Health Condition 1: K768- Other specified diseases of liver
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients of ACLF (APASL criteria) - jaundice (serum bilirubin � 5 mg/dL and coagulopathy (INR � 1.5) complicated within 4 weeks by clinical ascites and/or encephalopathy in a patient with previously diagnosed or undiagnosed chronic liver disease/cirrhosis. 2) Age 18-70 yrs 3) Baseline HVPG � 12 mmHg.
Exclusion criteria
Exclusion criteria: 1) Contraindications to NSBB (heart rate 2) Portal Vein Thrombosis, 3) Hepatocellular carcinoma, 4) HVOTO, 5) HE grades 2-4, 6) NSBB therapy within 5 days, 7) Pregnancy, 8) Lactation, 9) Planned for LT in the next 12 weeks 10) No consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Liver transplant free survivalTimepoint: Day 28 | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications [PHT related bleed, AKI, infections, HE] within 90 daysTimepoint: 90 days;Correlation with evolution of AARC scoreTimepoint: 2 weeks;Liver transplant-free survival rate.Timepoint: 90 days | — |
Countries
India
Contacts
Institute of Liver and Biliary Sciences