Safety & Efficacy of the Extracorporeal Liver Assist Device (ELAD) System in Patients With Hepatic Insufficiency

Completed · Phase 1/Phase 2

Conditions studied: Acute Hepatitis, Chronic Hepatitis

In brief

Evaluate on how well the ELAD system works in treating people with liver failure.

Key facts

Study ID

NCT00771446

Run by

Vital Therapies, Inc.

People needed

18

Starts

2008-10-01

Expected to finish

2009-04-01

Last updated by the study team

2013-04-12

Who can join

Age: 19 and older, up to 69. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Weight >40 kilograms
• Age >18 and <70 years
• Acute decompensation of cirrhosis over the preceding 48-72 hour period
• Up to 4 weeks from symptom onset to presentation
• Presence of a precipitating event
• Either a MELD score of ≥32, or ≥24 with one or more of the following
• Severe encephalopathy of grade 3 or 4 on the Westhaven scale
• Renal dysfunction typical of type-1 hepato-renal syndrome, i.e. acute renal failure without evidence of elevated serum creatinine (>2.5mg/dL) during the 1 to 6 months prior to study entry. Serum creatinine at study entry >2.5mg/dL does not exclude the subject from enrolment
• SOFA score ≥9 at the initial Screening Visit

You may not qualify if…

• Platelets <50,000 or reducing to <80,000 over a 72 hour period
• Renal failure: Serum creatinine ≥2.5 mg/dL as measured during the 1 - 6 month period prior to study entry. If a subject has a contraindication to renal replacement therapy (hemodialysis or hemofiltration), then the subject should be excluded from entry into the study
• Active sepsis. Sepsis will be defined as positive microbiological culture, ascitic white cell count >450 cells/mm³ (or ascitic neutrophil count >250 cells/mm³), or clinical signs and chest x-ray appearances for at least 48 hours without clinical improvement prior to randomization, or other evidence of infection not under control
• Evidence of major hemorrhage indicated by requiring ≥ 4 unit blood transfusion within a 24 hour period, or hemodynamic instability (sustained pulse >120 beats/min and systolic blood pressure <100 mmHg over one hour). Subjects with a recent history of gastrointestinal hemorrhage who have been successfully treated and remain hemodynamically stable for a period of 48 hours will then be eligible for the study
• Evidence (by physical exam, history, or laboratory evaluation) of significant concomitant disease including chronic congestive heart failure, vascular disease, emphysema, AIDS, fatty-liver disease of non-alcoholic origin, hepatitis due to herpes virus, Wilson's disease, or Budd-Chiari syndrome;
• Known history of hepatocellular carcinoma beyond the Milan criteria and/or portal vein thrombosis
• Evidence of Small Bowel Perforation within 48 hours of treatment;
• Evidence of brain death as determined by blood flow studies positive for herniation and/or absence of pupillary reflex
• Mean Arterial Pressures (MAP) < 50 mm Hg for one hour or longer;
• Requirement for escalating doses of vasopressor support of an alpha-adrenergic agent for one hour or longer and evidence of hemodynamic instability;
• Clinical or radiographic evidence of a new stroke or intracerebral bleeding
• Seizures uncontrolled by medication
• Acute myocardial infarction based on clinical and/or electrocardiographic evidence
• Lung disease defined by a PaO2 <60 mm Hg or a history of severe COPD or interstitial lung disease
• Pregnancy as determined by βHCG results, or lactation
• Participation in another investigational drug, biologic, or device study within one month of enrollment

Where it is running

• Scripps Clinic — La Jolla, California, United States
• California Pacific Medical Center — San Francisco, California, United States
• University of Chicago Medical Center — Chicago, Illinois, United States
• Massachusetts General Hospital — Boston, Massachusetts, United States
• University of Michigan Hospital — Ann Arbor, Michigan, United States
• Columbia University Medical Center — New York, New York, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.