Hepatitis B Virus-Related Acute-on-Chronic Liver Failure (HBV-ACLF)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Meeting the Western diagnostic criteria for early-to-mid-stage HBV-ACLF. (1) Aged 18–65 years male or female. (2) TCM syndrome differentiation confirming toxin-stasis conflict dampness-heat exuberance and spleen deficiency with vital qi depletion. (3) Signed informed consent form.
Exclusion criteria
Exclusion criteria: (1) Co-infection with other hepatitis viruses (HAV HEV HCV etc.). (2) Concurrent liver diseases including autoimmune hepatitis drug-induced liver injury alcoholic liver disease fatty liver disease or hereditary/metabolic liver disorders. (3) Active tuberculosis infection. (4) HIV-positive individuals. (5) Severe cardiac renal or other systemic comorbidities or other primary diseases affecting prognosis. (6) Patients with malignant tumors. (7) History of upper gastrointestinal bleeding. (8) Hepatorenal syndrome (HRS). (9) Pregnant or lactating women. (10) Patients with psychiatric disorders impairing compliance history of epilepsy or central nervous system diseases. (11) Late-stage HBV-ACLF. (12) Patients deemed ineligible by investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Staging Changes in the Severity of Condition;Alanine Aminotransferase;Aspartate aminotransferase;Albumin;Total Serum Bilirubin;Prothrombin activity;Internationalization Standard Ratio;HBV-DNA viral load;Hepatitis B Surface Antigen;Hepatitis B Surface Antibody;Hepatitis B E antigen;Hepatitis B e antibody;Hepatitis B core antibody;Model for End-Stage Liver Disease score;Complication rate;Evaluation of therapeutic effects on TCM syndromes; | — |
Countries
China
Contacts
Beijing Ditan Hospital Capital Medical University