Decompensated cirrhosis,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age between 18 to 70 years old. - Diagnosed with cirrhosis either by imaging or histopathology - Child-Pugh score ≥ 7 points - History or currently documented ascites by imaging - Agree to sign inform consent
Exclusion criteria
Exclusion criteria: - Previous hospitalization due to infection within 3 months - Any active malignancies - life expectancy < 9 months - Stop alcohol drinking < 6 months - On steroid or Immunosuppressive drugs - Uncontrolled diabetes mellitus defined by HbA1c ≥ 8 % - HIV infection - eGFR < 30 ml/min/1.73m2 - History of taking branched-chain amino acid - Pregnancy or lactation - MELD score ≥ 20 points
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the efficacy of branched-chain amino acid granules to restore innate immunity in term of phagocytosi 6 months Phagocytosis function percentage determine by flow cytometry after taking BCAA granules for 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| The clinical outcomes of branched-chain amino acid granules in infection incidence and 6 months Infection incidence and hospitalization due to infection during investigation period.,The Durable effect to phagocytosis of BCAA granules after stop treatment for 3 months 9 months Phagocytosis capacity percentage determine by flow cytometry after stop taking BCAA granules | — |
Countries
Thailand
Contacts
Department of Internal Medicine, Songklanagarind hospital