Acute Episode of Overt Hepatic Encephalopathy, Hepatic Encephalopathy
Conditions
Keywords
hepatic encephalopathy, hyperammonemia, cirrhosis, ornithine phenylacetate, OCR-002
Brief summary
The purpose of this study is to determine whether ornithine phenylacetate can speed recovery from an acute hepatic encephalopathy episode requiring hospitalization in cirrhotic patients.
Detailed description
The primary objectives of the study were to evaluate the efficacy of OCR-002 for treatment of an acute hepatic encephalopathy (HE) episode in cirrhotic patients requiring hospitalization and the safety and tolerability of OCR-002 in hospitalized cirrhotic patients with an acute episode of HE.
Interventions
Ornithine phenylacetate for continuous IV infusion at dose levels predicated on level of hepatic decompensation
Placebo for continuous IV infusion that is visually identical to the experimental product
Sponsors
Study design
Masking description
While the study was double-blind (participant and investigator blinded), the care provider and outcomes assessor were also blinded.
Eligibility
Inclusion criteria
* Hospitalized with an acute episode of hepatic encephalopathy as complication of cirrhosis * Elevated venous ammonia
Exclusion criteria
* Renal failure with serum creatinine \> 3 mg/dL or need for dialysis * Molecular Adsorbent Recirculation System utilized * Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants in Each HE Stage | Baseline to End of Study (through 3 hours post end-of-infusion) | To support the primary endpoint of confirmed clinical response, the investigator rated participants on a 4-point staging scale, where higher scores are worse. The stages are described as: Stage 0/1 = Participant has no tremor of the hand when the wrist is extended (asterixis) and no confusion, even about where they are (disorientation) Stage 2 = Participant has tremor of the hand when the wrist is extended (asterixis) and is confused, not knowing where they are (disorientation) Stage 3 = Participant is tired, falling asleep, answers questions but is confused, and doesn't know where they are (Stupor, arousable but falls asleep, responsive to verbal stimuli, Obvious confusion, Gross disorientation) Stage 4 = Participant is unconscious (in a coma) |
Countries
Australia, Austria, Belgium, Bulgaria, Czechia, Denmark, Estonia, France, Germany, Hungary, Israel, Italy, Netherlands, New Zealand, Russia, Spain, United States
Participant flow
Recruitment details
A total of 231 participants were enrolled (randomized) into the trial at multiple sites in the United States, Australia and Europe.
Participants by arm
| Arm | Count |
|---|---|
| Placebo Participants receive matching placebo up to 5 days via continuous IV infusion in addition to SOC | 115 |
| Ornithine Phenylacetate Participants receive ornithine phenylacetate up to 5 days via continuous IV infusion in addition to SOC | 116 |
| Total | 231 |
Baseline characteristics
| Characteristic | Placebo | Total | Ornithine Phenylacetate |
|---|---|---|---|
| Age, Continuous | 60 years STANDARD_DEVIATION 9.5 | 59 years STANDARD_DEVIATION 9.6 | 50 years STANDARD_DEVIATION 9.8 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 7 Participants | 18 Participants | 11 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 57 Participants | 112 Participants | 55 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 51 Participants | 101 Participants | 50 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 8 Participants | 13 Participants | 5 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 51 Participants | 101 Participants | 50 Participants |
| Race (NIH/OMB) White | 54 Participants | 113 Participants | 59 Participants |
| Region of Enrollment Australia | 1 participants | 1 participants | 0 participants |
| Region of Enrollment Austria | 2 participants | 7 participants | 5 participants |
| Region of Enrollment Belgium | 6 participants | 7 participants | 1 participants |
| Region of Enrollment Bulgaria | 2 participants | 3 participants | 1 participants |
| Region of Enrollment Canada | 2 participants | 2 participants | 0 participants |
| Region of Enrollment Czechia | 4 participants | 5 participants | 1 participants |
| Region of Enrollment Denmark | 2 participants | 2 participants | 0 participants |
| Region of Enrollment France | 11 participants | 21 participants | 10 participants |
| Region of Enrollment Hungary | 1 participants | 5 participants | 4 participants |
| Region of Enrollment Israel | 11 participants | 22 participants | 11 participants |
| Region of Enrollment Italy | 0 participants | 2 participants | 2 participants |
| Region of Enrollment Netherlands | 1 participants | 1 participants | 0 participants |
| Region of Enrollment Russia | 7 participants | 12 participants | 5 participants |
| Region of Enrollment Spain | 3 participants | 13 participants | 10 participants |
| Region of Enrollment United States | 62 participants | 128 participants | 66 participants |
| Sex: Female, Male Female | 37 Participants | 81 Participants | 44 Participants |
| Sex: Female, Male Male | 78 Participants | 150 Participants | 72 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 15 / 112 | 11 / 114 |
| other Total, other adverse events | 31 / 112 | 30 / 114 |
| serious Total, serious adverse events | 34 / 112 | 29 / 114 |
Outcome results
Percentage of Participants in Each HE Stage
To support the primary endpoint of confirmed clinical response, the investigator rated participants on a 4-point staging scale, where higher scores are worse. The stages are described as: Stage 0/1 = Participant has no tremor of the hand when the wrist is extended (asterixis) and no confusion, even about where they are (disorientation) Stage 2 = Participant has tremor of the hand when the wrist is extended (asterixis) and is confused, not knowing where they are (disorientation) Stage 3 = Participant is tired, falling asleep, answers questions but is confused, and doesn't know where they are (Stupor, arousable but falls asleep, responsive to verbal stimuli, Obvious confusion, Gross disorientation) Stage 4 = Participant is unconscious (in a coma)
Time frame: Baseline to End of Study (through 3 hours post end-of-infusion)
Population: Intention to Treat Analysis Set (Note: all participants did not start at the same time)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 3 | 5 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Baseline : Stage 3 | 30 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 2 | 42 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 4 | 3 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 0/1 | 28 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 4 | 3 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 3 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 3 | 21 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 7 am : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 7 am : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 2 | 61 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 4 | 2 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 2 | 2 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 0/1 | 23 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 3 | 5 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 0/1 | 10 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 2 | 42 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Baseline : Stage 2 | 71 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 0/1 | 28 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 7 am : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | End of Study : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 0/1 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 4 | 3 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 4 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 0/1 | 21 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 3 | 10 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 3 | 14 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 2 | 21 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 7 am : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 0/1 | 23 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 2 | 57 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 7 am : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Baseline : Stage 0/1 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 4 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 0/1 | 16 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 3 | 3 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 4 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 2 | 5 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 4 | 3 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 0/1 | 6 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Baseline : Stage 4 | 11 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 3 | 7 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | End of Study : Stage 4 | 5 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | End of Study : Stage 3 | 10 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 3 | 7 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | End of Study : Stage 2 | 31 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 2 | 46 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | End of Study : Stage 0/1 | 45 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Baseline : Missing | 3 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 2 | 24 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 2 | 32 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 4 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 2 | 50 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 3 | 9 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 0/1 | 20 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 2 | 29 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 0/1 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 0/1 | 23 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 7 am : Missing | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 4 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 4 | 0 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 4 | 2 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 3 | 8 percentage of participants |
| Placebo | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 3 | 15 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 3 | 3 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 3 | 10 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 2 | 55 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 0/1 | 25 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 7 am : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Baseline : Stage 4 | 6 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Baseline : Stage 3 | 40 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Baseline : Stage 2 | 68 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Baseline : Stage 0/1 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Baseline : Missing | 2 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 4 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 3 | 4 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 2 | 3 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 7 am : Stage 0/1 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 7 am : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 4 | 5 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 3 | 14 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 2 | 36 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Stage 0/1 | 1 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 1, 5 pm : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 4 | 4 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 3 | 15 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 2 | 69 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 7 am : Stage 0/1 | 10 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 7 am : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 4 | 4 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 3 | 9 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 2 | 61 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Stage 0/1 | 16 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 4 | 3 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 3 | 9 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 2, 5 pm : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 2 | 45 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | End of Study : Stage 0/1 | 55 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Stage 0/1 | 27 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 5 pm : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 4 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 3 | 9 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 2 | 40 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 7 am : Stage 0/1 | 30 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 3, 7 am : Stage 4 | 2 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 2 | 22 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 7 am : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 4 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 3 | 7 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 2 | 34 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Stage 0/1 | 28 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 0/1 | 28 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 4 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 3 | 3 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 2 | 24 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 7 am : Stage 0/1 | 27 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 7 am : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 4 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 3 | 3 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 2 | 7 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Stage 0/1 | 5 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 6, 5 pm : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | End of Study : Stage 4 | 3 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | End of Study : Stage 3 | 7 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | End of Study : Stage 2 | 28 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | End of Study : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 4, 5 pm : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 4 | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 3 | 7 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 2 | 28 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 7 am : Stage 0/1 | 32 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 7 am : Missing | 0 percentage of participants |
| Ornithine Phenylacetate | Percentage of Participants in Each HE Stage | Day 5, 5 pm : Stage 4 | 0 percentage of participants |