The artificial liver support system (ALSS) in patients with acute on chronic liver failure - the use of combined molecular adsorption system with double plasma (DPMAS) and therapeutic plasma exchange (TPE), its effect on primary coagulation, inflammation and the function of vital organs.
In patients with ACLF we assume the use of the proposed protocol of combined support therapy (consisting of a hemoadsorption system - DPMAS (double plasma molecular absorption system) and therapeutic plasma (TPE), with the basic aim of improving clinical condition (organ dysfunction) to allow the regeneration of liver parenchyma or to perform liver transplantation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Device: Double Plasma Molecular Adsorption System (DPMAS) Procedure/Other: Therapeutic Plasma Exchange (TPE)
Institute for Clinical and Experimental Medicine (IKEM)
Prague, Czechia
RECRUITINGTransplant-Free Survival at Day 21
Proportion of patients with acute liver failure who are alive without liver transplantation at Day 21 after initiation of artificial liver support therapy (combined DPMAS + TPE).
Time frame: 21 days after the first ALSS (DPMAS/TPE) session
Overall Survival at Day 21
Proportion of patients who are alive (with or without liver transplantation) at Day 21 after initiation of ALSS therapy.
Time frame: 21 days after the first ALSS session
Overall Survival at Day 90
Proportion of patients who are alive (with or without liver transplantation) at Day 90 after initiation of ALSS therapy.
Time frame: 90 days after the first ALSS session
Liver Transplantation Rate and Timing
Proportion of patients who undergo liver transplantation after initiation of ALSS therapy and time from ALSS initiation to liver transplantation (days).
Time frame: Up to 90 days after the first ALSS session
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.