RecruitingNot ApplicableNCT06483737

Human Albumin Infusion in Liver Cirrhosis and Overt Hepatic Encephalopathy (HACHE)

Human Albumin Infusion in Liver Cirrhosis and Overt Hepatic Encephalopathy (HACHE): an Invesitgator-initiated, Open-label, Multicenter, Randomized Controlled Trial


Sponsor

General Hospital of Shenyang Military Region

Enrollment

174 participants

Start Date

Jun 24, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Hepatic encephalopathy (HE), a severe complication of decompensated cirrhosis, is characterized as neurocognitive dysfunction. Emerging evidence suggests the potential role of human albumin infusion for the treatment of HE, but its optimal dosage remains undefined. Therefore, the investigators planned a randomized controlled trial (RCT) to compare the efficacy of human albumin infusion at different dosages in in patients with liver cirrhosis and overt HE.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • A definite diagnosis of liver cirrhosis and overt HE
  • A serum albumin level of 23-30g/L
  • Age ≥18 years old
  • Sign the informed consent

Exclusion Criteria6

  • Contraindications to human albumin infusion
  • A history of transjugular intrahepatic portosystemic shunt
  • A diagnosis of acute liver failure
  • Severe heart and/or lung diseases
  • Psychiatric or nervous diseases
  • Pregnant or lactating

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Interventions

DRUGHuman albumin infusion at a modified dosage

Participants receive intravenous infusion of human albumin at different dosages according to the serum albumin level.

DRUGHuman albumin infusion at a routine dosage

Participants receive intravenous infusion of human albumin according to the current clinical practice.

DRUGLactulose

All participants will receive standard treatment of overt HE according to the current practice guideline.

DRUGRifaximin

All participants will receive standard treatment of overt HE according to the current practice guideline.

DRUGOrnithine Aspartate

All participants will receive standard treatment of overt HE according to the current practice guideline.

DRUGBranched-Chain Amino Acids

All participants will receive standard treatment of overt HE according to the current practice guideline.

DRUGArginine

All participants will receive standard treatment of overt HE according to the current practice guideline.


Locations(1)

Department of Gastroenterology, General Hospital of Northern Theater Command (formerly called General Hospital of Shenyang Military Area)

Shenyang, Liaoning, China

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NCT06483737


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