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Study to evaluate effects of Alpha Keto Analogues of essential amino acids in patients with hepatic encephalopathy

A prospective, single center, randomized, open label, two arm clinical study to evaluate the effects of Alpha Keto Analogues of essential amino acids with standard of care versus standard of care alone in patients with hepatic encephalopathy - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/08/093068
Enrollment
50
Registered
2025-08-14
Start date
Unknown
Completion date
Unknown
Last updated
2025-08-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K768- Other specified diseases of liver

Interventions

Intervention1: Alpha Keto Analogues Tablet with standard of care: Alpha Keto Analogues of essential amino acids tablet will be given as add on to standard of care for 90 days Control Intervention1: St

Sponsors

Dr Vinay Kumar
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Age 18 to 65 years male and female both. 2. Cirrhosis diagnosed on the basis of clinical features, biochemical, radiological and or liver histology data. 3. Diagnosed with hepatic encephalopathy having Grade 2 and 3 4. Diagnosed with hepatic encephalopathy at least 7 days prior to screening. 5. Ammonia level more than 170.

Exclusion criteria

Exclusion criteria: 1. Current or recent (less than 6 weeks) use of alcohol 2. Use of antibiotics within last 6 weeks 3. Use of lactulose, lactitol, L-ornithine L-aspartate and zinc within the last 6 weeks 4. Use of interferon or psychoactive drugs like benzodiazepines, psychotropic drugs, anti-epileptics within the last 6 weeks 5. Infection or gastrointestinal hemorrhage within the last 6 weeks 6. Advanced medical problems like congestive cardiac failure, advanced pulmonary disease or renal insufficiency or electrolyte imbalance 7. Hepatocellular carcinoma 8. History of portosystemic shunt surgery or transjugular intrahepatic portosystemic shunt 9. Pregnancy and breastfeeding 10. Neurological or psychiatric problems which may influence quality of life measurement. 11. Poor vision or motor defects which interfere with the performance of psychometric tests. 12. Any condition which may not appropriate for study result as per PI discretion

Design outcomes

Primary

MeasureTime frame
Change in arterial ammonia concentration from baselineTimepoint: Screening, day 30, day 60, day 90

Secondary

MeasureTime frame
Change in grades of hepatic encephalopathyTimepoint: Screening, Day 90;Reduction of ammonia level to at least 50% from the baseline at the end of treatment.Timepoint: Baseline, Day 90;Improvement in quality of life using EQ-5DTimepoint: Baseline, Day 90;Mental State Examination using MMSETimepoint: Baseline, Day 90;Adverse EventsTimepoint: Screening, Day 0, day 30, day 60, day 90

Countries

India

Contacts

Public ContactRakesh S Ray

GSVM Medical Collage

dr.vinayksachan@gmail.com8004877113

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026