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Safety and efficacy of regional citrate anticoagulation versus heparin anticoagulation during plasma adsorption and plasma exchange for hepatitis B virus related acute on chronic liver failure: A prospective, observational study

Safety and efficacy of regional citrate anticoagulation versus heparin anticoagulation during plasma adsorption and plasma exchange for hepatitis B virus related acute on chronic liver failure: A prospective, observational study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR-OON-17013631
Enrollment
Unknown
Registered
2017-12-01
Start date
2017-07-01
Completion date
Unknown
Last updated
2017-12-11

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

Conditions

liver failure

Interventions

Group A:heparin anticoagulation
Group B:regional citrate anticoagulation

Sponsors

West China Hospital of Sichuan University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients with HBV-ACLF who received plasma adsorption followed by PE for the first session of ALSS therapy were enrolled. The diagnosis of HBV-ACLF was mainly based on the following criteria: 1. pre-existing chronic hepatitis B virus infection; 2. progressive hyperbilirubinemia, defined as a > 50% increase in bilirubin or up to a level of > 171umol/L within 4 weeks; 3. prothrombin time activity (PTA)=40% or international normalized ratio (INR)=1.5.

Exclusion criteria

Exclusion criteria: Patients whose aged less than 18 years or more than 70 years were excluded. Patients were excluded if they had the following diseases: drug-induced liver injury, immune-related liver disease, alcoholic liver disease, and hyperthyroidism, and patients who were pregnant were also excluded. In addition, patients with HBV-ACLF were excluded if they were complicated with other viral infections (including hepatitis A, C, D or E virus, cytomegalovirus, herpes simplex virus, or human immunodeficiency virus), or had evidence of chronic heart, pulmonary, or kidney diseases.

Design outcomes

Primary

MeasureTime frame
Citrate accumulation;Acid-base disorders;Completion rates;

Countries

China

Contacts

Public ContactLang Bai

West China Hospital, Sichuan University

pangbailang@163.com+86 18980602254

Outcome results

None listed

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