End Date

December 31 2024

Last Update

August 9 2024

Active Locations (1)

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1

Institute of Liver & Biliary Sciences

New Delhi, National Capital Territory of Delhi, India, 110070