Acute-On-Chronic Liver Failure clinical trials
The registry lists 167 studies for Acute-On-Chronic Liver Failure across more than 10 countries. 62 are recruiting or about to start. 124 of them are mainly about Acute-On-Chronic Liver Failure (how this is decided). Per ClinicalTrials.gov, last updated 2026-11-12.
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Who runs them
Institute of Liver and Biliary Sciences, India (39) · Third Affiliated Hospital, Sun Yat-Sen University (13) · Post Graduate Institute of Medical Education and Research, Chandigarh (11) · Nanfang Hospital, Southern Medical University (9) · Genfit (4) · Assiut University (3) · Qin Ning (3) · Cellaion SA (3)
What is being tested here
Drugs under test in Acute-On-Chronic Liver Failure studies, those with the most open studies first. Medicines only given beside them are not counted. How drugs are counted
Coming up
Studies recruiting or running, from their records. “Main data collection” ends at the primary completion date, the sponsor’s own estimate, which often moves.
The 10 nearest, phase 3 first
- Apr 2027Umbilical Cord-derived Mesenchymal Stem Cell Infusion for Treating ACLF · Phase 3 · National Engineering Center of Cell Products
- Dec 2026Human Umbilical Cord Mesenchymal Stem Cell Transplantation for The Treatment of Acute-on-Chronic Liver Failure · Beijing 302 Hospital
- Dec 2026Phase I Trial of QH-1A Hybrid Bio-Artificial Liver With Ex Vivo Blood-Purifying MSCs in Acute-on-Chronic Liver Failure · Third Affiliated Hospital, Sun Yat-Sen University
- Dec 2026Comparison of Efficacy and Safety of Ceftazidime Avibactam Versus Extended Infusions of High Dose Meropenem in Patients of ACLF With Nosocomial Infections. · Institute of Liver and Biliary Sciences, India
- Dec 2026Liver Transplantation in Patients With CirrHosis and Severe Acute-on-Chronic Liver Failure: iNdications and outComEs · European Foundation for Study of Chronic Liver Failure
- Mar 2027A Novel Extracorporeal Liver Support Therapy In ALCF and to Evaluate the Efficacy of DIALIVE 2.0, a Liver Dialysis Device. · Yaqrit Ltd
- Jul 2027Vitamin C for Acute Kidney Injury in ACLF With Septic Shock: A Randomized Controlled Trial · Institute of Liver and Biliary Sciences, India
- Jul 2027Double Plasma Separation and Adsorption in Acute-on-Chronic Liver Failure (DPMAS-ACLF Trial) · Institute of Liver and Biliary Sciences, India
- Aug 2027Evaluating Novel Scoring Systems to Predict Outcomes in Acute-on-Chronic Liver Failure · Assiut University
- Aug 2027Phase 2 Study of 500 mg BID NTZ on Top of Standard of Care in Patients With Acute Decompensation of Liver Cirrhosis at High Risk of Progression to Acute-on-Chronic Liver Failure or Established Acute-on-Chronic Liver Failure · Genfit
Who these studies take
Of the 32 Acute-On-Chronic Liver Failure studies recruiting now, 11 (34%) set no upper age limit and 15 (47%) stop at 75 or younger. 3 (9%) take children under 18. 0 (0%) are for women only and 0 (0%) for men only; 2 (6%) take healthy volunteers.
| Age | Women | Men |
|---|---|---|
| 10 | 2 (6%) | 2 (6%) |
| 18 | 31 (97%) | 31 (97%) |
| 30 | 32 (100%) | 32 (100%) |
| 40 | 32 (100%) | 32 (100%) |
| 50 | 32 (100%) | 32 (100%) |
| 65 | 30 (94%) | 30 (94%) |
| 75 | 20 (63%) | 20 (63%) |
| 85 | 11 (34%) | 11 (34%) |
Across all 167 studies, recruiting or not: 60% stop at 75 or younger and 25% at 65; 13% take children; 0% are for women only and 0% for men only; 8% take healthy volunteers. From each study’s registry entry; the criteria on its page decide.
How long Acute-On-Chronic Liver Failure studies take
Of 38 observational studies under Acute-On-Chronic Liver Failure, half reached primary completion within 26 months of starting, counting those still running.
| Start to primary completion | Every sponsor | Industry | Non-industry |
|---|---|---|---|
| Interventional, no phase | 29 mo23–50 · 32 studies | — | — |
| Observational | 26 mo18–65 · 38 studies | — | — |
Each figure is the month by which half the studies had reached primary completion, with the range in which the middle half did. Studies still running count until their last registry update; studies that stopped early are left out. Phase 1 includes early phase 1; observational means prospective or not stated, as retrospective and cross-sectional studies date a window of data rather than a study. How these figures are worked out
What changed recently
From the registry's own updates since Oct 14, 2026.
Started recruiting1
Results posted1
- TAK-242 in Patients With Acute Alcoholic HepatitisOct 14, 2026NCT04620148
Stopped1
- TAK-242 in Patients With Acute Alcoholic HepatitisTerminatedOct 14, 2026NCT04620148
Newly registered2
- Comparison of Two Artificial Liver Support Treatments for Acute-on-Chronic Liver FailureNov 12, 2026NCT07931742
- Study to Evaluate ALN-CIDEB in Adults With Fibrotic Alcohol-Associated Liver Disease (ALD)Nov 12, 2026NCT07933328
Studies
Recruiting first, then most recently updated. Showing 50 of 167. Browse all 167 → or search them.
- Comparison of Two Artificial Liver Support Treatments for Acute-on-Chronic Liver FailureNot yet recruitingNCT079317421 country
- Study to Evaluate ALN-CIDEB in Adults With Fibrotic Alcohol-Associated Liver Disease (ALD)Not yet recruitingNCT07933328Phase 2
- Comparison of Efficacy and Safety of Ceftazidime Avibactam Versus Extended Infusions of High Dose Meropenem in Patients of ACLF With Nosocomial Infections.RecruitingNCT06818565Not applicable1 country
- Vitamin C for Acute Kidney Injury in ACLF With Septic Shock: A Randomized Controlled TrialNot yet recruitingNCT07184866Not applicable
- Double Plasma Separation and Adsorption in Acute-on-Chronic Liver Failure (DPMAS-ACLF Trial)Not yet recruitingNCT07178366Not applicable
- CytOSorb TreatMent Of Critically Ill PatientS RegistryRecruitingNCT051463366 countries
- Very Low-volume Plasma Exchange in ACLFNot yet recruitingNCT07857434Not applicable
- A Novel Extracorporeal Liver Support Therapy In ALCF and to Evaluate the Efficacy of DIALIVE 2.0, a Liver Dialysis Device.RecruitingNCT07347275Not applicable1 country
- A-TANGO Phase 2 StudyRecruitingNCT06890039Phase 21 country
- RENEW: Study of Porcine Liver Support in Participants With Acute-on-Chronic Liver FailureNot yet recruitingNCT07429838Phase 1/21 country
- Efficacy and Safety of Cytokine Adsorption and Plasma Exchange in Patients With ACLF and SepsisRecruitingNCT06562803Not applicable1 country
- A Novel COMBinATorial Therapy With Albumin and Enoxaparin in Patients With Decompensated Cirrhosis at High-risk of Poor Outcome (COMBAT Trial).RecruitingNCT05895136Phase 25 countries
- Evaluating Novel Scoring Systems to Predict Outcomes in Acute-on-Chronic Liver FailureNot yet recruitingNCT07734896
- Chinese Phase II Trail of AS1501 in Acute-on-chronic Liver Failure (ACLF) PatientsRecruitingNCT06916585Phase 21 country
- Phase 2 Study of 500 mg BID NTZ on Top of Standard of Care in Patients With Acute Decompensation of Liver Cirrhosis at High Risk of Progression to Acute-on-Chronic Liver Failure or Established Acute-on-Chronic Liver FailureNot yet recruitingNCT07694297Phase 2
- Comparison of Blood Products Required Using Two Different ROTEM Cut-offs Before Invasive Procedures in Cirrhosis and Acute on Chronic Liver Failure (ACLF) Patients With Severe CoagulopathyRecruitingNCT06831565Not applicable1 country
- The Effects of Double Plasma Molecular Adsorption System in Acute on Chronic Liver Failure PatientsRecruitingNCT05030571Not applicable1 country
- Plasma Exchange Half-dose and Extracorporeal Detoxification for ACLFNot yet recruitingNCT07593638Not applicable1 country
- COOLEY- Study: aCute On chrOnic Liver failurE Using the cYtosorb DeviceRecruitingNCT06079021Not applicable1 country
- Predictors of Decompensation, Acute-on-chronic Liver Failure and Mortality in Liver CirrhosisRecruitingNCT074382881 country
- Efficacy and Safety of Early Initiation of Midodrine for Control and Prevention of Ascites and Its Related Complications in Acute-on-chronic Liver Failure.Not yet recruitingNCT07422948Not applicable1 country
- Risk Factors Affecting MSC Efficacy in ACLF PatientsRecruitingNCT071988541 country
- F573 for Injection for the Treatment of Liver Injury/FailureRecruitingNCT05689645Phase 21 country
- Liver Transplantation in Patients With CirrHosis and Severe Acute-on-Chronic Liver Failure: iNdications and outComEsRecruitingNCT0461392127 countries
- National Collaborative Centre for Hepatic Regenerative Medicine (NC-CHRM): Phase I Study on Safety and Efficacy of Mesenchymal Stem-Cell (MSC) Therapy in Non-Viral Acute-on-Chronic Liver Failure (ACLF)Not yet recruitingNCT07131540Phase 1
- National Collaborative Centre for Hepatic Regenerative Medicine (NC-CHRM): Evaluating Mesenchymal Stem Cell Therapy in Non-viral Acute on Chronic Liver Failure (ACLF) Patient- Phase-II TrialNot yet recruitingNCT07131306Phase 21 country
- National Collaborative Centre for Hepatic Regenerative Medicine (NC-CHRM): Evaluating Mesenchymal Stem-Cell (MSC) Therapy in Non-viral Acute on Chronic Liver Failure (ACLF) Patients - Phase-III TrialNot yet recruitingNCT07075315Phase 31 country
- Prognosis of Cirrhotic Patients Admitted to the General Intensive Care Unit Between 2014 and 2024: a Regional Retrospective Multicentre Cohort StudyRecruitingNCT069485651 country
- Micro-encapsulated Hepatocyte Intraperitoneal Transplantation in Liver Failure AdultsRecruitingNCT05727722Phase 11 country
- Continuous Renal Replacement Therapy Intensity in HyperammonemiaEnrolling by invitationNCT06987604Not applicable1 country
- SSM Predicts Outcomes of CLD Inpatients With Acute Liver InjuryRecruitingNCT061739471 country
- Umbilical Cord-derived Mesenchymal Stem Cell Infusion for Treating ACLFNot yet recruitingNCT06884904Phase 2/3
- Single Cell Landscape of HBV-related Acute-on-chronic Liver Failure PatientsRecruitingNCT068658591 country
- Study About Hepatic Toxins Kinetic and Evaluation of Organ Damage in Acute on Chronic Liver Failure (ACLF) PatientsRecruitingNCT068377661 country
- Efficacy and Safety of Continuous Infusion of Terlipressin vs Bolus Terlipressin in ACLF Patients With Acute Esophageal Variceal BleedNot yet recruitingNCT06815770Phase 2/31 country
- Goal Directed Ammonia Lowering Therapy in Hyperammonemic ACLF Patients With no Overt HE to Reduce Major Adverse Liver Related Outcomes (GOAL Trial)Not yet recruitingNCT06808009Not applicable1 country
- Combination of DPMAS and Low Volume PE for Patients With HBV Related ACLFRecruitingNCT045971641 country
- Long-term Prognosis of Patients With Hepatitis B Related Acute-on-chronic Liver FailureRecruitingNCT043107871 country
- Three Types of Nucleotide/Nucleoside Analogues Treatment in HBV Related ACLFRecruitingNCT03920618Not applicable1 country
- Safety and Efficacy of Continuous Infusion of Terlipressin With Norepinephrine Versus Norepinephrine Alone in Improving Outcomes of Acute Kidney Injury in Acute on Chronic Liver Failure With Septic ShockNot yet recruitingNCT06556472Not applicable1 country
- Study on Prognosis of Acute-on-chronic Liver Failure Complicated by Bacterial or Fungal InfectionRecruitingNCT064370671 country
- Human Umbilical Cord Mesenchymal Stem Cell Transplantation for The Treatment of Acute-on-Chronic Liver FailureRecruitingNCT05985863Phase 1/21 country
- To Determine the Predictors of Reversibility for Acute-on-Chronic Liver Failure at 6-months.Not yet recruitingNCT063871601 country
- To Optimize Therapeutic Procedures of DPMAS in ACLF Patients: a Prospective, Sigle Arm and Multicenter StudyNot yet recruitingNCT06377774
- Acute hemodynamiC Response To Carvedilol Predicts Survival in ACLF PatientsNot yet recruitingNCT062986561 country
- An Open-label Randomized Controlled Trial Comparing the Role of Therapeutic Plasma-exchange in Ameliorating Secondary Organ Dysfunctions in Patients With ACLF and Develop Biomarkers of Treatment ResponseNot yet recruitingNCT06276907Not applicable1 country
- Individual Nutrition Support in HBV-ACLF Patients at Nutrition RiskRecruitingNCT06128421Not applicable1 country
- Real-World Validation of a Prognostic Prediction Model for Patients With Acute Exacerbations of Chronic Liver DiseaseNot yet recruitingNCT061814481 country
- Acute on Chronic Liver Failure in Cirrhotic Patients at Assiut University HospitalsNot yet recruitingNCT06142968
- Lactate Kinetics as a Predictor of Survival in ACLF With Septic ShockNot yet recruitingNCT061163051 country