What this study is
Management of ACLF is mainly supportive. The poor outcomes lead physicians to consider liver transplantation as an option, even if controversial. In sicker recipients, LT results in immediate survival, but poor medium-term survival rates in some studies. The scarcity of deceased donors obliges to maximize LT success. Alternative strategies, as living-donor LT, should be explored. LDLT has impressive results in Eastern centers, but it is restrained in Western countries, due to potential life-threatening complications in the donor.
What's being tested
- Observational Protocol
Intervention · OTHER
The cohorts will be followed for one year after LT transplantation except for group 3 (1-year follow-up after inclusion)
Study details
- Official title
- Liver Transplantation in Patients With CirrHosis and Severe Acute-on-Chronic Liver Failure (ACLF): iNdications and outComEs
- Sponsor
- European Foundation for Study of Chronic Liver Failure
- Conditions
- Liver Diseases · Liver Cirrhosis · Acute-On-Chronic Liver Failure · Liver Transplant; Complications
- Enrolling
- 3,000 people
- Starts
- 2021-07-08
- Est. completion
- 2026-12-31
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years – 80 YearsSex ALLHealthy volunteers Not acceptedYou may qualify if
- Male or female subject ≥18 years of age.
- Subjects with diagnosis of liver cirrhosis (based on clinical, laboratory, endoscopic, and ultrasonographic features or on histology).
- Subjects who have been hospitalized for acute decompensation of liver cirrhosis and referred to the transplant team:; Group 1: patients listed for liver transplantation with ACLF-2 or 3 at the time of listing or developing ACLF 2-3 while on the waiting list.; Group 2: patients listed for liver transplantation with decompensated cirrhosis without ACLF-2 or 3 and poor liver function (MELD>20) at the time of listing.; Group 3: patients having ACLF-2 or 3, are assessed for inclusion in the waiting list, but are finally not listed for liver transplantation.
- Patients (or trusted person, family member or close relation if the patient is unable to express consent) who have been informed and signed their informed consent
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (106)
95 openCedars-Sinai Comprehensive Transplant Center
Los Angeles, California, United States
- Alexander Kuo · ContactAlexander.Kuo@cshs.org
- Alexander Kuo · Principal investigator
- Nicholas Nissen · Sub-investigator
RecruitingUniversity of Colorado
Aurora, Colorado, United States
- Michael Kriss · Contact303-724-1030michael.kriss@cuanschutz.edu
- Michael Kriss · Principal investigator
- Elizabeth Pomfret · Principal investigator
RecruitingTampa General Hospital
Tampa, Florida, United States
- Nyingi Kemmer · Contactnkemmer@tgmg.org
- Ningi Kemmer · Principal investigator
Not yet recruitingPiedmont Healthcare
Atlanta, Georgia, United States
- Lance Stein · Contactlance.stein@piedmont.org
- Lance Stein · Principal investigator
- Marwin Kazimi · Sub-investigator
RecruitingNorthwestern Memorial Hospital
Chicago, Illinois, United States
- Justin R Boike · Contact+1 312-926-2000justin.boike@nm.org
- Justin R Boike · Principal investigator
- Andrés Duarte · Sub-investigator
Not yet recruitingThe University of Chicago Medicine
Chicago, Illinois, United States
- Helen Te · Contacthte@medicine.bsd.uchicago.edu
RecruitingUniversity of Maryland School of Medicine
Baltimore, Maryland, United States
- Kirti Shetty · Contact410 3281328kshetty@som.umaryland.edu
- Kirti Shetty · Principal investigator
- John Lamattina · Sub-investigator
RecruitingWeill Cornell Medicine
New York, New York, United States
- Russell Rosenblatt · Contact646-962-5483rur9017@med.cornell.edu
- Russell Rosenblatt · Principal investigator
- Ben Samstein · Sub-investigator
RecruitingIcahn School of Medicine at Mount Sinai
New York, New York, United States
- Ghideon Ezaz · Contactghideon.ezaz@mountsinai.org
- Ghideon Ezaz · Principal investigator
- Chiara Rocha · Sub-investigator
RecruitingMontefiore Medical Center
New York, New York, United States
- Brett Fortune · Contact+1 718-920-4321bfortune@montefiore.org
- Brett Fortune · Principal investigator
- Milan Kinkhabwala · Sub-investigator
Not yet recruitingCleveland Clinic
Cleveland, Ohio, United States
- Bijan Eghtesad · Contacteghtesb@ccf.org
- Bijan Eghtesad · Principal investigator
- Christina Lindenmeyer · Principal investigator
RecruitingVanderbilt University Medical Center
Nashville, Tennessee, United States
- Manhal Izzy · Contact+1 615-322-5000manhal.izzy@vumc.org
- Manhal Izzy · Principal investigator
Not yet recruitingBaylor College of Medicine (Scott & White)
Dallas, Texas, United States
- Amar Gupta · Contactamar.gupta@bswhealth.org
- Amar Gupta · Principal investigator
- Robert Rahimi · Principal investigator
Not yet recruitingMichael E DeBakey VA Medical Center
Houston, Texas, United States
- Rubén Hernáez · Contactruben.hernaez@va.gov
- Rubén Hernáez · Principal investigator
Not yet recruitingBaylor St. Luke's Medical Centre
Houston, Texas, United States
- Jalal Prasun · Contactjalal@bcm.edu
- Jalal Prasun · Principal investigator
RecruitingUniversity of Utah Health
Salt Lake City, Utah, United States
- Juan Gallegos-Orozco · Contact801.581.7878juan.gallegos@hsc.utah.edu
- Juan Gallego-Orozco · Principal investigator
RecruitingUniversity of Cincinnati
Cincinnati, Ohio, United States
SuspendedUniversity of Pennsylvania
Philadelphia, Pennsylvania, United States
Suspended
88 sites outside the US
Austral University Hospital
Buenos Aires, Argentina
- Marcelo Silva · Contact54 0230 448 - 2422msilva@cas.austral.edu.ar
- Manuel Mendizábal, md · Sub-investigator
RecruitingHospital Alemán
Buenos Aires, Argentina
- María Margarita Anders · Contact54 11 4827-7000 ext. 2320manders@hospitalaleman.com
RecruitingItalian Hospital in Buenos Aires
Buenos Aires, Argentina
- Sebastián Marciano · Contact54-11-49590200 ext. 5370sebastian.marciano@hospitalitaliano.org.ar
- Adrián Gadano, MD · Principal investigator
Recruiting- Recruiting
- Recruiting
Medical University of Vienna, Department of Transplant Surgery
Vienna, Austria
- Gabriela Berlakovitch · Contactgabriela.berlakovich@meduniwien.ac.at
- Andreas Rosenstingl · Contactandreas.rosenstingl@meduniwien.ac.at
- Gabriela Berlakovitch · Principal investigator
- Andreas Rosenstingl · Principal investigator
Recruiting- Recruiting
Ghent University Hospital
Ghent, Belgium
- Hans Van Vlierberghe · ContactHans.vanvlierberghe@uzgent.be
- Xavier Verhelst · ContactXavier.Verhelst@uzgent.be
- Xavier Verhelst · Principal investigator
- Hans Van Vlierberghe · Principal investigator
RecruitingUZ Leuven
Leuven, Belgium
- Wim Laleman · Contactwim.laleman@uzleuven.be
- Wim Laleman · Principal investigator
- Frederik Nevens · Sub-investigator
RecruitingWalter Cantídio University Hospital
Fortaleza, Brazil
- Lívia Carone Linhares · Contact+55 85 3366-8167liviacarone@gmail.com
RecruitingIrmandade Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, Brazil
- Ângelo Zambam de Mattos · Contact+55 51 3214-8080angmattos@hotmail.com
RecruitingHospital das Clínicas da Universidade de São Paulo
São Paulo, Brazil
- Alberto Farias · Contact+55 11 2661-0000alberto.farias@hc.fm.usp.br
Recruiting- Recruiting
University of Toronto, Multiorgan Transplant Program
Toronto, Canada
- Nazia Selzner · ContactNazia.selzner@uhn.ca
RecruitingPablo Tobón Uribe Hospital
Medellín, Colombia
- Juan Ignacio Marín · Contact+57 604 4459000jmarin@hptu.org.co
RecruitingInstitute for Clinical and Experimental Medicine
Prague, Czechia
- Eva Kieslichová · Contactevki@ikem.cz
- Pavel Taimr · Contactpata@ikem.cz
- Pavel Taimr · Principal investigator
- Eva Kieslichová · Sub-investigator
Not yet recruiting- Recruiting
- Recruiting
- Recruiting
CHU Montpellier-Hôpital Saint Eloi
Montpellier, France
- Georges Phlippe Pageaux · Contactgp-pageaux@chu-montpellier.fr
RecruitingAPHP Hôpitaux Universitaires Pitié Salpêtrière
Paris, France
- Filomena Conti · Contactfilomena.conti@aphp.fr
RecruitingCHU Rennes, Hôpital De Pontchaillou
Rennes, France
- Pauline Houssel-Debry · Contactpauline.houssel-debry@chu-rennes.fr
RecruitingHautepièrre Hospital, Service de Réanimation Médicale
Strasbourg, France
- Thierry Artzner · Contactthierry.artzner@chru-strasbourg.fr
Recruiting- Recruiting
- Recruiting
University Hospital Regensburg
Regensburg, Eastern Bavaria, Germany
- Martina Müller-Schilling, MD · Contactmartina.mueller-schilling@ukr.de
- Martina Müller-Schilling, MD · Principal investigator
Not yet recruitingUniversitätsklinikum Schleswig-Holstein (UKSH)
Kiel, Schleswig-Holstein, Germany
- Thomas Becker, Prof · ContactThomas.Becker@uksh.de
- Thomas Becker, Prof · Principal investigator
Not yet recruitingCharité University Hospital
Berlin, Germany
- Cornelius Engelmann · Contactcornelius.engelmann@charite.de
Recruiting- Not yet recruiting
- Recruiting
- Not yet recruiting
University Hospital Heidelberg
Heidelberg, Germany
- Arianeb Mehrabi · Contactarianeb.mehrabi@med.uni-heidelberg.de
Not yet recruitingUniversitätsklinikum Schleswig-Holstein (UKSH)
Kiel, Germany
- Thomas Becker · ContactThomas.Becker@uksh.de
RecruitingLeipzig University Hospital
Leipzig, Germany
- Thomas Berg · ContactThomas.Berg@medizin.uni-leipzig.de
- Thomas Berg · Principal investigator
Not yet recruiting- Recruiting
University Hospital Tübingen
Tübingen, Germany
- Silvio Nadalin · ContactSilvio.Nadalin@med.uni-tuebingen.de
- Silvio Nadalin · Principal investigator
- Silvia Wagner · Sub-investigator
RecruitingAster CMI Hospital
Bengaluru, Karnataka, India
- Sonal Asthana, MD · Contactsonal@transplantationliver.com
- Sonal Asthana · Principal investigator
Not yet recruitingKasturba Hospital
Mumbai, Maharashtra, India
- Shiran Shetty, MD · Contactdrshiran@gmail.com
- Shiran Shetty, MD · Principal investigator
Not yet recruitingSeth GSMC & KEM Hospital
Mumbai, Maharashtra, India
- Akash Shukla · Contactdrakashshukla@yahoo.com
- Akash Shukla · Principal investigator
Not yet recruitingIndraprastha Apollo Hospitals
New Delhi, National Capital Territory of Delhi, India
- Ashish Malik, MD · Contactdr1malik@yahoo.co.in
- Ashish Malik · Principal investigator
Not yet recruitingMahatma Gandhi University of Medical Sciences and Technology
Jaipur, Rajasthan, India
- Vivek Saraswat, Prof · Contactprofviveksaraswat@gmail.com
- Vivek Saraswat, Prof · Principal investigator
Not yet recruitingDr.Rela Institute & Medical Centre
Chennai, India
- Mohamed Rela, PI · Contact+91 44 6666 7788Mohamed.rela@gmail.com
- Ashwin Ramohan · Contactashwinrammohan@gmail.com
Recruiting- Not yet recruiting
Medanta Medicity
Gurugramam, India
- Arvinder Singh Soin · Contact
Not yet recruitingAmrita Institute of Medical Sciences
Kochi, India
- S Sudhindran · Contact+91 484 285 1234shivsarin@gmail.com
RecruitingGlobal Hospital. Super speciality & transplant centre
Mumbai, India
- Samir Shah, Pi · Contactdrshahsamir@gmail.com
Not yet recruiting- Not yet recruiting
- Not yet recruiting
S.Orsola Hospital - Alma Mater Studiorum University of Bologna
Bologna, Italy
- Cristina Morelli · Contactmorelli@aosp.bo.it
RecruitingCa' Granda. Policlinico Milano
Milan, Italy
- Angelo Sangiovanni · Contactangelo.sangiovanni@policlinico.mi.it
RecruitingNiguarda Hospital
Milan, Italy
- Giovanni Perricone · Contact39 02 6444.4454giovanni.perricone@ospedaleniguarda.it
- Luca Belli · Principal investigator
- Giovanni Perricone · Sub-investigator
RecruitingUniversity and Hospital of Padova
Padua, Italy
- Salvatore Piano · Contactsalvatorepiano@gmail.com
- Paolo Angeli · Principal investigator
- Salvatore Piano · Sub-investigator
RecruitingKyushu University Hospital
Fukuoka, Japan
- Tomoharo Yoshizumi · Contacttomyoshi@surg2.med.kyushu-u.ac.jp
Recruiting- Recruiting
- Recruiting
Nagasaki University Hospital
Nagasaki, Japan
- Takanobu Hara · Contact81 095-819-7316harataka@nagasaki-u.ac.jp
Recruiting- Recruiting
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Mexico City, Mexico
- Graciela Elia Castro Narro · Contact+52 55 5487 0900gracastron@yahoo.com
RecruitingUniversity Medical Center Groningen (UMCG)
Groningen, Netherlands
- Aad Van den Berg · Contacta.p.van.den.berg@umcg.nl
Not yet recruitingErasmus MC University Medical Center
Rotterdam, Netherlands
- Caroline Den Hoed · Contactc.denhoed@erasmusmc.nl
RecruitingMedical University of Warsaw, Dept. of General, Transplant & Liver Surgery
Warsaw, Poland
- Krzysztof Zieniewicz · Contactkrzysztof.zieniewicz@wum.edu.pl
Recruiting- Recruiting
- Not yet recruiting
Hospital Clinic in Barcelona
Barcelona, Spain
- Javier Fernández Gómez · Contact934932271400javier.fernandez@efclif.com
- Javier Fernández Gómez · Principal investigator
- Jordi Colmenero · Principal investigator
RecruitingHospital Vall d'Hebron
Barcelona, Spain
- Isabel Campos · Contacticampos@vhebron.net
- Víctor Vargas · Contactvvargas@vhebron.net
- Víctor Vargas · Principal investigator
- Isabel Campos · Principal investigator
Recruiting- Recruiting
Hospital Universitario Ramón y Cajal
Madrid, Spain
- Agustín Albillos · Contactagustin.albillos@uah.es
- Agustín Albillos · Principal investigator
RecruitingHospital Marqués de Valdecilla
Santander, Spain
- José Ignacio Fortea · Contactjifortea@gmail.com
- José Ignacio Fortea · Principal investigator
RecruitingHospital Universitario Virgen del Rocío
Seville, Spain
- Miguel Ángel Gómez Bravo · Contactmiagbravo@gmail.com
RecruitingHospital Universitari i Politècnic La Fe
Valencia, Spain
- Marina Carmen Berenguer Haym · Contactmarina.berenguer@uv.es
- Carmen Vinaixa · Principal investigator
RecruitingKarolinska Institutet
Stockholm, Stockholm County, Sweden
- Magnus Holmer, PI · Contact08-524 800 00magnus.holmer@ki.se
- Christina Villard, PI · Contact08-524 800 00christina.villard@ki.se
RecruitingGeneva University Hospital (HUG)
Geneva, Switzerland
- Christian Toso · ContactChristian.Toso@hcuge.ch
- Nicolas Goosens · Principal investigator
Not yet recruitingKaohsiung Chang Gung Memorial Hospital
Kaohsiung City, Taiwan
- Chee Chien Yong · Contactccyong3980@gmail.com
RecruitingInonu University, Liver Transplantation Institute
Malatya, Anatolia, Turkey (Türkiye)
- Sezai Yilmaz, Prof · Contactsezai.yilmaz@inonu.edu.tr
- Sezai Yilmaz · Principal investigator
RecruitingQueen Elizabeth Hospital Birmingham
Birmingham, United Kingdom
- Abhishek Chauhab · ContactAbhishek.Chauhan@uhb.nhs.uk
RecruitingScottish Liver Transplant Unit, Royal Infirmary
Edinburgh, United Kingdom
- Ken Simpson · ContactK.SIMPSON@ED.AC.UK
Recruiting- Recruiting
King's College Hospital
London, United Kingdom
- William Bernal · Contactwilliam.bernal@kcl.ac.uk
- Tasneem Pirani · Principal investigator
RecruitingRoyal Free Hospital
London, United Kingdom
- Rajiv Jalan · Contact442074332795r.jalan@ucl.ac.uk
- Rachel Westbrook · Principal investigator
RecruitingSir Charles Gairdner Hospital
Nedlands, Australia
SuspendedUniversity Hospital Aachen
Aachen, Germany
SuspendedJena University Hospital
Jena, Germany
SuspendedUniversity Hospital Mainz
Mainz, Germany
SuspendedLMU Großhadern
Munich, Germany
SuspendedQueen Mary Hospital, The University of Hong Kong
Hong Kong, Hong Kong
SuspendedMax Saket Hospital
New Delhi, India
Active, not recruitingAuckland City Hospital- New Zealand Liver Transplant Unit
Auckland, New Zealand
SuspendedIstanbul Memorial Bahcelievler Hospital
Istanbul, Turkey (Türkiye)
Suspended
Study team
Sponsor
European Foundation for Study of Chronic Liver Failure
Study ID 2020/01325
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.