Health Condition 1: K746- Other and unspecified cirrhosis ofliver
Conditions
Interventions
Intervention1: Branch chain amino acid: Branch chain amino acid at a dose of approxiametely 0.35g per kg will be supplemented in two divided doses group for a period of 12 weeks.For the sake of admini
Sponsors
ILBS
Eligibility
Inclusion criteria
Inclusion criteria: Children 6 mo â?? 12 y with cirrhosis and sarcopenia defined as MAMA <2 SD for age
Exclusion criteria
Exclusion criteria: • Non-cirrhotic Portal hypertension • Suspected/proven malignancy • Already on BCAA therapy in last 1 month • Tyrosinemia • Chronic kidney disease or non-resolving AKI • Potential liver transplant within 1 month.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Mid-arm muscle area (MAMA) after 12 weeks of BCAA therapy in children with CLD and sarcopenia (MAMA 2 SD). Timepoint: 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in mTOR gene expression levels after 7 days of BCAA therapy Timepoint: 7 days;Change in muscle size (biceps and quadriceps) using ultrasound at 3 and 6 months.Timepoint: 3 and 6 months;Change in the occurrence of significant events including HE, UGI bleed, SBP, AKI, new onset or increase in ascites, hospital stay and mortalityTimepoint: 3 and 6 months;Change in Albumin requirement in the BCAA groupTimepoint: 3 and 6 months;Change in creatinine-height index after 12 weeks of BCAA therapy. Timepoint: 12 weeks;Change in follistatin levels in children with CLD after 12 weeks of BCAA therapy. Timepoint: 12 weeks;Change in MAMA (muscle size) after 6 months of BCAA therapy. Timepoint: 6 months | — |
Countries
India
Contacts
Public ContactDr Rajeev Khanna
ILBS
Outcome results
None listed