Acute-On-Chronic Liver Failure
Conditions
Keywords
Acute-On-Chronic Liver Failure, ACLF
Brief summary
The study will assess the safety of different dose regimens of HepaStem in cirrhotic Patients with ACLF or with acute decompensation at risk of developing ACLF up to Day 28 of the active study period.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Main Inclusion Criteria: * Diagnosed cirrhosis * Patient with Acute Decompensation of cirrhosis * Serum total Bilirubin ≥ 6 mg/dL (≥100 umol/L) * The INR measurement has to be : 1.2 ≤ INR \< 2 Main
Exclusion criteria
* Absence of portal vein flow * Known or medical history of thrombotic events * Gastrointestinal hemorrhage requiring blood transfusion * Variceal bading or sclerosis within 4 weeks before infusion * Septic shock or non-controlled bacterial infection * Clinical evidence of aspergilus infection. * Circulatory failure * Respiratory disordered * Coagulation disorders defined as INR ≥ 2, Fibrinogen \< 100 mg/dL or Platelets \< 50.000/mm3 * MELD score \> 30. * Major invasive procedure within 4 weeks before infusion * Previous organ transplantation and/or ongoing immunosuppressive treatments. * Renal failure due to chronic kidney disease. * Clinically significant left-right cardiac shunt.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety assessed by occurence of Adverse Events (AE) up to Day 28 of the active study period | up to 28Day post first infusion day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy assessed by clinical parameters | 28Day, 3 month and 1 year post first infusion day | Clinical efficacy parameters evaluated by mortality, liver transplantation and disease scoring. |
| Efficacy assessed by biological parameters | 28Day, 3 month and 1 year post first infusion day | Biological efficacy parameters evaluated by bilirubin, creatinine, INR and albumin values |
| Long term safety Follow up assessed by the occurence of Adverse Event of Special Interest | 3 month and 1 year post first infusion day | Adverse Event of Special Interest defined as : SAE (Serious Adverse Event) with fatal |
Countries
Belgium, France