Liver Failure, Acute
Conditions
Keywords
liver failure, Acute
Brief summary
Granulocyte colony stimulating factor in acute liver failure and alcoholic hepatitis
Detailed description
In this study 4 groups have been taken. Two groups of cases including Alcoholic patients and acute liver failure which are given G-CSF therapy and two groups of controls given standard therapy. Primary end point is to see the mobilization of CD-34 hematopoietic cells and survival. Secondary end point is to see the clinical and biochemical improvement in liver functions.
Interventions
300 I.U twice daily for 5 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Acute Liver failure as defined by AASLD.65 * Patients with Alcoholic hepatitis defined as follows: decades of heavy alcohol use (mean intake, approximately 100 g per day).The combination of an aspartate aminotransferase level that is elevated (but \<300 IU per milliliter) and a ratio of the aspartate aminotransferase level to the alanine aminotransferase level that is more than 2, a total serum bilirubin level of more than 5 mg per deciliter (86 μmol per liter), an elevated INR, and neutrophilia.
Exclusion criteria
• Known hypersensitivity to filgrastim * creatinine \> 150 µmol/L * infection or hemorrhage within the last 10 days * documented hepatocellular carcinoma * hepatitis B,C or human immunodeficiency virus seropositivity and pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Mobilization of CD34 cells in the peripheral blood, a surrogate marker for hematopoietic stem cell mobilization | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| clinical and biochemical improvement in liver functions | 1 year |
Countries
India