Status:

NOT_YET_RECRUITING

Study on Proteomic and Microbiome Changes in Patients With Hepatic Encephalopathy (HE)

Lead Sponsor:

The First Affiliated Hospital with Nanjing Medical University

Conditions:

Cirrhoses, Liver

Hepatic Encephalopathy (HE)

Eligibility:

All Genders

18-85 years

Brief Summary

The objective of this observational study is to compare the differences in proteomics and gut microbiome between the liver cirrhosis group without hepatic encephalopathy and the hepatic encephalopathy...

Eligibility Criteria

Inclusion

  • For the NHE (No Hepatic Encephalopathy) Group:
  • Aged between 18 and 85 years, inclusive.
  • Diagnosis of liver cirrhosis.
  • Normal blood ammonia level.
  • West-Haven Criteria grade 0 for Hepatic Encephalopathy.
  • Normal neurological signs.
  • Normal neuropsychological test results.
  • Willing to participate and provides written informed consent.
  • For the CHE (Covert Hepatic Encephalopathy) Group:
  • Aged between 18 and 85 years, inclusive.
  • Diagnosis of liver cirrhosis.
  • Elevated blood ammonia level.
  • Diagnosis of Covert Hepatic Encephalopathy (West-Haven Criteria grade 0 or I).
  • Grade 0: No personality or behavioral changes but abnormal neuropsychological tests.
  • Grade I: Mild cognitive impairment, lack of awareness, euphoria or anxiety, shortened attention span, or impaired performance of addition/subtraction.
  • Neurological signs are normal or mild asterixis (flapping tremor) may be elicited.
  • Neuropsychological tests are abnormal.
  • Willing to participate and provides written informed consent.

Exclusion

  • Diagnosis of any malignant tumor.
  • History of treatment for any malignant tumor.
  • Presence of severe concomitant cardiac, pulmonary, cerebral, or renal diseases, or severe diabetic complications.
  • Use of antibiotics, prebiotics, probiotics, or proton pump inhibitors within the three months prior to enrollment.
  • Pregnancy, lactation, or puerperium.

Key Trial Info

Start Date :

September 1 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

32 Patients enrolled

Trial Details

Trial ID

NCT07150195

Start Date

September 1 2025

End Date

December 1 2026

Last Update

September 25 2025

Active Locations (1)

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Department of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University

Nanjing, Jiangsu, China